scholarly journals Radiografers oppfatninger av suboptimale henvisninger innen konvensjonell røntgen - en kvalitativ studie

2018 ◽  
Vol 4 (1) ◽  
pp. 17 ◽  
Author(s):  
Alaa Sadiq Abohaikel ◽  
Huda Hussein Musa ◽  
Kristin Bakke Lysdahl
Keyword(s):  
Thematic Analysis ◽  
Clinical Information ◽  
Structured Interview ◽  
Plain Radiography ◽  
Work Situation ◽  
Individual Interviews ◽  
Quality Patient Care ◽  
Interview Guide

Abstract: Title: Radiographers’ perception of suboptimal referrals for plain radiography – a qualitative study.Introduction: Adequately filled in radiology requests forms are crucial for the quality of conducting and reporting examinations. Still suboptimal referrals occur. The knowledge of how the referrals are assessed handled in the radiological department is limited, in particular the role of the radiographers. The purpose of this study was to investigate how radiographers understand, experience and act upon suboptimal referrals and how this influence their work.Methods and Materials: A semi-structured interview guide was developed and applied in individual interviews with five radiographers in south-east Norway. The radiographers had different length of employment and experience in performing plain radiographs. The interviews were transcribed and analyzed using a thematic analysis method.Results: Five main categories were identified from the interviews. 1) Scope and type of referral quality problems, where the problem is recognised, mainly due to missing clinical information, which is reported to occur frequently, particularly in referrals for control examinations. 2) Communication experiences and approaches towards patients, experienced colleges or radiologists, when seeking to substitute missing/wrong referral information. 3) Consequences of inappropriate referrals, in shape of unwarranted examinations, waste of time, and reduced job satisfaction. 4) Perceived responsibility for optimisation and justification of examinations. 5) Strategies to overcome the problem, through leadership and co-operation between radiographers, radiologists and referring physicians.Conclusion: Suboptimal referral quality influence the radiographers work. They recognize it as a commonplace problem with implication for quality patient care, own work-situation and -satisfaction and economically for health society. Increased interdisciplinary co-operation may improve the quality of the referrals.

The Role of Pain in the Lives of Patients with Psoriasis: A Qualitative Study on an Inadequately Addressed Symptom

2021 ◽  
pp. 247553032110669
Author(s):  
Ashley M. Snyder ◽  
Vanina L. Taliercio ◽  
Lisa B. Webber ◽  
Adelheid U. Brandenberger ◽  
Bianca E. Rich ◽  
...  
Keyword(s):  
Intimate Relationships ◽  
Structured Interview ◽  
Emotional Suffering ◽  
Interview Guide ◽  
Related Quality ◽  
Trained Facilitator ◽  
Health Related ◽  
Daily Function

Background: Patients with psoriasis commonly report experiencing severe sensory symptoms, and the burden of these symptoms can extend beyond unpleasant experiences to impair patients’ health-related quality of life (HRQL). However, the symptom of pain and its consequences are still poorly understood in psoriasis patients. Objective: To understand the quality and intensity of pain associated with psoriasis as well as its interference with daily function in patients with psoriasis. Methods: Three focus groups and four interviews with psoriasis patients were conducted (n = 25). A trained facilitator used a semi-structured interview guide based on a literature review and a theory-driven approach. Two researchers independently coded the narratives and reached a consensus on the major themes using NVivo 12 software. Results: Our analysis produced five main themes regarding pain. (1) Perception of pain was illustrated through intense descriptors. (2) Patients identified pain triggers, including self-inflicted triggers. (3) Patients found coping strategies to deal with pain, including suppression of sensory experience. (4) Emotional suffering was linked primarily to the compulsion to continue scratching despite repeated efforts to stop and the failure of physicians to acknowledge the burden of the pain, which led to inadequate pain management. (5) Pain led to an overt impact on HRQL in these patients through interference with daily activity, intimate relationships, and sleep. Conclusions: Pain can be a significant hardship for patients with psoriasis. We encourage clinicians to inquire about pain separate from pruritus and to consider HRQL impacts of their patients’ pain when determining treatments.

scholarly journals Caregivers of Stroke Survivors: Exploring the Role of Spousal Caregivers through an Occupational Therapy Lens

2016 ◽  
Author(s):  
Lisa Knecht-Sabres ◽  
Karley Kammer ◽  
Matthew Kilian ◽  
Kim Veverka
Keyword(s):  
Thematic Analysis ◽  
Daily Life ◽  
Structured Interview ◽  
Spousal Caregivers ◽  
Stroke Survivors ◽  
Daily Life Activities ◽  
Open Coding ◽  
Caregiver Interventions

