scholarly journals First experiences and current feelings as care providers in a birthing center: an ethnographic study

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Luiza Akiko Komura Hoga
Keyword(s):  
Ethnographic Study ◽  
Care Providers ◽  
Birthing Center

scholarly journals A FRAMEWORK FOR CARE TRANSITIONS FOR OLDER ADULTS WITH COMPLEX HEALTH CONDITIONS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S687-S687
Author(s):  
Paul Stolee ◽  
Jacobi B Elliott ◽  
Kerry Byrne ◽  
Joanie Sims-Gould ◽  
Catherine Tong ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Providers ◽  
Service Use ◽  
Care Transitions ◽  
Ethnographic Study ◽  
System Level ◽  
Health Conditions ◽  
Care Providers ◽  
Framework Analysis

Abstract For older adults with complex health conditions, transitions between care settings are common and a major risk to quality of care and patient safety. Care transition interventions have shown positive impacts on continuity of care and health service use, however, most require additional human resources (e.g., transition coach), focus on one transition or “handoff”, and provide support for individual patients without addressing underlying challenges of health system integration. We sought to develop a framework for system-level enhancements to care transitions for older adults. We report a secondary framework analysis of an ethnographic investigation (the “InfoRehab” project) of care transitions for older persons who had experienced a hip fracture. The ethnographic study involved interviews, observations, and document reviews for 23 patients, 19 family caregivers, and 92 health care providers. Data were collected at each transition point (1-4/patient) along the care continuum, at three Canadian sites (large urban, mid-size urban, rural). Our framework analysis followed the approach described by Gale et al. (2013), using as cases 12 peer-reviewed papers which had reported InfoRehab results. Two researchers coded findings from each paper, then developed an analytical framework of eight themes by consensus; these include: patient involvement and choice, family caregiver involvement, patient complexity, health care provider coordination, information sharing, documentation, system constraints, and relationships. NVivo 11 was used to index findings into these themes and to generate a matrix. We are working with system stakeholders, including patients and caregivers, to apply this framework in the development of improved systems for care transitions.

The “Good” Rural Death: A report of An Ethnographic Study in Alberta, Canada

2009 ◽  
Vol 25 (1) ◽  
pp. 21-29 ◽  
Author(s):  
Donna M. Wilson ◽  
Lise Fillion ◽  
Roger Thomas ◽  
Christopher Justice ◽  
Paramjit P. Bhardwaj ◽  
...  
Keyword(s):  
Rural Communities ◽  
Ethnographic Study ◽  
Good Death ◽  
Care Providers ◽  
Group Discussions ◽  
Policy Makers ◽  
Critical Elements ◽  
Rural And Remote Areas ◽  
English Speaking ◽  
Hospice Palliative Care

Much concern has centred on the “good” death since the modern hospice/palliative care movement began, and considerable progress has been made in urban services to promote the good death. Little is known about the perspectives of people who live in rural and remote areas of Canada on the good death and how this good death might be enabled in those areas. This report is of an ethnographic study in rural Alberta involving English-speaking Albertans. An identical study in Quebec will be reported elsewhere. The 2006–07 Alberta study involved 13 interviews with individuals to understand their personal viewpoints or perspectives and how they were shaped by their experiences, followed by focus group discussions in two representative rural communities for additional insights from rural policy-makers and care providers. Four themes in the Alberta data highlight critical elements of the good rural death. These findings are expected to contribute to rural/remote palliative and end-of-life care developments.

scholarly journals Exacerbation of vulnerability in a hospital setting in Lubumbashi (Democratic Republic of Congo)

2013 ◽  
Vol 20 (1_suppl) ◽  
pp. 51-56 ◽  
Author(s):  
Aimé Kakudji Kyungu
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Hospital Setting ◽  
The State ◽  
Ethnographic Study ◽  
Care Providers ◽  
Republic Of Congo ◽  
Mining Enterprise ◽  
Institutional Instability ◽  
Professional Vulnerability

