Information for caregivers and family in the Emergency Department

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Raquel Rocha ◽  
Flávia Silva ◽  
Ana Bastos ◽  
Samuel Lopes
Keyword(s):  
Emergency Department ◽  
Health Professionals ◽  
Information Needs ◽  
Negative Impact ◽  
Phenomenological Approach ◽  
Scientific Language ◽  
Structured Interviews ◽  
Negative Effects ◽  
Public Road ◽  
Lack Of Information

ABSTRACT Introduction: A visit to the Emergency Department can have a negative impact on patients, their families and caregivers. To overcome negative effects linked to the lack of information, it is necessary to involve the patient’s family and caregivers and evaluate their information needs. Aims: Identify the information that caregivers need from the families in an emergency department; understand how often information should be given to the caregivers; identify the health professionals most qualified to impart the information and identify all the communication barriers experience by caregivers. Methods: This research is a qualitative study with descriptive phenomenological approach. We carried out 38 semi - structured interviews on a public road close to an Emergency Department, from February to March 2018. Data were analysed according to the descriptive phenomenological method of Amedeo Giorgi (1985,1997). Results: Caregivers identified receiving information about the patient as a priority. They also wanted to receive information about the patient more often from doctors and/or nurses. In addition, caregivers identified the use of medical/scientific language by health professionals as possible barriers to communication between them. Other concerns raised included the attitude of the health professional, their availability and the lack of communication. Conclusions: Caregivers should be seen as an important and essential pillar of the healthcare system. The information provided by health professionals should be adjusted to the needs of the caregivers. Keywords: Access to Information, Emergency Medical Services.

scholarly journals What are the needs of infertile Moroccan couples in Assisted Reproductive Technology?: Exploratory qualitative study in the first fertility public center in Morocco

2020 ◽  
Vol 19 (4) ◽  
pp. 697-704
Author(s):  
Asmaa Zaidouni ◽  
Fatima Ouasmani ◽  
Amal Benbella ◽  
Fouad Ktiri ◽  
Zakaria Abidli ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Assisted Reproductive Technology ◽  
Health Professionals ◽  
Negative Impact ◽  
Medical Science ◽  
Reproductive Technology ◽  
Spiritual Support ◽  
Structured Interviews ◽  
Infertile Couples

Context: Infertility is one of the most painful experiences that can have a negative impact in many areas of an individual’s life. Providing quality care to infertile couples requires health professionals to explore their experiences and needs to plan effective supportive interventions. Objectives: To explore the experiences and needs of Moroccan infertile couples in Assisted Reproductive Technology. Material and Methods: This is a qualitative exploratory study. It involves 40 infertile couples (men and women) and 5 health professionals as key informants. Infertile couples were selected among those attending the first public center for Assisted Reproductive Technology in Morocco located in Rabat during the period 2017-2018. In-depth unstructured interviews, field notes were used with couples and semi-structured interviews with health professionals. The analysis of the interview data was based on a conventional content analysis method. Results: Five types of needs were identified among infertile Moroccan couples, namely: i. Infertility and social support; ii. Infertility and financial support; iii. Infertility and spiritual support; iv. Infertility and informational support; v. Infertility and emotional support. Conclusion: Infertile moroccan couples experienced many emotional, psychosocial and economic difficulties that can negatively affect their quality of life. Thus, to meet the needs and expectations of these couples alongside their medical treatment, it’s necessary to develop couple-centered approaches, which can improve their quality of life, treatment outcomes and mitigate negative psychosocial consequences. Bangladesh Journal of Medical Science Vol.19(4) 2020 p.697-704

scholarly journals Perceptions, behaviours and attitudes towards smoking held by the male partners of Chinese pregnant women: A qualitative study

2021 ◽  
Author(s):  
Wei XIA ◽  
Ho cheung William Li ◽  
Peige Song ◽  
Ka Yan Ho ◽  
Yuanhui Luo ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Pregnant Women ◽  
Negative Impact ◽  
Negative Attitude ◽  
Phenomenological Approach ◽  
Smoking Behaviour ◽  
Male Partners ◽  
Tobacco Exposure ◽  
Structured Interviews ◽  
Expectant Fathers