The purpose of this qualitative study was to explore the occupational needs of caregivers of stroke survivors and to identify potential implications for occupational therapy’s role with this population. Methods: Focus groups and a semi-structured interview were used to gather an in-depth perspective on caregivers’ needs and level of participation in valued activities. Interactions were recorded and transcribed verbatim. Data analysis included open coding, formulation of categorical patterns, and thematic analysis. Rigor was enhanced through peer review, multiple coders, member checking, and triangulation. Results: Four primary themes emerged: (1) the essential need for additional services and support; (2) the amount of time spent on addressing spouses’ needs resulted in occupational loss; (3) finding new ways to participate in daily life activities; and, (4) an association between the survivor’s level of impairment and the caregiver’s quality of life. Conclusion: Demands of caregiving can lead to changes in roles, responsibilities, and routines. OT practitioners are uniquely qualified to reinstate valued occupations into daily life, formulate balanced routines, and provide client specific supports and resources. OT services could provide strategies to enhance caregivers’ ability to partake in meaningful occupations and resume a balanced lifestyle. More research is needed to determine the occupational needs of caregivers and the effectiveness of caregiver interventions.

scholarly journals Challenges of Parents with Two Intellectually Disabled Children

2018 ◽  
Vol 17 (2) ◽  
pp. 59-76
Author(s):  
Francina P X ◽  
Tintu N S ◽  
Venishya Ivan
Keyword(s):  
Structured Interview ◽  
Typically Developing ◽  
Disabled Children ◽  
Intellectually Disabled ◽  
First Child ◽  
The Family ◽  
Interview Guide ◽  
Multiple Levels

This study was conducted to assess the psycho-social problems faced by parents with more than one intellectually disabled child in Mangalapuram Panchayath of Trivandrum District, Kerala. The psycho-social elements considered for this qualitative study includes emotional adaptability of parents, the role of support systems and the precautions taken by the family after the birth of the first child. Data were collected from 5 cases selected from the 15 cases identified in Mangalapuram panchayath. The cases were purposively selected from parents having minimum two disabled children. Data were collected using a semi-structured interview guide as a tool. The difficulty faced by the families with two disabled children reveals multiple levels of stress when compared to families with typically developing children. Such families face problems ranging from financial aspects to the physical, psychological and social aspects, which in turn affect their quality of life.

Patients’ Perceptions of Caring and Uncaring Nursing Encounters in Inpatient Rehabilitation Settings

2019 ◽  
Vol 21 (2) ◽  
Author(s):  
Joan C Cheruiyot ◽  
Petra Brysiewicz
Keyword(s):  
South Africa ◽  
Content Analysis ◽  
Inpatient Rehabilitation ◽  
Structured Interview ◽  
The Self ◽  
Personal Relationships ◽  
Individual Interviews ◽  
Textual Data ◽  
Interview Guide ◽  
Being There

This study explores and describes caring and uncaring nursing encounters from the perspective of the patients admitted to inpatient rehabilitation settings in South Africa. The researchers used an exploratory descriptive design. A semi-structured interview guide was used to collect data through individual interviews with 17 rehabilitation patients. Content analysis allowed for the analysis of textual data. Five categories of nursing encounters emerged from the analysis: noticing and acting, and being there for you emerged as categories of caring nursing encounters, and being ignored, being a burden, and deliberate punishment emerged as categories of uncaring nursing encounters. Caring nursing encounters make patients feel important and that they are not alone in the rehabilitation journey, while uncaring nursing encounters makes the patients feel unimportant and troublesome to the nurses. Caring nursing encounters give nurses an opportunity to notice and acknowledge the existence of vulnerability in the patients and encourage them to be present at that moment, leading to empowerment. Uncaring nursing encounters result in patients feeling devalued and depersonalised, leading to discouragement. It is recommended that nurses strive to develop personal relationships that promote successful nursing encounters. Further, nurses must strive to minimise the patients’ feelings of guilt and suffering, and to make use of tools, for example the self-perceived scale, to measure this. Nurses must also perform role plays on how to handle difficult patients such as confused, demanding and rude patients in the rehabilitation settings.

scholarly journals From Nursing to Courtroom: A Qualitative Descriptive Study of the Preparations, Motivations, and Barriers of Nurses Becoming Lawyers

2021 ◽  
Vol 11 (1) ◽  
pp. 10-23
Author(s):  
Homelo Valenzuela Estoque ◽  
Reynold Culimay Padagas
Keyword(s):  
Thematic Analysis ◽  
Structured Interview ◽  
Primary Treatment ◽  
The Philippines ◽  
Ethical Standards ◽  
Qualitative Research Design ◽  
Interview Guide ◽  
Qualitative Descriptive ◽  
Support Mechanisms ◽  
Conducting Research

