scholarly journals Nursing as a Sustainability Factor of the Health System during the COVID-19 Pandemic: A Qualitative Study

2020 ◽  
Vol 12 (19) ◽  
pp. 8099
Author(s):  
María Jesús Rojas-Ocaña ◽  
Miriam Araujo-Hernández ◽  
Rocío Romero-Castillo ◽  
Silvia San Román-Mata ◽  
E. Begoña García-Navarro
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Phenomenological Approach ◽  
Total Sample ◽  
Case Managers ◽  
Service Users ◽  
Health Crisis ◽  
Key Informants ◽  
Specialized Care ◽  
Nursing Professionals

Earlier this year, Spain took center stage in the emerging health crisis due to the SARS-CoV-2 pandemic. On 14 March 2020, a state of alarm was declared to manage this health crisis. The contribution of nursing professionals to sustainability of the system during this health crisis has been vital, not only in specialized care but, in a more understated way, in primary care. The objective of the present study was to describe the perceptions and lived experiences of primary care nurses during the COVID-19 health emergency. A qualitative study taking a phenomenological approach was carried out, triangulating data collected through non-participant observations, eight in-depth interviews, and two discussion groups with community nurses and case managers. A total sample of 20 key informants was obtained during the month of May, 2020. The key informants expressed strong positive perceptions of the recognition received from service users and satisfaction when acknowledging that they have been an important source of emotional support. Informants identify the importance of their work in sustaining the system, particularly outlining team cohesion and communication, whilst also evaluating the empowering position in which service users and society itself has put them.

scholarly journals Acute Day Units for mental health crises: A qualitative study of service user and staff views and experiences

2020 ◽  
Author(s):  
Nicola Morant ◽  
Michael Davidson ◽  
Jane Wackett ◽  
Danielle Lamb ◽  
Vanessa Pinfold ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Acute Care ◽  
User Satisfaction ◽  
Service Users ◽  
Mental Health Crisis ◽  
Structured Interviews ◽  
Short Term Treatment ◽  
Health Crisis ◽  
Care Systems

AbstractBackgroundAcute Day Units (ADUs) provide intensive, non-residential, short-term treatment for adults in mental health crisis. They currently exist in approximately 30% of health localities in England, but there is little research into their functioning or effectiveness, and how this form of crisis care is experienced by service users. This qualitative study explores the views and experiences of stakeholders who use and work in ADUs.MethodsWe conducted 36 semi-structured interviews with service users, staff and carers at four ADUs in England. Data were analysed using thematic analysis.ResultsBoth service users and staff provided generally positive accounts of using or working in ADUs. Valued features were structured programmes that provide routine, meaningful group activities, and opportunities for peer contact and emotional, practical and peer support, within a ‘safe’ environment. Aspects of ADU care were often described as enabling personal and social connections that contribute to shifting from crisis to recovery. ADUs were compared favourably to other forms of home- and hospital-based acute care, particularly in providing more therapeutic input and social contact. Some service users and staff thought ADU lengths of stay should be extended slightly, and staff described some ADUs being under-utilised or poorly-understood by referrers in local acute care systems.ConclusionsMulti-site qualitative data suggests that ADUs provide a distinctive and valued contribution to acute care systems, and can avoid known problems associated with other forms of acute care, such as low user satisfaction, stressful ward environments, and little therapeutic input or positive peer contact. Findings suggest there may be grounds for recommending further development and more widespread implementation of ADUs to increase choice within local acute care systems.

scholarly journals Service users' views of moving on from early intervention services for psychosis: a longitudinal qualitative study in primary care

2012 ◽  
Vol 62 (596) ◽  
pp. e183-e190 ◽  
Author(s):  
Helen Lester ◽  
Nagina Khan ◽  
Peter Jones ◽  
Max Marshall ◽  
David Fowler ◽  
...  
Keyword(s):  
Primary Care ◽  
Early Intervention ◽  
Qualitative Study ◽  
Service Users ◽  
Early Intervention Services ◽  
Intervention Services

scholarly journals Crisis, work and nursing: an ethnographic narrative of the coronavirus pandemic in Primary Care in Spain

2022 ◽  
Vol 75 (suppl 1) ◽  
Author(s):  
Amanda de Lucas Xavier Martins ◽  
Helena Maria Scherlowski Leal David ◽  
Fabiana Ferreira Koopmans ◽  
José Ramón Martínez-Riera
Keyword(s):  
Primary Care ◽  
Data Collection ◽  
Qualitative Study ◽  
Participant Observation ◽  
Field Research ◽  
Arrival Process ◽  
Political Crisis ◽  
Health Crisis ◽  
Healthcare Center ◽  
Ethnographic Analysis

ABSTRACT Objective: to narrate the experience of facing a long economic and political crisis and the experience of the arrival process of the coronavirus pandemic in a Spanish healthcare center. Methods: this is a descriptive qualitative study with ethnographic analysis, with data collection through interviews, participant observation and field diary records. Results: the immersion in the context allowed us to identify two axes of domain: “The crisis, work in the community and the territory in Primary Care”; “The inevitability of being a nurse in facing a health crisis”. Final considerations: the narrative portrays the ethics in field research, tensions and values of nursing work in crisis situations. Nurses’ experiences are presented in narratives of dissatisfaction and difficulties, but with the support of values related to guaranteeing assistance to users and cooperation and solidarity in the collective organization of workers to face the COVID-19 crisis.