Abstract Background: Direct associations of tobacco exposure during pregnancy with pregnancy complications and adverse birth outcomes have been proven. Previous studies suggest that expecting a child provides a teachable moment to promote behavioural changes, such as smoking cessation, among the male partners of pregnant women. Thorough understandings of Chinese expectant fathers smoking behaviour during the transition to fatherhood is an essential prerequisite to the development of appropriate interventions to facilitate smoking cessation. This study aimed to explore the perceptions, behaviours and attitudes related to smoking among male partners of pregnant women in China.Methods: A descriptive phenomenological approach was adopted. A purposive sample of expectant fathers aged 18 years or older who had a tobacco use history within the past year were recruited at obstetrics and gynaecology clinics and invited to participate in one-to-one 20-30-minute semi-structured interviews. The data analysis followed Colaizzi’s descriptive phenomenological method. Results: Twenty-five expectant fathers were interviewed. Four themes were generated: 1) the social interaction benefits of smoking and the misperceptions of the smoking hazards were the major reasons for continuing smoking; 2) associations between the perceptions of health and smoking, included negative impact of smoking on their own health develops slowly and can be ignored, and secondhand smoke will not affect the health of foetuses; 3) factors contributing to smoking cessation, including concerns about the health of the pregnant partner and baby, the role of father, partners’ pregnancy as a good excuse, and encouragement of family members and recognition of efforts to quit smoking;, and 4) perceived barriers to smoking cessation, including difficulties in overcoming withdrawal symptoms or cigarette cravings, negative attitude toward seeking assistance with smoking cessation, unawareness of and difficulty in accessing smoking cessation support, and Lack of coping strategies for releasing increased stress..Conclusion: This study provides a comprehensive understanding of the perceptions, behaviours and attitudes held by Chinese expectant fathers regarding smoking and identified the facilitators and barriers to cessation. The findings from this study could direct healthcare professionals to develop and evaluate appropriate smoking cessation interventions targeted for Chinese expectant fathers. Trial registration: Registered at clinicaltrial.org (NCT03401021) on 8 Jan 2018.

scholarly journals Unprofessional behaviour of GP residents and its remediation: a qualitative study among supervisors and faculty

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Pieter C. Barnhoorn ◽  
Vera Nierkens ◽  
Marianne C. Mak-van der Vossen ◽  
Mattijs E. Numans ◽  
Walther N. K. A. van Mook ◽  
...  
Keyword(s):  
Focus Group ◽  
Health Professionals ◽  
Exploratory Study ◽  
Faculty Members ◽  
Structured Interviews ◽  
Negative Effects ◽  
Focus Group Interviews ◽  
Unprofessional Behaviour ◽  
Group Interviews ◽  
Gp Training

Abstract Background Lapses in professionalism have profound negative effects on patients, health professionals, and society. The connection between unprofessional behaviour during training and later practice requires timely identification and remediation. However, appropriate language to describe unprofessional behaviour and its remediation during residency is lacking. Therefore, this exploratory study aims to investigate which behaviours of GP residents are considered unprofessional according to supervisors and faculty, and how remediation is applied. Methods We conducted eight semi-structured focus group interviews with 55 broadly selected supervisors from four Dutch GP training institutes. In addition, we conducted individual semi-structured interviews with eight designated professionalism faculty members. Interview recordings were transcribed verbatim. Data were coded in two consecutive steps: preliminary inductive coding was followed by secondary deductive coding using the descriptors from the recently developed ‘Four I’s’ model for describing unprofessional behaviours as sensitising concepts. Results Despite the differences in participants’ professional positions, we identified a shared conceptualisation in pinpointing and assessing unprofessional behaviour. Both groups described multiple unprofessional behaviours, which could be successfully mapped to the descriptors and categories of the Four I’s model. Behaviours in the categories ‘Involvement’ and ‘Interaction’ were assessed as mild and received informal, pedagogical feedback. Behaviours in the categories ‘Introspection’ and ‘Integrity’, were seen as very alarming and received strict remediation. We identified two new groups of behaviours; ‘Nervous exhaustion complaints’ and ‘Nine-to-five mentality’, needing to be added to the Four I’s model. The diagnostic phase of unprofessional behaviour usually started with the supervisor getting a ‘sense of alarm’, which was described as either a ‘gut feeling’, ‘a loss of enthusiasm for teaching’ or ‘fuss surrounding the resident’. This sense of alarm triggered the remediation phase. However, the diagnostic and remediation phases did not appear consecutive or distinct, but rather intertwined. Conclusions The processes of identification and remediation of unprofessional behaviour in residents appeared to be intertwined. Identification of behaviours related to lack of introspection or integrity were perceived as the most important to remediate. The results of this research provide supervisors and faculty with an appropriate language to describe unprofessional behaviours among residents, which can facilitate timely identification and remediation.

