scholarly journals I cannot touch you, but is that always essential?: A qualitative study about health care professionals’ experiences with the use of video consultations. (Preprint)

2021 ◽  
Author(s):  
Nina Primholdt Christensen ◽  
Karen Emilie Skou ◽  
Dorthe Boe Danbjørg
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Study Data ◽  
Body Language ◽  
Medical Doctors ◽  
Video Consultation ◽  
Group Interviews

BACKGROUND The number of remote video consultations between doctors and patients have increased during the last years and especially during the COVID-19 pandemic. The health care service is faced by rising rates of chronic illness, but also many patients who are more confident in self-management of their illness. Add to this the improved long-term outlook for serious conditions such as cancer, that might require flexibility in the everyday life. OBJECTIVE This study aimed to investigate how medical doctors in the out-patient clinic experience the use of video consultations with the hematological patients with focus on relational and organizational aspects. METHODS The study was designed as an explorative and qualitative study. Data were collected via participant observations and focus group interviews with medical doctors RESULTS The study identified possibilities and barriers in relation to adapting to the different way of meeting the patient in the clinical setting. Some of the main findings in this study are that the medical doctors were afraid that they missed important observations as they were not able to perform a physical examination, if needed. They also emphasized that the handshake and eye-contact were important in order to ascertain the overall impression of the patient’s situation. It also came clear that the medical doctors were using their body language a lot more during a video consultation compared with a consultation in normal frames. The medical doctors found the contact with the patients via the screen good and the fact that the technology was working well made them feel secure with the video consultation. CONCLUSIONS In this study was found that the doctors we able to maintain good contact with the patients despite the screen and were able to sense the patient in a satisfying manner. Though there were still uncertainties among some doctors about the fact that they could not examine the patients physically. New knowledge about how to use gestures and non-verbal body language during a video consultation was also discovered.

Use of Video Consultations for Patients With Hematological Diseases From a Patient Perspective: Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Nina Primholdt Christensen ◽  
Dorthe Boe Danbjørg
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Professionals ◽  
Study Data ◽  
Hematological Disease ◽  
Face To Face ◽  
Semistructured Interviews ◽  
Video Consultation ◽  
Physical Presence ◽  
Patients Perspective

BACKGROUND The need for the use of telemedicine is expected to increase in the coming years. There is, furthermore, a lack of evidence about the use of video consultations for hematological patients, and how the use of video consultations is experienced from the patients’ perspective. OBJECTIVE This study aimed to identify patients’ experiences with the use of video consultations in place of face-to-face consultations, what it means to the patient to save the travel time, and how the roles between patients and health care professionals are experienced when using video consultation. This study concerns stable, not acutely ill, patients with hematological disease. METHODS The study was designed as an exploratory and qualitative study. Data were collected through participant observations and semistructured interviews and analyzed in a postphenomenological framework. RESULTS The data analysis revealed three categories: “Intimacy is not about physical presence,” “Handling technology,” and “Technology increases the freedom that the patients desire.” CONCLUSIONS This study demonstrates what is important for patients with regards to telemedicine and how they felt about seeing health care professionals through a screen. It was found that intimacy can be mediated through a screen and physical presence is not as important to the patient as other things. The study further pointed out how patients valued being involved in the planning of their treatment. The patients also valued the freedom associated with telemedicine and actively took responsibility for their own course of treatment. Patients felt that video consultations allowed them to be free and active, despite their illness.

scholarly journals Self-care and Health Care in Postpartum Women with Obesity: A Qualitative Study

2020 ◽  
Vol 42 (01) ◽  
pp. 019-025
Author(s):  
Débora Bicudo Faria-Schützer ◽  
Fernanda Garanhani Surita ◽  
Larissa Rodrigues ◽  
Daiane Sofia de Morais Paulino ◽  
Egberto Ribeiro Turato
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Self Care ◽  
Health Team ◽  
Need Support ◽  
Experiences Of Women

Abstract Objective To explore the experiences of women with obesity regarding self-care and the care provided by their families and health team after childbirth. Methods A clinical qualitative study performed at the Postnatal Outpatient Clinic of Hospital da Mulher, Universidade Estadual de Campinas, Brazil. The sample was selected using the saturation criteria, with 16 women with obesity up to 6 months after childbirth. Results The analysis comprised three categories: 1) postnatal self-care; 2) family support for woman after childbirth; and 3) postnatal health care service for women with obesity. Conclusion Women with obesity need support from the health team and from their families after childbirth, when they are overwhelmed by the exhausting care for the newborn. The present study reveals how important it is for health care professionals to broaden their perception and care provided after childbirth for women with obesity so they may experience an improvement in their quality of health and of life.

scholarly journals Practices used by a home care team: implications for caregivers

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Yara Cardoso Silva ◽  
Kênia Lara Silva ◽  
Isabela Silva Câncio Velloso
Keyword(s):  
Health Care ◽  
Discourse Analysis ◽  
Qualitative Study ◽  
Home Care ◽  
Home Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Home Health ◽  
Care Team ◽  
Power Relationship

