scholarly journals E-cigarette use in prisons with recently established smokefree policies: a qualitative interview study with people in custody in Scotland

2020 ◽  
Author(s):  
Ashley Brown ◽  
Rachel O’Donnell ◽  
Douglas Eadie ◽  
Allison Ford ◽  
Danielle Mitchell ◽  
...  
Keyword(s):  
Qualitative Interviews ◽  
Qualitative Interview ◽  
Situational Factors ◽  
Smoking Abstinence ◽  
Product Choice ◽  
Cigarette Use ◽  
Qualitative Interview Study ◽  
Smokefree Policy ◽  
Framework Approach ◽  
Continued Use

Abstract Introduction E-cigarettes were one measure introduced to help people in custody (PiC) to prepare for and cope with implementation of comprehensive smokefree policies in Scottish prisons. Our earlier study explored experiences of vaping when e-cigarettes were first introduced and most participants were dual tobacco and e-cigarette users. Here we present findings of a subsequent study of vaping among a different sample of PiC when use of tobacco was prohibited in prison, and smokefree policy had become the norm. Methods Twenty eight qualitative interviews were conducted with PiC who were current or former users of e-cigarettes in prison, 6-10 months after implementation of a smokefree policy. Data were managed and analysed using the framework approach. Results PiC reported that vaping helped with mandated smoking abstinence. However, findings suggest that some PiC may be susceptible to heavy e-cigarette use potentially as a consequence of high nicotine dependence and situational factors such as e-cigarette product choice and availability in prisons; issues with nicotine delivery; prison regimes; and use of e-cigarettes for managing negative emotions. These factors may act as barriers to cutting down or stopping use of e-cigarettes by PiC who want to make changes due to dissatisfaction with vaping or lack of interest in continued use of nicotine, cost and/or health concerns. Conclusions E-cigarettes helped PiC to cope with smokefree rules, although concerns about e-cigarette efficacy, cost and safety were raised. PiC may desire or benefit both from conventional smoking cessation programmes, and interventions to support reduction, or cessation, of vaping.

scholarly journals When Values Get in the Way of Conversations: Reflections on Dealing With Discriminatory Remarks and Behaviors in Qualitative Interviewing

2020 ◽  
Vol 19 ◽  
pp. 160940692096540
Author(s):  
S. T. Kulnik ◽  
J. Egbunike ◽  
J. Francois
Keyword(s):  
Healthcare Professionals ◽  
Qualitative Interviews ◽  
Qualitative Interview ◽  
Critical Discussion ◽  
Critical Examination ◽  
Qualitative Interviewing ◽  
Qualitative Interview Study ◽  
Practical Guidance ◽  
And Behaviors ◽  
Legal Frameworks

As healthcare researchers conducting qualitative interviews, we might encounter participants who make remarks or display behaviors which go against principles of valuing diversity, equality and human rights; in other words, remarks and behaviors which could indicate racist, homophobic, xenophobic, islamophobic, sexist, misogynist, classist, etc. views and attitudes. In this article, we offer our reflections on how as researchers we might deal with such situations. We draw on methodological literature and on our own experiences as researchers, educators and practitioners in healthcare, to provide a critical discussion around researcher awareness and anticipation of emotional triggers, management and leadership of research, and understanding of ethics and legal frameworks of equality. We summarize and signpost toward methodological views under which such instances might be considered, including interpretivist and constructivist interpretations, and the concepts of positionality and adversarial discourse. Lastly, we offer practical suggestions for dealing with such occurrences in the context of qualitative research studies in healthcare, and for using researcher reflexivity as a strategy to surface and work through these situations. We hope that this article will provide accessible theoretical and practical guidance, for example to healthcare professionals who embark on their first qualitative interview study as part of a postgraduate course. Equally, we hope that this article will be of interest to more experienced researchers and invite further critical examination of the issues we highlight.

scholarly journals What Are the Positives? Exploring Positive Welfare Indicators in a Qualitative Interview Study with Livestock Farmers

Animals ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. 694 ◽  
Author(s):  
Belinda Vigors ◽  
Alistair Lawrence
Keyword(s):  
Qualitative Interviews ◽  
Genetic Selection ◽  
Qualitative Interview ◽  
Welfare Indicators ◽  
Qualitative Interview Study ◽  
Livestock Farmers ◽  
Human Animal ◽  
On Farm ◽  
Primary Management ◽  
Positive Animal

To support the furtherance of positive animal welfare, there is a need to develop meaningful and practical positive welfare indicators for on-farm welfare assessment. Considering the perspectives of farmers is arguably critical in this regard. Doing so helps ensure positive welfare indicators reflect farmers’ existing welfare norms and attitudes and, are thus, of practical relevance to them. However, a key issue for such development is the dearth of knowledge on farmers’ perspectives of positive welfare. To address this, this study uses qualitative interviews to directly examine livestock farmers’ perspectives of positive welfare. Findings reveal that farmers describe elements of positive welfare which are broadly in line with indicators suggested in the positive welfare literature. These elements include animal autonomy, play, positive affect, positive human-animal relationships, social interaction, and appropriate genetic selection. Additionally, this study finds that farmers construct the reduction of negative aspects of welfare as their primary management concern and mostly construct positive welfare as arising indirectly from this. Insights into the importance that farmers of different sectors and systems give to different aspects of positive welfare indicators are also explored. The implications of these findings and the similitudes between farmers’ perspectives and the positive welfare literature are discussed.