Background: Transitioning is a common phenomenon that happens such as in a career shift provoked by either internal or external factors. This phenomenon also occurs to nurses becoming lawyers. Considering its complexity, such transition entails a process.Purpose: This study aimed to describe and uncover the preparations, motivations, ad barriers of nurses who transitioned into nurse-lawyers in the Philippines. Methods: The study employed descriptive-qualitative research design utilizing twenty participants selected through purposive and snowball or referral sampling techniques. A semi-structured interview guide was used for the data collection using Google form. Braun and Clarke’s thematic analysis was utilized as the primary treatment of the transcribed data. Strict observance of ethical standards in conducting research was ensured.Results: The study found out several themes and subcategories from the thematic analysis conducted. These included (1) “pre-planning emotive expressions”; (2) “motivations of career shift”; (3) “support mechanisms to afford career shift”; (4) “barriers to career shift”; (5) “the interconnectedness of law and nursing”; and (6) “impacts of the career shift.” Conclusion: Generally, the career shift of the nurse-lawyers presented significant themes pertinent to their preparations, motivations, and barriers in becoming lawyers. Apparently, these are all primordial in the career transition of the nurse-lawyers. Essentially, the study provides preliminary findings that may become springboard in the construction of a grounded theory that would explicate the transition of the nurse-lawyers as a phenomenon uniting and expanding nursing and the practice of law as complementary sciences.

scholarly journals Women’s experiences of living with increased inter-recti distance after childbirth: an interview study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Martin Eriksson Crommert ◽  
Karolina Petrov Fieril ◽  
Catharina Gustavsson
Keyword(s):  
Qualitative Content Analysis ◽  
Healthcare Providers ◽  
Structured Interview ◽  
The Body ◽  
Study Cohort ◽  
Individual Interviews ◽  
Diastasis Recti ◽  
Purposeful Sampling ◽  
Interview Guide ◽  
Biopsychosocial Perspective

Abstract Background Although an increased inter-recti distance, also known as diastasis recti, is common after pregnancy, evidence-based knowledge about the condition is relatively limited. In particular, little is known about the consequences as perceived by the women. The objective of the present study was to describe how postpartum women with increased inter-recti distance experience the condition as well as the contacts they have had with healthcare providers regarding their symptoms. Methods A purposeful sampling approach was used to recruit 19 participants from an existing study cohort of 144 women. All participants had an inter-recti distance of at least two finger widths and at least one child, with the youngest child between the ages of 1 and 6 years. Individual interviews based on a semi-structured interview guide were performed and subsequently analysed using qualitative content analysis. Results Four categories emerged from the interviews: the body’s function and ability has changed; the body does not look like it used to; uncomprehending attitudes and treatment in their surroundings; and trying to acquire an understanding of and strategies to cope with the diastasis. The findings reveal that women with increased inter-recti distance might experience fear of movement and engage in avoidance behaviour. In combination with feelings of physical instability in the midsection of their bodies and body dissatisfaction, many of the women restrict their everyday lives and physical activities. Conclusions The findings indicate that increased inter-recti distance is a complex phenomenon that affects the women in a multitude of ways, highlighting the importance of considering the condition for each individual in her own context from a biopsychosocial perspective.

Paradox of Prescribing Late Chemotherapy: Oncologists Explain

2016 ◽  
Vol 12 (12) ◽  
pp. e1006-e1015 ◽  
Author(s):  
Minnie Bluhm ◽  
Cathleen M. Connell ◽  
Raymond G. De Vries ◽  
Nancy K. Janz ◽  
Kathleen E. Bickel ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Semistructured Interview ◽  
Clinical Factors ◽  
Individual Interviews ◽  
Patients With Cancer ◽  
Dying Patients ◽  
Interview Guide ◽  
Supportive Interventions ◽  
Nuanced Understanding