“Those Plates That Save Me”: Experiences of Italian Patients With Implantable Cardioverter Defibrillator

2020 ◽  
pp. 105477382096803
Author(s):  
Ivana Maria Rosi ◽  
Francesca Bombardieri ◽  
Daniele Steri ◽  
Mimma Sternativo ◽  
Stefania Rancati
Keyword(s):  
Qualitative Study ◽  
Implantable Cardioverter Defibrillator ◽  
Health Professionals ◽  
Structured Interviews ◽  
Cardioverter Defibrillator ◽  
Life Conditions ◽  
Lack Of Information

This study aimed to investigate and understand the experiences and feelings lived by people with an ICD. Qualitative study, semi-structured interviews were conducted with a sample of 16 patients, during the annual follow-up. A hermeneutical analysis of the interviews was carried out to identify the themes. Four main themes were classified: “My heart falls asleep,” highlighting a reduced awareness of the pathology and ICD installation; “But what is this thing. . .?” underlining the lack of information and fears related to the device and its functioning; “I cannot hug the microwave” which describes the changes brought about by the surgery; “And with this one I am alright for the rest of my life”, involving hopes and life expectations. This study highlighted the patients’ need for major support from health professionals while processing their new life conditions.

scholarly journals Identification of processes that mediate the impact of workplace violence on emergency department healthcare workers in the USA: results from a qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e031781 ◽  
Author(s):  
Marie C Vrablik ◽  
Anne K Chipman ◽  
Elizabeth D Rosenman ◽  
Nancy J Simcox ◽  
Ly Huynh ◽  
...  
Keyword(s):  
Emergency Department ◽  
Qualitative Study ◽  
Workplace Violence ◽  
Healthcare Workers ◽  
Negative Impact ◽  
Cognitive Appraisals ◽  
Well Being ◽  
Phenomenological Approach ◽  
Qualitative Interview Study ◽  
The Impact

ObjectivesViolence towards emergency department healthcare workers is pervasive and directly linked to provider wellness, productivity and job satisfaction. This qualitative study aimed to identify the cognitive and behavioural processes impacted by workplace violence to further understand why workplace violence has a variable impact on individual healthcare workers.DesignQualitative interview study using a phenomenological approach to initial content analysis and secondary thematic analysis.SettingThree different emergency departments.ParticipantsWe recruited 23 emergency department healthcare workers who experienced a workplace violence event to participate in an interview conducted within 24 hours of the event. Participants included nurses (n=9; 39%), medical assistants (n=5; 22%), security guards (n=5; 22%), attending physicians (n=2; 9%), advanced practitioners (n=1; 4%) and social workers (n=1; 4%).ResultsFive themes emerged from the data. The first two supported existing reports that workplace violence in healthcare is pervasive and contributes to burn-out in healthcare. Three novel themes emerged from the data related to the objectives of this study: (1) variability in primary cognitive appraisals of workplace violence, (2) variability in secondary cognitive appraisals of workplace violence and (3) reported use of both avoidant and approach coping mechanisms.ConclusionHealthcare workers identified workplace violence as pervasive. Variability in reported cognitive appraisal and coping strategies may partially explain why workplace violence negatively impacts some healthcare workers more than others. These cognitive and behavioural processes could serve as targets for decreasing the negative effect of workplace violence, thereby improving healthcare worker well-being. Further research is needed to develop interventions that mitigate the negative impact of workplace violence.