ABSTRACT Objectives: to analyze the practices of a home care team and their implications for caregivers’ performance. Methods: qualitative study with data obtained from observation of 21 users, 30 caregivers and 6 professionals from the home health care service in a municipality in Minas Gerais, from February to June 2018. The material was analyzed from the perspective of discourse analysis according to Michel Foucault. Results: team interference upon caregivers is exercised by disciplinary practices and prescriptive, authoritative and surveilling behaviors. The team’s knowledge-power relationship determines caregivers’ acceptance through convincing or through difficulty of understanding assigned orientations. Educational practices would enable caregivers to be constituted as active, participative, empowered and reflective subjects. Final Considerations: team practices interfere with caregivers’ ways of acting and being and they have implications in objectification and subjectification processes.

scholarly journals Parents' and medical staff's experience of adolescents with suicide-related behaviors admitted to a general hospital in China: qualitative study

2020 ◽  
Author(s):  
Xi Fu ◽  
Jiaxin Yang ◽  
Xiaoli Liao ◽  
Yidong Shen ◽  
Jianjun Ou ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Qualitative Study ◽  
General Hospital ◽  
Care Service ◽  
Health Care Service ◽  
Health Resources ◽  
Professional Self ◽  
Professional Treatment ◽  
Psychiatric Department

Abstract Background: Currently, there is increasing awareness of suicide-related behaviors. Mental health services are a key location for assisting people with suicide-related behaviors. However, few studies focused on the evaluation and experience of the mental health care system from families and the medical staff’s perspective in China. The study aims to explore parents' and the front-line medical staff's experience of an adolescent with suicide-related behaviors admitted to the psychiatry department of a general hospital in China. Design: Qualitative study was employed in the study. Participants were recruited from a general hospital in China characterized by high levels in the Chinese mental health system. Methods: Semi-structured in-depth interviews were conducted exploring their experience and perceptions when an adolescent was admitted to the hospital. The theme analysis method is used for data analysis. Results: Participants expressed dissatisfaction in the psychiatric department. Other barriers in their work were identified, such as the shortage of staff and difficulties in caring or communicating with patients. Besides, the imperfect treatment system also contributes to the low satisfaction of patients and their families. Two themes and six subthemes were identified: 1) staff perceive patients with SRBs as difficult to engage (feelings of helplessness, the need for compassion, challenges of professional self-efficacy, the recommendations to the health care service); 2) parents not satisfied with the existing hospital services (doubt the hospitalization treatment and the advice to the health care service). Conclusion: This study found that insufficient staffing and lacking of systematic professional treatment models are the major challenges. We suggest increasing the input of mental health resources to expand and train the mental health service team and establish a complete set of a treatment model for SRBs.

Boosting Job Satisfaction Through Emotional Intelligence: A Study on Health Care Professionals

2021 ◽  
pp. 097206342110352
Author(s):  
Shalini Srivastava ◽  
Richa Misra ◽  
Deepti Pathak ◽  
Poonam Sharma
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Emotional Intelligence ◽  
Health Care Professionals ◽  
Service Industry ◽  
Care Service ◽  
Health Care Service ◽  
Quality Health Care ◽  
Quality Health ◽  
The Relationship

Emotional intelligence (EI) is possibly one of the most studied psychological factors of the twenty-first century. EI is very much relevant in service industry particularly in management, academics, life sciences or psychology. The purpose of the empirical study is to test the relationship between the defined constructs of EI and job satisfaction ( JS) amongst health care professionals of Delhi NCR region of India. It further tried to understand whether gender moderates the EI and JS relationship. Structured survey was used to solicit response from 260 health care professionals comprising doctors and nurses belonging to different hospitals of Delhi NCR region. Standardised instruments were used to assess the data. Linear and moderated regression were used to test hypotheses developed. The findings suggest that EI constructs significantly impact the level of JS among health care professionals. The result of moderated regression suggested that the relationship of EI and JS is significantly moderated by gender. The construct of EI is relevant in providing high quality health care service delivery to the patients.

When co-creation pays off: the effect of co-creation on well-being, work performance and team resilience

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Judith Partouche-Sebban ◽  
Saeedeh Rezaee Vessal ◽  
Fabian Bernhard
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Work Performance ◽  
Service Sector ◽  
Care Service ◽  
Health Care Service ◽  
Mail Survey ◽  
Well Being ◽  
Content Type ◽  
Team Resilience

Purpose This study aims to explore the effect of value co-creation among health-care professionals and in a business-to-business (B2B) context on the involved individuals and the organization. More precisely, the effect of co-creation behaviors on the well-being of individuals, their work performance and team resilience are investigated. Design/methodology/approach A quantitative research design was adopted. The data collection was performed through a mail survey of a sample of 96 professionals at a cancer health-care institution in France in which several medical and paramedical providers work together to maximize service options. Linear regressions were conducted using SPSS to analyze the data. Findings The results highlight the positive outcomes of an active co-creation process on individual well-being, work performance and team resilience and emphasize its limits. Originality/value The originality of this study lies in studying co-creation in the context of the health-care service sector, among health-care professionals and from a B2B perspective. Adopting an inter-organizational frame, this study clarifies the positive and negative effects of co-creation from both personal and organizational aspects.

