scholarly journals A qualitative program evaluation of the Publicly Available International Foodborne Outbreak Database

2021 ◽  
Vol 47 (1) ◽  
pp. 59-65
Author(s):  
Abhinand Thaivalappil ◽  
Mariola Mascarenhas ◽  
Lisa A Waddell ◽  
Ian Young

Background: The Publicly Available International Foodborne Outbreak Database (PAIFOD) is a regularly updated repository that contains international outbreak data collected from multiple surveillance systems and sources. As of February 2020, the database contained more than 13,000 entries spanning over 20 years. PAIFOD is the only known database that captures international foodborne outbreak data. Objective: To explore user perceptions and identify potential directions for PAIFOD and make recommendations for databases with food safety information. Methods: Between January and March 2020, 16 semistructured telephone interviews were conducted with 24 previous, current and potential PAIFOD users. Interviewees were asked about their knowledge of and experience of using PAIFOD as well as about its strengths and limitations and recommendations for the database. An inductive thematic analysis approach was used to analyze qualitative data and generate themes. Results: Four main themes were generated based on the 24 interviewees’ accounts of their experience with and recommendations for PAIFOD: participants viewed PAIFOD as a useful tool; they weren’t familiar with its contents or purpose; they stated it should become an open-access platform or linked with another information-sharing initiative; and they considered that PAIFOD had the potential to enhance the Agency’s reputation by becoming widely recognized and used. Conclusion: This work, along with the ever-changing landscape of foodborne surveillance, supports the need to ensure that PAIFOD is updated to meet the modern-day demands of food safety experts.

2019 ◽  
Vol 56 (9) ◽  
pp. 1181-1186 ◽  
Author(s):  
Ella Guest ◽  
Bruna Costa ◽  
Gillian McCarthy ◽  
Claire Cunniffe ◽  
Nicola Marie Stock

Objective: The birth of a child with a cleft lip and/or palate (CL/P) can have a significant emotional and social impact on parents. Yet, the impact on the wider family is rarely investigated. Grandparents are becoming increasingly involved in the care of their grandchildren and may therefore have support needs of their own. The aim of the current study was to explore the experiences and support needs of grandparents of children born with CL/P. Design: Individual semistructured telephone interviews were carried out with 12 grandparents of children born with CL/P and were analyzed using inductive thematic analysis. Results: Five themes were identified (1) emotional impact of CL/P on grandparents, (2) grandparents’ social experiences, (3) grandparents’ involvement, (4) grandparents’ information needs, and (5) grandparents’ support needs. Participants experienced difficult emotions around the time of diagnosis and were concerned about the child’s treatment and future experiences. Participants played a significant role in supporting the whole family, but received little information or support themselves. Conclusions: Grandparents reported experiences comparable to published literature on parents. Clinicians and charitable organizations could consider how existing resources could be made more accessible to and/or adapted for wider family members, including grandparents.


BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e017073 ◽  
Author(s):  
Jennifer Liddle ◽  
Roisin Bartlam ◽  
Christian D Mallen ◽  
Sarah L Mackie ◽  
James A Prior ◽  
...  

ObjectivesClinical management of giant cell arteritis (GCA) involves balancing the risks and burdens arising from the disease with those arising from treatment, but there is little research on the nature of those burdens. We aimed to explore the impact of giant cell arteritis (GCA) and its treatment on patients’ lives.MethodsUK patients with GCA participated in semi-structured telephone interviews. Inductive thematic analysis was employed.Results24 participants were recruited (age: 65–92 years, time since diagnosis: 2 months to >6 years). The overarching themes from analysis were: ongoing symptoms of the disease and its treatment; and ‘life-changing’ impacts. The overall impact of GCA on patients’ lives arose from a changing combination of symptoms, side effects, adaptations to everyday life and impacts on sense of normality. Important factors contributing to loss of normality were glucocorticoid-related treatment burdens and fear about possible future loss of vision.ConclusionsThe impact of GCA in patients’ everyday lives can be substantial, multifaceted and ongoing despite apparent control of disease activity. The findings of this study will help doctors better understand patient priorities, legitimise patients’ experiences of GCA and work with patients to set realistic treatment goals and plan adaptations to their everyday lives.