Harnessing Indigenous Knowledge through Community Involvement in Public Libraries in South Africa

Libri ◽  
2020 ◽  
Vol 70 (4) ◽  
pp. 291-303
Author(s):  
Maned Mhlongo
Keyword(s):  
South Africa ◽  
Indigenous Knowledge ◽  
Community Involvement ◽  
Information Needs ◽  
Public Libraries ◽  
Negative Impact ◽  
Public Library ◽  
Indigenous Communities ◽  
Library Services ◽  
Structured Interviews

AbstractPublic libraries exist to serve the information needs of communities, meaning their services need to be reflective of those served communities. However, the literature points to under-usage of libraries among indigenous communities in South Africa, and suggests that the perceived irrelevance of libraries could be a contributing factor. The argument made in this article is for the involvement of communities in planning and implementing services, to enhance awareness, relevance and use of libraries. Such involvement would also provide a space for communities to contribute content based on their indigenous knowledge. In this qualitative multiple case study of purposively selected provincial library services in South Africa, data were collected using semi-structured interviews with library heads. The data were coded and categorised according to themes derived from the stated research questions. The findings show a disjuncture between the interpretation and application of the concept of community involvement – a misalignment that has a negative impact on the ability of libraries to provide inclusive services. A framework for community involvement is suggested as a way of enhancing the synergy between community information needs and public library service provision. The proposed framework identifies indigenous communities, libraries and archival institutions as key stakeholders in harnessing indigenous knowledge. It is recommended that a similar study be conducted with community librarians where the nuances of communities can be unveiled, given that the current participants were heads of library services.

scholarly journals Sources of Resilience in Frontline Health Professionals during COVID-19

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1699
Author(s):  
Lydia Brown ◽  
Simon Haines ◽  
Hermioni L. Amonoo ◽  
Cathy Jones ◽  
Jeffrey Woods ◽  
...  
Keyword(s):  
Health Professionals ◽  
Healthcare Workers ◽  
Well Being ◽  
Phenomenological Approach ◽  
Structured Interviews ◽  
Support Teams ◽  
Personal Support ◽  
Relational Resilience ◽  
Personal Resilience ◽  
Frontline Healthcare Workers

Background: While the challenges for psychological well-being for Australian healthcare workers have been documented, there has been a dearth of qualitative research on the sources of resilience that sustained workers during the COVID-19 pandemic. This study identified sources of resilience that clinicians used to cope with frontline challenges during the COVID-19 pandemic. Methods: Semi-structured interviews were conducted with 20 frontline health professionals, across five Australian hospitals, between October 2020 and April 2021. The interviews were recorded and transcribed, and the results were analysed using thematic analysis based on a phenomenological approach. Results: Three sources of resilience were identified by respondents: personal, relational, and organisational. A positive mindset, sense of purpose, and self-care behaviours emerged as key sources of personal resilience. Teamwork, altruism, and social support from family and friends contributed to relational resilience. Leadership, effective communication, and effective implementation of COVID-19 policies were associated with resilience at the organisational level. Frontline healthcare workers also voiced the need for the implementation of further strategies to support personal resilience whilst nurturing resilience within clinical teams and across entire healthcare organisations. Conclusions: Trust in healthcare systems, organisation leaders, colleagues, and personal support teams was an overarching theme supporting resilience.

scholarly journals Information behaviour of parents of children with autism spectrum disorder (ASD): a case study

2020 ◽  
Author(s):  
Raquel Chávez ◽  
◽  
Martha Sabelli ◽  
Keyword(s):  
Autism Spectrum Disorder ◽  
Information Needs ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Structured Interviews ◽  
Web Searches ◽  
Convenience Sample ◽  
Information Behaviour ◽  
Lack Of Information