This article presents an ethnographic study of the pseudonymous Saint Amand Hospital in Lubumbashi (Democratic Republic of Congo) and of the way in which struggles for control of the hospital’s resources contributed to shape certain practices that were damaging to the institution. We examine how, following the disengagement of both the State and a large bankrupt mining enterprise, the ‘atypical’ governance of the hospital and the institutional instability it generated led to professional vulnerability among care providers. We also look at how, in turn, this situation exacerbated the vulnerability of the helpless and uneducated patients attending that hospital.

scholarly journals Strategies to Improve Quality of Life at the End of Life: Interdisciplinary Team Perspectives

2017 ◽  
Vol 35 (3) ◽  
pp. 411-416 ◽  
Author(s):  
Rana Sagha Zadeh ◽  
Paul Eshelman ◽  
Judith Setla ◽  
Hessam Sadatsafavi
Keyword(s):  
Quality Of Life ◽  
End Of Life ◽  
Nurse Practitioners ◽  
End Of Life Care ◽  
Qualitative Content Analysis ◽  
Ethnographic Study ◽  
Improve Quality ◽  
Life Care ◽  
Care Providers

This ethnographic study draws on the experiences of members of interdisciplinary care teams working with end-of-life care patients to identify strategies to improve quality of life through care practices. We surveyed 133 staff and volunteers (physicians, physician assistants, nurse practitioners, registered nurses, social workers, chaplains, administrators, and volunteers) who provide end-of-life care to patients in both home and institutional settings for 4 organizations in 2 counties in Upstate New York. Survey responses were analyzed using qualitative content analysis. The results identified numerous strategies to enhance and safeguard quality of life for end-of-life care patients and their family members. These strategies can be categorized into 6 domains: organization philosophy and mission; organizational policies; caregivers’ behaviors and practices; symptom management; facility design, operation and management; and patient, family member, and caregiver experience. The diverse list of identified strategies indicates that improving care to address the unique, complex, multilayered dimensions of quality of life at the end of life requires a multidisciplinary approach and consistency among care providers, including administration, clinical management, front-line caregivers, and support staff. When all of these strategies are used in harmony, care can truly be enhanced.

Mothering Work and Perinatal Transfer: An Institutional Ethnographic Investigation

2019 ◽  
pp. 084456211988438 ◽  
Author(s):  
Catherine L. Ringham ◽  
Karen MacKinnon
Keyword(s):  
Health Care Providers ◽  
Ethnographic Study ◽  
Care Providers ◽  
Institutional Processes ◽  
Course Of Action ◽  
The Face ◽  
Health Complications ◽  
Childbearing Women ◽  
Purposive Sample ◽  
Infant Transfer

Background While maternal or infant transfer is generally the safest course of action when health complications arise, the process of shifting from one hospital to another is stressful for mothers and their infants. There is limited understanding of how institutional processes coordinate patient transfer in ways that increase tensions for women and their families who are trying to navigate the institutional systems during health crises. Methods This institutional ethnographic study explored womens’ experience of transfer. Interviews were conducted with a purposive sample of six childbearing women. The analysis highlights tensions and contradictions between patient care and institutional demands and shows how ordinary institutional decision-making practices impacted participants in unexpected ways. Results Women experienced uncertainty and stress when trying to convince health-care providers they needed care. Before, during, and after transfer, participants navigated home responsibilities, childcare, and getting care closer to home in difficult circumstances. Conclusion The effort and skill women need to care for their infants and families as they are transferred is extraordinary. This study offers insight into the resources and support childbearing women need to accomplish the work of caring for their families in the face of perinatal crisis and multiple transfers.