2021 ◽  
Vol 27 (5) ◽  
pp. 245-253
Author(s):  
Natalie Pejoski ◽  
Gemma Skaczkowski ◽  
Juli Moran ◽  
Hilary Hodgson ◽  
Carlene Wilson

Background: Little research examines the extent and impact of aggressive or uncomfortable ‘confronting behaviour’ experienced by palliative care nurses, despite palliative wards being an emotionally labile environment. Methods: Qualitative data on nurses' experiences of confrontation were collected from 17 palliative care nurses at a major metropolitan hospital via a focus group and individual interviews. Data were analysed using inductive thematic analysis. Findings: Results indicated that family members were the main perpetrators and tolerance of confrontation varied dependent on the characteristics of the aggressor. Confrontation was described as arising in response to grief, and because of misunderstandings of palliative care goals. Nurses reported a perceived lack of appreciation for their work from some patients' families and feelings of discontent with the nature and amount of structured support available following a confrontation. Informal workplace support helped nurses to deal with these incidents and, despite bad experiences, nurses affirmed their commitment to working in this area. Conclusion: The findings demonstrate the demands placed on nurses working in palliative care, and the importance of compassion in moderating the impact of a challenging environment.


2009 ◽  
Vol 15 (7) ◽  
pp. 876-884 ◽  
Author(s):  
A Bogosian ◽  
R Moss-Morris ◽  
L Yardley ◽  
L Dennison

Background Partners of people with multiple sclerosis are known to experience a heavy physical and psychological burden. However, little research has explored, in detail, the partners’ experience in the first years after diagnosis. The aim of this study was to explore and describe the experiences of partners of people who are in the relatively early stages of multiple sclerosis. Methods Fifteen semi-structured telephone interviews were conducted to assess partners’ concerns and difficulties. Data were audio-taped, transcribed, and analysed using an inductive thematic analysis. Results Key themes were being unsure of what the future might hold and feeling helpless and out of control. Furthermore, partners reported that other people could not understand and support them, which led to a feeling of social isolation. Conclusion The research illustrates the disruptive impact that MS has on partners’ lives and highlights the need for support to focus on partners’ needs even in early stages of the disease.


2020 ◽  
pp. BJGP.2020.0795
Author(s):  
Emily Donovan ◽  
Miriam Santer ◽  
Gavin Daker-White ◽  
Sara Morgan ◽  
Merlin Luke Willcox

Background: Doctors can be victim-survivors of domestic abuse (DA) but it is not well understood how this impacts on their work and wellbeing, and whether they face barriers to seeking help. Aim: To understand single doctor mothers’ lived experience of DA, barriers to seeking help and impact on their work. Design and setting. Individual qualitative interviews with female doctors who had left an abusive relationship. Methods: Participants were invited via a closed online forum for female doctors who are single parents. 114 women expressed interest and 21 participated. In-depth semi-structured telephone interviews were audio-recorded and transcribed. Transcripts were uploaded to NVivo and analysed using inductive thematic analysis. Results: The internalised stigma of DA affected participants’ sense of identity and belonging as a doctor, causing social and professional isolation. Many participants felt that the acute stress of DA had an impact on their work, yet were often felt unable to take time off. Barriers to seeking help included lack of confidentiality especially where the abusive partner was also a doctor (sometimes accusing the victim-survivor of mental illness or threatening to report them to the GMC). Participants found peer support helpful, as well as consulting health professionals (HPs) who were empathic towards them. After they had left the abusive relationship victim-survivors felt better equipped to support patients going through DA.


2020 ◽  
Author(s):  
Rosemary Saunders ◽  
Karla Seaman ◽  
Laura Emery ◽  
Debra Crompton ◽  
Chantelle Lynch ◽  
...  

BACKGROUND Patients undergoing surgery require pre- and post-operative education. eHealth programs can facilitate the delivery of information, individualised rehabilitation plans and communication with health professionals for surgical patients to promote overall patient recovery. My Hip Journey was an eHealth program designed to provide pre- and postoperative education for patients undergoing a total hip arthroplasty. OBJECTIVE The aim of this study was to explore patient experiences of using the eHealth program “My Hip Journey”. METHODS A descriptive, qualitative design was used to explore patient experiences of the eHealth program using semi-structured individual telephone interviews. An inductive thematic analysis was undertaken of the transcribed interviews. RESULTS Nine interviews were conducted. Participants found the program easy to use and three themes emerged from the analysis: (a) Information supported recovery; (b) Program motivated recovery and (c) Using technology for recovery. The participants found the eHealth program as a useful means of providing pre- and post-operative education and it built self- confidence in their recovery. CONCLUSIONS eHealth programs can prepare patients for surgical procedures and support them in their recovery and rehabilitation enabling them to feel some control of the surgical journey.


Animals ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 2059
Author(s):  
Heather Bacon ◽  
Belinda Vigors ◽  
Darren J. Shaw ◽  
Natalie Waran ◽  
Cathy M. Dwyer ◽  
...  