Purpose: The value of chemotherapy for patients with cancer in the last weeks of life warrants examination. Late chemotherapy may not improve survival or quality of life but typically precludes hospice enrollment and may result in additional symptoms, increased use of other aggressive treatments, and worsening quality of life. Few studies have explored oncologists’ rationales for administering chemotherapy near death. This study examines the self-reported factors that influence oncologists’ decisions about late chemotherapy. Methods: In-depth individual interviews were conducted with 17 oncologists through a semistructured interview guide. Interviews were audio recorded and transcribed verbatim. Transcripts were coded and analyzed using conventional content analysis, a qualitative method that allows the detection and analysis of patterns in the data. Results: Clinical factors take priority in determining late chemotherapy decisions when clear treatment choices exist. When clinical factors are ambiguous, emotion becomes a highly salient influence. Oncologists view late chemotherapy to be patient driven and use it to palliate emotional distress and maintain patient hope even when physical benefit is unexpected. Oncologists experience unique and difficult challenges when caring for dying patients, including emotionally draining communication, overwhelming responsibility for life/death, limitations of oncology to heal, and prognostic uncertainty. These challenges are also eased by offering late chemotherapy. Conclusion: The findings reveal a nuanced understanding of why oncologists find it difficult to refuse chemotherapy treatment for patients near death. Optimal end-of-life treatment decisions require supportive interventions and system change, both of which must take into account the challenges oncologists face.

scholarly journals “Coach Really Knew What I Needed and Understood Me Well as a Person”: Effective Communication Acts in Coach–Athlete Interactions among Korean Olympic Archers

2020 ◽  
Vol 17 (9) ◽  
pp. 3101 ◽  
Author(s):  
Youngsook Kim ◽  
Inchon Park
Keyword(s):  
Thematic Analysis ◽  
Critical Role ◽  
Structured Interview ◽  
Communication Process ◽  
Self Awareness ◽  
Sports Performance ◽  
Self Confidence ◽  
Communicative Actions ◽  
Practical Implications

The purpose of this study is to qualitatively explore situations in which athletes perceived communication with their coach to be important and determine the effect of this communication on the athletes. Literature on the communication process in sports emphasizes the distinct characteristics of each sports and its setting. However, previous research has not studied various settings in detail, and archery is yet to be explored. The qualitative process included an in-depth, semi-structured interview with eight Olympic archers. Thematic analysis was used to interpret the data. Athletes perceived communication with coaches to be important during their performance, while dealing with psychological crises, and during their training. Our analysis suggests that, depending on the communicative actions, a coach may positively or negatively impact an athlete’s self-awareness, self-confidence, anxiety, autonomy, and motivation. A noteworthy finding of this study is that archers perceive communication with coaches about the selection and management of equipment as important. This study emphasizes the critical role of an athlete’s communication with the coach in various situations and discusses the theoretical and practical implications in the context of sports performance.

Adolescents With ADHD: Experiences of Having an ADHD Diagnosis and Negotiations of Self-Image and Identity

2014 ◽  
Vol 22 (1) ◽  
pp. 92-102 ◽  
Author(s):  
Sheila Jones ◽  
Morten Hesse
Keyword(s):  
Identity Development ◽  
Health Care Professionals ◽  
Social Connectedness ◽  
Structured Interview ◽  
Adhd Diagnosis ◽  
Self Image ◽  
Need Support ◽  
Interview Guide ◽  
Youth With Adhd

Objective: To develop an understanding of the meanings and consequences of a diagnosis of ADHD for young people during the transition from childhood to adolescence. Method: Nine youth with an ADHD diagnosis were interviewed using a semi-structured interview guide on topics of management of identity and their own experiences of their difficulties relating to ADHD. Results: The meanings and consequences of the ADHD diagnosis is best understood in terms of overall identity development and social connectedness. In addition, cultural understandings of what ADHD is play a major role in negotiating the role of ADHD in identity. Conclusion: Youth with ADHD moving from childhood to adulthood need support for identity development. Health care professionals should be aware of young people’s experiences of ADHD symptoms in the context of their life situations and the cultural understanding of ADHD during treatment and psychoeducation.

Gendered experiences of African male learners in child- and youth-headed households: implications for the role of psychologists

2016 ◽  
Vol 47 (3) ◽  
pp. 305-315 ◽  
Author(s):  
Linda Hage ◽  
Jace Pillay
Keyword(s):  
Community Violence ◽  
Thematic Analysis ◽  
Cultural Practices ◽  
Non Profit ◽  
Individual Interviews ◽  
The Social ◽  
Significant Difference ◽  
And Gender ◽  
Area Data

The aim of this study was to describe the gendered experiences of African male learners living in child- and youth-headed households. The participants included seven male learners, identified through a non-profit organisation in the Soweto area. Data were collected through individual interviews, collages, and essays and analysed using qualitative content and thematic analysis. The theoretical framework included the works of Erikson and Nsamenang. The findings indicated that cultural practices and gender roles of boys were important aspects for the participants. Also, the presence of an older male figure in their lives was crucial. The social support from family and friends made a significant difference for them. Their resilience was seen in their desire to be educated so that they could have a better future, as well as in their ability to not engage in community violence. Based on the findings, relevant recommendations are provided with emphasis on the role of psychologists.

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