scholarly journals Preventable infant mortality and quality of health care: maternal perception of the child's illness and treatment

2002 ◽  
Vol 18 (6) ◽  
pp. 1519-1527 ◽  
Author(s):  
Salime Hadad ◽  
Elisabeth França ◽  
Elizabeth Uchôa
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Qualitative Methodology ◽  
Care Service ◽  
Health Care Service ◽  
Health Care Facilities ◽  
Health Care Personnel ◽  
Care Services ◽  
Belo Horizonte

This study used a qualitative methodology to analyze the discourse of mothers from Greater Metropolitan Belo Horizonte, Minas Gerais, Brazil, whose infant children had died from what were considered avoidable causes (diarrhea, malnutrition, and pneumonia), seeking to elucidate the factors associated with utilization of health care services. Identification of the illness by the mother was related to perception of specific alterations in the child's state of health. Analysis of the alterations helped identify the principal characteristics ascribed to each alteration and their relationship to the search for treatment. The authors also studied the mother's assessment of treatment received at health care facilities; 43.0% of the cases involved problems related to the structure of health care services or the attending health care professionals. In 46.0% of the cases, mothers associated the child's death with flaws in the health care service. The study group showed a variety of interpretations of illness, often distinct from the corresponding biomedical concepts. The fact that attending health care personnel overlooked or underrated the mother's perception of the illness and the lack of communications between health care personnel and the child's family had an influence on the child's evolution and subsequent death.

scholarly journals Parents’ and medical staff’s experience of adolescents with suicide-related behaviors admitted to a general hospital in China: qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xi Fu ◽  
Jiaxin Yang ◽  
Xiaoli Liao ◽  
Yidong Shen ◽  
Jianjun Ou ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Qualitative Study ◽  
General Hospital ◽  
Care Service ◽  
Health Care Service ◽  
Health Resources ◽  
Professional Self ◽  
Professional Treatment ◽  
Psychiatric Department

Abstract Background Currently, there is increasing awareness of suicide-related behaviors. Mental health services are a key location for assisting people with suicide-related behaviors. However, few studies focused on the evaluation and experience of the mental health care system from families and the medical staff’s perspective in China. The study aims to explore parents’ and the front-line medical staff’s experience of an adolescent with suicide-related behaviors admitted to the psychiatry department of a general hospital in China. Design Qualitative study was employed in the study. Participants were recruited from a general hospital in China characterized by high levels in the Chinese mental health system. Methods Semi-structured in-depth interviews were conducted exploring their experience and perceptions when an adolescent was admitted to the hospital. The theme analysis method is used for data analysis. Results Participants expressed dissatisfaction in the psychiatric department. Other barriers in their work were identified, such as the shortage of staff and difficulties in caring or communicating with patients. Besides, the imperfect treatment system also contributes to the low satisfaction of patients and their families. Two themes and six subthemes were identified: 1) staff perceive patients with SRBs as difficult to engage (feelings of helplessness, the need for compassion, challenges of professional self-efficacy, the recommendations to the health care service); 2) parents not satisfied with the existing hospital services (doubt the hospitalization treatment and the advice to the health care service). Conclusion This study found that insufficient staffing and lacking of systematic professional treatment models are the major challenges. We suggest increasing the input of mental health resources to expand and train the mental health service team and establish a complete set of a treatment model for SRBs.

Impact of participation on behaviour outcomes in health care service

2017 ◽  
Vol 24 (4) ◽  
pp. 1082-1098 ◽  
Author(s):  
Sabita Mahapatra
Keyword(s):  
Health Care ◽  
Patient Participation ◽  
Health Care Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Small Sample ◽  
Primary Data ◽  
Survey Method ◽  
Cross Sectional ◽  
Content Type

Purpose The purpose of this paper is to examine the effect of patient participation on patient satisfaction and the subsequent effect on patient behavior outcomes Design/methodology/approach The research employs self-administered survey method to test hypotheses. The convenience sampling approach is used to collected data from 410 patients in metropolitan cities of India. The data are analyzed using SmartPLS to test the proposed model. Findings The results shows patient participation is positively related to behaviour outcomes and patient confidence and satisfaction mediate the effect of patient participation on adherence. Research limitations/implications The study was limited to a small sample which may somewhat limit generalization of the findings. However, the findings, based on primary data, are insightful. Second, the current study was cross-sectional in nature, whereas a longitudinal study could had measured changes in perceptions over an extended time period. Practical implications The results provide interesting insights about the significance of patient participation in positive behavior outcome. These insights will enable health care professionals and government to formulate a suitable policy through which to encourage patient participation in health treatment regimes. Originality/value The paper demonstrates the influence of patient participation on behavior. There has been little research on this aspect in the Indian context to date, so this study offers an important guideline to the health care industry in relation to introducing customer empowerment into health care regimes.

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