Universal frameworks for zoo animal welfare have been suggested. However, there is little evidence of a cross-cultural understanding of zoo animal welfare. This paper reports themes emerging from a qualitative study of international (European and Chinese) zoo professionals on zoo animal welfare issues. Structured telephone interviews were conducted with eight Chinese and eight European zoo staff, covering aspects of zoological animal welfare, conservation and zoological husbandry practices. These qualitative data were thematically analysed, and key themes generated. This paper describes three themes relating to ‘What is animal welfare’ ‘Animal welfare frameworks’ and ‘The human element in animal welfare’. This analysis indicates that the concept of animal welfare has cultural equivalence across Europe and between Europe and China, and that zoo staff are familiar with welfare frameworks. In China, a need for senior leadership and motivating staff to improve animal welfare emerged.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
P Hoejskov

Abstract WHO has a critical role to provide the evidence for action to improve food safety and to support Member states to effectively collect, analyse, report and use data on foodborne diseases. In 2006, WHO launched the initiative to estimate the global burden of foodborne diseases. The estimates were published in 2015 and showed that every year, 31 selected food-associated hazards contribute to 600 million people falling ill and 420,000 people dying because of contaminated food. About 40% of the burden was borne by children under 5 years of age. Due to limitations of diseases surveillance systems and the fact that not all ill people seek medical care, the estimated burden is recognised to be only the 'tip of the iceberg'. The actual burden is expected to be significantly higher. In line with global and regional action frameworks and based on country support plans and biennial collaboration agreements with Member States, WHO, in collaboration with its partners and collaborating centres, provides technical assistance to Member States to strengthen national food safety systems. This includes technical assistance to generate, collect and analyse food safety information underpinning evidence. Information about the burden of foodborne diseases is important to inform policy, guide resource allocation and to determine potential prevention and control measures for food safety. Acknowledging that most food safety policy work takes place at country level, WHO is developing tools for Member States to estimate the national burden of foodborne diseases. The tools are being developed to build capacity in Member States to collect, analyse and use foodborne disease data, prioritize specific food safety issues, identify risk factors in foodborne diseases and provide a baseline against which future food safety interventions can be evaluated.


2021 ◽  
Author(s):  
Amy Irwin ◽  
Dionne Hall ◽  
Hannah Ellis

Background: Interactions with clients have been identified as a key potential stressor within veterinarian work. However, there is a lack of research investigating the experience, and impact, of specific behaviours such as incivility. The current study aimed to address this literature gap by investigating veterinary perceptions of client-based rudeness. Method: Telephone interviews were used to gather qualitative data regarding veterinary perceptions of client-based rudeness. This encompassed the potential causes of incivility, the impact on the veterinarian, and coping strategies.Results: Thematic analysis produced 16 themes relevant to client-based rudeness, and one over-arching theme. The over-arching theme suggested that vets consider client management, and patient care, two distinct aspects of their role. Key themes included the perception of client worry as a key causal factor of rudeness, the utilisation of empathy as a client management technique and the potential for rudeness to have an adverse impact on mental health. A supportive practice was considered vital for enabling successful coping.Conclusion: It is important that veterinary practices are aware of the potential for client rudeness to adversely impact vet wellbeing. Practices should seek to develop guidelines detailing appropriate responses to rudeness, alongside developing a supportive culture to maximise vet coping strategies.


2020 ◽  
Vol 6 (1) ◽  
pp. e000888
Author(s):  
Dane Vishnubala ◽  
Katherine Rose Marino ◽  
Margaret Kathryn Pratten ◽  
Andy Pringle ◽  
Steffan Arthur Griffin ◽  
...  

ObjectivesTo explore the services National Health Service (NHS)-based sport and exercise medicine (SEM) clinics can offer, and the barriers to creating and integrating SEM services into the NHS.MethodsSemi-structured interviews were undertaken to collect data from identified ‘stakeholders’. Stakeholders were identified as individuals who had experience and knowledge of the speciality of SEM and the NHS. An inductive thematic analysis approach was taken to analyse the data.ResultsN=15 stakeholder interviews. The management of musculoskeletal (MSK) injuries (both acute and chronic) and concussion were highlighted as the two key services that SEM clinics can offer that would most benefit the NHS. MSK ultrasound was also mentioned by all stakeholders as a critical service that SEM clinics should provide. While exercise medicine is an integral part of SEM, SEM clinics should perhaps not have a heavy exercise medicine focus. The key barriers to setting up SEM clinics were stated to be convincing NHS management, conflict with other specialities and a lack of awareness of the speciality.ConclusionThe management of acute MSK injuries and concussion should be the cornerstone of SEM services, ideally with the ability to provide MSK ultrasound. Education of others on the speciality of SEM, confirming consistent ‘unique selling points’ of SEM clinics and promoting how SEM can add value to the NHS is vital. If the successful integration of SEM into the NHS is not widely achieved, we risk the NHS not receiving all the benefits that SEM can provide to the healthcare system.


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