scholarly journals Confidence of recurrent cellulitis self-diagnosis among people with lymphoedema: a qualitative interview study

2019 ◽  
Vol 70 (691) ◽  
pp. e130-e137
Author(s):  
Mitesh Patel ◽  
Siang Ing Lee ◽  
Nick J Levell ◽  
Peter Smart ◽  
Joe Kai ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Qualitative Interviews ◽  
Qualitative Interview ◽  
Accurate Diagnosis ◽  
Diagnostic Process ◽  
Perceived Trust ◽  
Research Priority ◽  
Qualitative Interview Study ◽  
History Of ◽  
Recurrent Nature

BackgroundCellulitis can sometimes be challenging for healthcare professionals to diagnose, with no validated diagnostic criteria available. Supporting healthcare professionals to make a more accurate diagnosis of cellulitis in different groups, such as those with lymphoedema, is a cellulitis research priority. However, to the authors knowledge, no previous studies have looked at the involvement of non-healthcare professionals in the diagnostic process.AimTo explore the experience of people with lymphoedema and recurrent cellulitis in the diagnosis of lower-limb cellulitis.Design and settingSingle, semi-structured, qualitative interviews carried out between 29 October and 19 December 2018.MethodAdults with a suspected episode of cellulitis who had been diagnosed in the last 12 months or had a history of recurrent cellulitis were interviewed.ResultsThree key themes emerged: the recurrent nature of cellulitis symptoms, participants’ experience of getting a cellulitis diagnosis, and participants’ suggestions of how cellulitis diagnosis might be improved. Generally, people with lymphoedema experienced similar clinical features during each of their own recurrent cellulitis episodes and were confident that they could make a self-diagnosis of cellulitis. This is also reflected in the participants’ perceived trust from the healthcare professional in being able to make a self-diagnosis. A diagnostic checklist and educational resources were suggested as methods to improve diagnosis.ConclusionSelected people with lymphoedema who have recurrent cellulitis are confident in self-diagnosing their own recurrent cellulitis episodes. There may be a role for greater involvement of people with lymphoedema in their cellulitis diagnosis.

scholarly journals How does smokefree policy impact nicotine-related and other prisoner spend (e.g. HFSS foods)?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Best ◽  
A Brown ◽  
S Semple ◽  
K Hunt
Keyword(s):  
Qualitative Interviews ◽  
Population Level ◽  
Mixed Effects Models ◽  
Policy Impact ◽  
Cigarette Use ◽  
Smokefree Policy ◽  
Increasing Trend ◽  
Comparable Period ◽  
Comparison Period

Abstract Background People in custody (PiC) have poor health compared to the general population, in part due to high smoking rates. Scotland's prisons became smokefree in 2018. Rechargeable e-cigarettes became available a few weeks before the removal of tobacco from the 'canteen' (prison shop for PiC). Methods Routinely collected weekly 'canteen' purchase data (no of units of given product purchased by an individual by date) were available for 29-7-18 to 31-3-19 (2112638 rows of data, 645 unique products). Products were categorised into: tobacco; e-cigarettes; food/drink; communication; hygiene; NRT; other and graphed as mean/person/week, for 'smokers' and 'non-smokers' (at baseline). Spend by product type pre- and post-implementation was compared in PiC for 31+ weeks over this period, using mixed effects models. Results Mean weekly spend for 'smokers' in custody for 31+ weeks over the pre-post ban comparison period (n = 2541) decreased from £21.36 to £19.80; mean weekly nicotine-related spend reduced from £6.64 (pre-) to £5.55 (post-) (p < 0.001), but showed an increasing trend in nicotine-related spend (£0.08/week) post-ban. No changes were seen for 'non-smokers' (n = 342) overall) or in nicotine-related spend. Trends in mean spend for other products remained flat, suggesting positive transfers of spend noted in qualitative interviews over a comparable period were not evident at population level. Conclusions Whilst there are benefits of removing tobacco from prisons, for staff and PiC, previously heavy smokers may find (mandated) tobacco abstinence difficult. Some jurisdictions have made e-cigarettes available to support people quitting/managing without tobacco, but long-term implications of e-cigarette use in this population are as yet unknown. When the introduction of smokefree policy is facilitated by the introduction of e-cigarettes, nicotine spend by PiC may remain high; the implications for whether or not PiC return to smoking on release from custody are unclear.

scholarly journals “We don’t want to sedate him” - A qualitative interview study on intentions when administering sedative drugs at the end of life in nursing homes and hospitals