Citizens advice in primary care: A qualitative study of the views and experiences of service users and staff

Public Health ◽  
2011 ◽  
Vol 125 (10) ◽  
pp. 704-710 ◽  
Author(s):  
J. Burrows ◽  
S. Baxter ◽  
W. Baird ◽  
J. Hirst ◽  
E. Goyder
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Service Users

scholarly journals Community Case Managers’ (CCMs) Perspectives’ Collaborating With Primary Care Services When Managing Complex Patients in the Community: A Qualitative Study.

2021 ◽  
Author(s):  
Gilbert Yeo ◽  
Predeebha Kannan ◽  
Eng Sing Lee ◽  
Helen Smith
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Case Managers ◽  
Medical Professionals ◽  
Collaborative Culture ◽  
Self Identity ◽  
Care Services ◽  
Primary Care Services ◽  
Complex Patients ◽  
Depth Interviews

Abstract Background: Strong collaboration between community case managers (CCMs) and medical professionals are vital for the continuity of complex patients’ care in the community. Key challenges can influence or even deter successful collaboration. Objective: The objective of this qualitative study was to understand the challenges encountered by CCMs when collaborating with primary care services. Methods: This exploratory qualitative descriptive study used individual in-depth interviews. CCMs were selected using maximum variation and snowball sampling. The interviews were semi-structured, guided by a topic guide. Data were analyzed alongside ongoing data collection. Thematic content analysis was used to analyze the transcripts. Initial codes were obtained independently. These codes were then further explored, clarified and iteratively grouped into themes.Results: Fourteen individual in-depth interviews were conducted. Six themes emerged from the data i.e. self-identity, patient factor, inter-professional factor, collaborative culture, confidentiality and organizational structure. Challenges that resonated with previous studies were self-identity, inter-professional factors and confidentiality, whereas other challenges such as patient factors, collaborative culture, and organizational structure, were unique to Singapore’s health care landscape.Conclusions: Significant challenges were encountered by CCMs when collaborating with primary care services. Understanding these challenges is key to refining intervention in current models of comprehensive community care between medical and non-medical professionals.

scholarly journals Acute day units for mental health crises: a qualitative study of service user and staff views and experiences

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nicola Morant ◽  
Michael Davidson ◽  
Jane Wackett ◽  
Danielle Lamb ◽  
Vanessa Pinfold ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Acute Care ◽  
User Satisfaction ◽  
Advisory Panel ◽  
Service Users ◽  
Mental Health Crisis ◽  
Short Term Treatment ◽  
Health Crisis ◽  
Care Systems

Abstract Background Acute Day Units (ADUs) provide intensive, non-residential, short-term treatment for adults in mental health crisis. They currently exist in approximately 30% of health localities in England, but there is little research into their functioning or effectiveness, and how this form of crisis care is experienced by service users. This qualitative study explores the views and experiences of stakeholders who use and work in ADUs. Methods We conducted 36 semi-structured interviews with service users, staff and carers at four ADUs in England. Data were analysed using thematic analysis. Peer researchers collected data and contributed to analysis, and a Lived Experience Advisory Panel (LEAP) provided perspectives across the whole project. Results Both service users and staff provided generally positive accounts of using or working in ADUs. Valued features were structured programmes that provide routine, meaningful group activities, and opportunities for peer contact and emotional, practical and peer support, within an environment that felt safe. Aspects of ADU care were often described as enabling personal and social connections that contribute to shifting from crisis to recovery. ADUs were compared favourably to other forms of home- and hospital-based acute care, particularly in providing more therapeutic input and social contact. Some service users and staff thought ADU lengths of stay should be extended slightly, and staff described some ADUs being under-utilised or poorly-understood by referrers in local acute care systems. Conclusions Multi-site qualitative data suggests that ADUs provide a distinctive and valued contribution to acute care systems, and can avoid known problems associated with other forms of acute care, such as low user satisfaction, stressful ward environments, and little therapeutic input or positive peer contact. Findings suggest there may be grounds for recommending further development and more widespread implementation of ADUs to increase choice and effective support within local acute care systems.

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