scholarly journals “Help me to take care”: Professional expectations about using an application in heart failure

2021 ◽  
Vol 12 (4) ◽  
pp. 21
Author(s):  
Virna Ribeiro Feitosa Cestari ◽  
Lorena C. De Souza ◽  
Raquel S. Florêncio ◽  
Maria G.V. Sobral ◽  
Vera L.M.P. Pessoa ◽  
...  
Keyword(s):  
Heart Failure ◽  
Qualitative Study ◽  
Health System ◽  
Multidisciplinary Team ◽  
Hermeneutic Circle ◽  
Purposive Sampling ◽  
Individual Interviews ◽  
Professional Expectations

Objective: To understand the expectations of the professionals about the construction and use of an educational and follow-up application to care.Methods: Phenomenological and qualitative study. Convenience and purposive sampling were carried out and in-depth individual interviews with 35 professionals from the multidisciplinary team, between September and October 2020 in Brazil. All interviews were audio-recorded and data analyzed using the hermeneutic circle. The COREQ checklist was employed to report on the current study.Results: Two main units of meaning emerged: (a) The care of the person who lives with heart failure; and (b) The care of the person with heart failure intermediated by an application. Care for the person with the disease brings together elements related to the identification of demands and understanding of their surroundings, with guidance and use of technologies.Conclusions: The professionals were favorable to the development of an application and considered it beneficial. The use of it, would allow the approximation between patients and their family and the multidisciplinary team; respect the patient’s needs and overcome the precariousness of the health system.

scholarly journals A Qualitative Study on Patients' Perceptions of Two Types of Attachments for Implant Overdentures

2017 ◽  
Vol 43 (6) ◽  
pp. 476-481 ◽  
Author(s):  
Marina Pisani ◽  
Christophe Bedos ◽  
Cláudia Helena Lovato da Silva ◽  
Olivier Fromentin ◽  
Rubens F. de Albuquerque
Keyword(s):  
Qualitative Study ◽  
Phase Ii ◽  
Major Theme ◽  
Individual Interviews ◽  
Retention Level ◽  
Negative Factor ◽  
Prosthesis Retention ◽  
Group A ◽  
Group B

The aim of this qualitative study was to gain a deeper understanding of patient perceptions of wearing implant-retained overdentures with ball-shaped or cylindrical attachment systems. Twenty-two wearers of implant-supported overdentures participated in this qualitative study based on a randomized crossover clinical trial that aimed to compare a cylindrical attachment and a ball attachment. In phase I of the study, group A experienced ball attachments (n = 11) and group B Locator attachments (n = 11) for 1 year. Afterward, in phase II, the attachments were changed; group A received Locator attachments and group B received ball attachments. One week after the attachment's replacement, semistructured individual interviews were conducted. All interviews were audiotaped and transcribed. The analysis was guided by thematic content analysis. Most of the patients from both groups preferred the attachment they received in phase II, regardless the type. A major theme raised by the participants to justify their preference between the attachment types was prosthesis retention/stability, sometimes considered as a positive and other times as a negative factor. Other themes were also explored: oral function, pain, hygiene, previous experiences, confidence on the dentist's work, and esthetic. Aspects related to the retention/stability of the overdentures are the main concerns associated with the perceptions of most patients treated with implant overdentures regardless of the type of attachment. Adequate retention level should be identified and adjusted on an individual basis and maintained overtime as possible. Therefore, follow-up appointments should be planned for readjustment of the attachment's retention. Overretention should be avoided.

scholarly journals Patients’ experiences of life after bariatric surgery and follow-up care: a qualitative study

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e035013 ◽  
Author(s):  
Karen D Coulman ◽  
Fiona MacKichan ◽  
Jane M Blazeby ◽  
Jenny L Donovan ◽  
Amanda Owen-Smith
Keyword(s):  
Bariatric Surgery ◽  
Qualitative Study ◽  
Well Being ◽  
Adjustable Gastric Band ◽  
Comparative Approach ◽  
Future Research ◽  
Individual Interviews ◽  
Follow Up Care