The Concept of Effective Islamic Spiritual Care

2011 ◽  
Vol 2 (1) ◽  
Author(s):  
Nazila Isgandarova
Keyword(s):  
Social Sciences ◽  
Continuing Education ◽  
Spiritual Care ◽  
Ethnographic Study ◽  
Care Providers ◽  
The Social ◽  
Caring Relationship ◽  
Muslim Scholars

AbstractThe paper discusses the effectiveness of Islamic spiritual and religious care based on an ethnographic study involving 15 Muslim spiritual caregivers. Six themes emerged from the interview. These six themes describe what the spiritual care providers see as effective Muslim spiritual care. 1. The most effective Muslim spiritual care is rooted in the Qur’an and the Hadiths. 2. Effective Muslim spiritual care also means creating a caring relationship with the patient. 3. Muslim scholars are one of the important sources of effective Islamic spiritual care. 4. The insights of psychology and the social sciences are a necessary part of effective Islamic spiritual care. 5. There is a need for continuing education. 6. Styles of effective Muslim spiritual care are varied.

scholarly journals Community Nurse-Paramedics' Sphere of Practice in Primary Care; an ethnographic study

2020 ◽  
Author(s):  
Tuija Rasku ◽  
Marja Kaunonen ◽  
Elizbeth Thyer ◽  
Eija Paavilainen ◽  
Katja Joronen
Keyword(s):  
Primary Care ◽  
Content Analysis ◽  
Participant Observation ◽  
Ethnographic Study ◽  
Care Providers ◽  
Community Nurse ◽  
Structured Interviews ◽  
Care Needs ◽  
Way Of Thinking ◽  
Practice Methods

Abstract Background Primary care, the principal function of the healthcare system, needs efforts from the local primary healthcare teams. Community Paramedicine has managed to reduce the use of Emergency Medical Services (EMS) for non-emergent calls. For the paramedic to move from traditional emergency call outs to non-emergency care means new demands. There is a paucity of paramedics’ experiences and perceptions of their novel roles as community paramedics. This study aimed to explore the community nurse-paramedics experiences of their new sphere of practice. Methods A descriptive ethnographic research was conducted collecting data through participant observation (total 317 hours) and semi-structured interviews (N = 24) in three Hospital Districts where the community nurse-paramedics (CNP) have worked at least one year. Both data were combined, organized, and analyzed with inductive content analysis. Results From the inductive content analysis, five themes emerged: the CNP's new way of thinking, the broad group of patients, the demanding way to provide care, the diversity of multi-agency collaboration and management challenges. The CNP needs an appropriate attitude for the care and the broader way of thinking than before, taking care of the patient but also about the family members. The CNPs pointed out as enablers for the way of providing care as challenges for the management of the CNP model. The diversity of multiagency collaboration team can be sensitive while offering new possibilities. Conclusion The CNP's deep involvement in patients' and families' care needs and the challenges of CNPs’ skills and competences. Their professional attitudes and eagerness to develop and maintain the multi-agency collaboration can offer preventive and long-term caring solutions from which the citizens and allied health, safety, and social care providers benefit locally and globally.

scholarly journals Meaning and Practice of Palliative Care for Hospitalized Older Adults with Life Limiting Illnesses

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Bethel Ann Powers ◽  
Sally A. Norton ◽  
Madeline H. Schmitt ◽  
Timothy E. Quill ◽  
Maureen Metzger
Keyword(s):  
Older Adults ◽  
Palliative Care ◽  
Health Care Providers ◽  
Acute Care Hospital ◽  
Ethnographic Study ◽  
Underlying Structure ◽  
Care Hospital ◽  
Older Individuals ◽  
Care Providers ◽  
Palliative Care Consultation

Objective. To illustrate distinctions and intersections of palliative care (PC) and end-of-life (EOL) services through examples from case-centered data of older adults cared for during a four-year ethnographic study of an acute care hospital palliative care consultation service.Methods. Qualitative narrative and thematic analysis.Results. Description of four practice paradigms (EOL transitions, prognostic uncertainty, discharge planning, and patient/family values and preferences) and identification of the underlying structure and communication patterns of PC consultation services common to them.Conclusions. Consistent with reports by other researchers, study data support the need to move beyond equating PC with hospice or EOL care and the notion that EOL is a well-demarcated period of time before death. If professional health care providers assume that PC services are limited to assisting with and helping patients and families prepare for dying, they miss opportunities to provide care considered important to older individuals confronting life-limiting illnesses.

Sign in / Sign up

Export Citation Format

Share Document