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Sophie Meesters ◽  
Bettina Grüne ◽  
Claudia Bausewein ◽  
Eva Schildmann
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
End Of Life ◽  
Side Effect ◽  
Healthcare Professionals ◽  
Qualitative Interviews ◽  
Qualitative Interview Study ◽  
The Family ◽  
Framework Approach ◽  
Sedative Drugs

Abstract Background Previous data indicate major differences between countries and settings regarding the intention when administering sedative drugs at the end of life and the perception, which drugs are sedating. Therefore, we aimed to explore the concept of ‘sedative drugs’ and the intentions of German healthcare professionals in general palliative care when administering sedative drugs at the end of life. Methods Semi-structured qualitative interviews with physicians and nurses (n = 49). Recruitment took place via contact persons in five hospital departments (haematology/oncology (n = 2), neurology, geriatrics, gynaecology) and five nursing homes. We thematically analysed the transcripts by the Framework approach, using MAXQDA version 2018.2. Results Most interviewees referred to benzodiazepines, opioids, and antipsychotics. Some subsumed all into sedative drugs, others differentiated between sedative drugs, anxiolytics, and analgesics. In explaining their intention, interviewees particularly emphasized what they want to avoid when administering sedative drugs. We identified three main themes regarding (excluded) intentions: (1) use of sedative drugs to relieve the patient’s suffering with reduction of consciousness as side effect, (2) use of sedative drugs to relieve the situation for the team and/or the family, (3) distinction between intention and expectation regarding hastening death. Interviewees often equated the term ‘sedation’ with inducing a state of unconsciousness, which should be avoided. Conclusion German healthcare professionals in general palliative care seem to negatively connote the term ‘sedation’. Moreover, they see themselves in a more passive role by accepting a side effect rather than performing an intentional act. Critical reflection of indications and intentions in accordance with respective guidelines is needed.

scholarly journals Cancer caregivers’ experiences of prognosis in Australia: a qualitative interview study

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e032361
Author(s):  
Sophie Lewis ◽  
Alex Broom ◽  
Katherine Kenny ◽  
Emma Kirby
Keyword(s):  
Qualitative Interview ◽  
Patient Experiences ◽  
Third Party ◽  
Prognostic Information ◽  
Complex Interactions ◽  
Considerable Research ◽  
Qualitative Interview Study ◽  
Semistructured Interviews ◽  
Framework Approach ◽  
Living With Cancer

ObjectivesForecasting survival in cancer is a particularly challenging facet of oncological work and can involve complex interactions with patients and their families. While there is considerable research on patient experiences of being provided with, or becoming aware of, their prognosis, there has been much less emphasis placed on the experiences of caregivers. The aim of this paper was to examine caregivers’ experiences of prognosis.DesignThis study used semistructured interviews; transcripts were analysed thematically using the framework approach. These data are part of a larger research project focused on experiences of cancer survivorship.SettingRecruitment was from two metropolitan hospitals in Queensland, Australia.Participants50 caregivers of patients living with cancer and receiving treatment at two metropolitan hospitals (32% male, 68% female) participated in this study.ResultsFour main themes were identified: (1) caregivers’ uncertainty around the meaning and implications of prognosis, (2) caregivers’ sense of exclusion in prognostic conversations, (3) the practice of situating prognosis within a context of hope and (4) the precarious balance between realism, optimism and strategic ‘ignorance’.ConclusionsCaregivers are in many respects the unseen third party of prognostic communication. Developing a better understanding of caregivers’ perceptions of prognosis, including how this may be challenged, accepted or otherwise, is important in engaging caregivers in the process of communicating prognostic information. Facilitating greater participation by caregivers in prognostic conversations could potentially address evident complexities and even improve the experiences of all stakeholders in cancer care settings.

scholarly journals ‘I’m not Sherlock Holmes’: Suspicions, secrecy and silence of transplant professionals in the human organ trade

2019 ◽  
Vol 17 (6) ◽  
pp. 764-783
Author(s):  
Frederike Ambagtsheer ◽  
Linde Van Balen
Keyword(s):  
Qualitative Interview ◽  
Interview Study ◽  
Safe Distance ◽  
Sherlock Holmes ◽  
Human Organ ◽  
Qualitative Interview Study ◽  
Organ Trade ◽  
The Subject

This article presents the results of a qualitative interview study amongst 41 Dutch transplant professionals. The overarching aim was to acquire in-depth understanding of transplant professionals’ experiences with and attitudes towards patients who purchase kidneys. We found that transplant professionals occasionally treat patients who are suspected of kidney purchases abroad. However, they turn a blind eye to their patients’ suspected purchases. Secrecy and silence function as a tacit agreement between patients and their caregivers that keeps the subject of kidney purchase at a safe distance and allows transplant professionals to ignore its suspected occurrence. They thus participate in the building of walls of secrecy and silence in the organ trade.

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