Introduction. This investigation focuses on the information behaviour of parents of children with autism spectrum disorder (ASD) inside an organisation (Aletea) located in Montevideo-Uruguay. This study aims to make visible the information needs these parents experience when making decisions for their children’s welfare. It is the first phase of an investigation to provide an indepth comparison with other countries. Method. A literature review, database analyses and web searches were done to standardise the current work with the methodology of the field. Also, with a convenience sample, 12 semi-structured interviews were conducted among parents of this organisation. Analysis. Qualitative analyses were carried out as all the interviews were recorded on audio with prior consent of the interviewees. The questions were classified into categories and sub-categories for a better understanding of the results. Results. Parents' information practices demonstrate obstacles and difficulties in seeking and accessing available and reliable sources regarding autism spectrum disorder. The lack of information generated at local levels leads to consulting and sharing information with their closest contacts and social networks, especially their peers in parent groups. Conclusion. It is considered necessary to continue with this line of research both in Uruguay and around the world since there is a lack of studies on this subject.

scholarly journals Talking about frailty: health professional perspectives and an ideological dilemma

2020 ◽  
pp. 1-19
Author(s):  
Victoria Cluley ◽  
Graham Martin ◽  
Zoe Radnor ◽  
Jay Banerjee
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Negative Impact ◽  
Physiological State ◽  
Clinical Settings ◽  
Frail Older People ◽  
Age Related ◽  
Professional Perspectives

Abstract Frailty is increasingly used in clinical settings to describe a physiological state resulting from a combination of age-related co-morbidities. Frailty also has a strong ‘lay’ meaning that conjures a particular way of being. Recent studies have reported how frail older people perceive the term frailty, showing that frailty is often an unwanted and resisted label. While there are many scores and measures that clinicians can use to determine frailty, little has been published regarding how health-care professionals use and make sense of the term. This paper reports the findings of a qualitative study that explored how health professionals perceive frailty. Forty situated interviews were conducted with health-care professionals working in an emergency department in the English Midlands. The interview talk was analysed using discourse analysis. The findings show that the health professionals negotiate an ‘ideological dilemma’ – a tension between contradictory sets of meanings and consequences for action – based on their ‘lay’ and clinical experience of the term frailty. It is concluded that this dilemma could have a negative impact on the assessment of frailty depending on the system of assessment used.

scholarly journals Senior Managers’ Experience with Health, Happiness, and Motivation in Hospitals and the Perceived Impact on Health Systems: The Case of Meru County, Kenya

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 350
Author(s):  
Rose Nabi Deborah Karimi Muthuri ◽  
Flavia Senkubuge ◽  
Charles Hongoro
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Health System ◽  
Health Systems ◽  
Health Workforce ◽  
Negative Impact ◽  
Phenomenological Approach ◽  
Structured Interviews ◽  
Senior Managers ◽  
Perceived Impact

Hospitals play a significant role in health systems. Studies among the health workforce have revealed their experiences with mental health challenges. In comparison, there is limited literature on their positive mental health. The purpose of this study was to explore senior managers’ experiences with health status, happiness, and motivation in hospitals and the perceived impact on the health system in Kenya. This qualitative study applied a phenomenological research design. Senior managers within the hospital management teams were selected using purposive sampling. Semi-structured interviews were carried out among senior managers across eleven hospitals in Meru County, Kenya. Among the eleven participants 63.6% were female and 36.4%, were male and the mean age was 44.5 years. The audio-taped data were transcribed and analyzed using Colaizzi’s phenomenological approach. The five themes revealed were: (1) Happiness in the health system; (2) Health status in the health system; (3) Motivation in the health system; (4) Challenges in the health system; (5) Possible solutions to the challenges in the health system. This study revealed the positive and negative impact of the three domains, challenges, and solutions, from the senior managers’ perspective. Healthy, happy, and motivated senior managers and healthcare workers are more responsive and perform better. Policy interventions and programs promoting happiness, health status, and motivation are necessary for strengthening the health workforce and health system.

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