ObjectivesBariatric surgery is the most clinically effective treatment for people with severe and complex obesity, however, the psychosocial outcomes are less clear. Follow-up care after bariatric surgery is known to be important, but limited guidance exists on what this should entail, particularly related to psychological and social well-being. Patients’ perspectives are valuable to inform the design of follow-up care. This study investigated patients’ experiences of life after bariatric surgery including important aspects of follow-up care, in the long term.DesignA qualitative study using semistructured individual interviews. A constant comparative approach was used to code data and identify themes and overarching concepts.SettingBariatric surgery units of two publicly funded hospitals in the South of England.ParticipantsSeventeen adults (10 women) who underwent a primary operation for obesity (mean time since surgery 3.11 years, range 4 months to 9 years), including Roux-en-Y gastric bypass, adjustable gastric band and sleeve gastrectomy, agreed to participate in the interviews.ResultsExperiences of adapting to life following surgery were characterised by the concepts of ‘normality’ and ‘ambivalence’, while experiences of ‘abandonment’ and ‘isolation’ dominated participants’ experiences of follow-up care. Patients highlighted the need for more flexible, longer-term follow-up care that addresses social and psychological difficulties postsurgery and integrates peer support.ConclusionsThis research highlights unmet patient need for more accessible and holistic follow-up care that addresses the long-term multidimensional impact of bariatric surgery. Future research should investigate effective and acceptable follow-up care packages for patients undergoing bariatric surgery.

scholarly journals Telehealth and 30-Day Readmissions Among Heart Failure Patients During the COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 468-468
Author(s):  
Bradi Granger ◽  
Eric Peterson ◽  
Matthew Dupre ◽  
Hanzhang Xu
Keyword(s):  
Heart Failure ◽  
Electronic Health Records ◽  
Health System ◽  
Multivariate Models ◽  
Readmission Rates ◽  
Health Records ◽  
Heart Failure Patients ◽  
Electronic Health ◽  
Household Incomes

Abstract This study examined whether outpatient follow-up within 14 days of discharge via telehealth visits are as effective as in-person visits for reducing 30-day readmission in heart failure (HF) patients. Using electronic health records from a large health system, we included HF patients (n=1,722) who were hospitalized during the period of March 15-July 15, 2020. Overall, 28.1% of patients received an early outpatient follow-up visit. Patients who received telehealth visits (n=119) were more likely to be older and live in areas with higher median household incomes than those with in-person visits (n=365). Thirty-day readmission rates were 20.5% during the COVID-19 period. Multivariate models showed that patients who received a telehealth (OR=0.36, 95%CI [0.23-0.56]) or an in-person (OR=0.42, 95%CI [0.31-0.57]) visit were less likely to be readmitted within 30 days compared with patients without an early outpatient follow-up. Telehealth visits were just as effective as in-person visits at reducing 30-day readmissions.

scholarly journals Staff perspectives on existing practice and conditions for nurse-led gout care based on treatment recommendations: a qualitative study in primary health care

2021 ◽  
Author(s):  
Helene Sedelius ◽  
Malin Tistad ◽  
Ulrika Bergsten ◽  
Mats Dehlin ◽  
David Iggman ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Primary Healthcare ◽  
Qualitative Content Analysis ◽  
Preventive Treatment ◽  
Treatment Recommendations ◽  
Group Discussions ◽  
Adequate Treatment ◽  
Individual Interviews ◽  
Inadequate Knowledge

Abstract Background Gout affects nearly two percent of the population and is associated with repeated painful attacks of arthritis. Preventive urate-lowering therapy is widely available, but only one third of patients receive adequate treatment. Lack of knowledge among healthcare professionals and patients within primary healthcare are implicated as partial explanations for this undertreatment. Nurse-led care has proved to be an effective model when treating patients with gout, but there is a need for more knowledge about factors that can be expected to influence the future implementation of such care. The aim of this study was to describe the factors influencing existing gout care in primary healthcare and the conditions for a future implementation of nurse-led gout care based on national treatment recommendations. Methods In this qualitative study, focus group discussions with 56 nurses and physicians and individual interviews with eight managers were conducted at nine primary healthcare units in the middle of Sweden. A deductive qualitative content analysis based on the main constructs of the framework Integrated Promoting Action on Research Implementation in Health Services was followed by an inductive analysis within the frames of the main constructs: innovation, recipients and context. Results The construct “innovation” was described with the management of gout being patient initiated and in some respects complex, and with experiences of nurse-led care as a favourable model. The two categories of the construct “recipients” were represented by a view of gout as a low-priority condition with acute attacks and inadequate knowledge of gout, including preventive treatment. The construct “context” consisted of three categories: a view of primary healthcare as having a holistic but fragmented responsibility for gout care, recommendations against keeping waiting lists that complicate follow-up appointments, and the need for motivation and support when introducing new practices. Conclusion In this study, investigating the perspective of professionals, several factors were found to influence existing gout care. It will be crucial to target these factors in the development of a future implementation strategy.

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