Qualitative Research in Medicine and Healthcare最新文献_第2页

Examination of provider knowledge, attitudes, and behaviors associated with lung cancer screening among Black men receiving care at a federally qualified health center 研究在联邦合格医疗中心接受治疗的黑人男性中，医疗服务提供者与肺癌筛查相关的知识、态度和行为

Qualitative Research in Medicine and Healthcare Pub Date : 2023-12-04 DOI: 10.4081/qrmh.2023.11546

Alicia K. Matthews, Suchanart Inwanna, Damilola Oyaluade, Jennifer Akufo, R. Jeremiah, Sage J. Kim

{"title":"Examination of provider knowledge, attitudes, and behaviors associated with lung cancer screening among Black men receiving care at a federally qualified health center","authors":"Alicia K. Matthews, Suchanart Inwanna, Damilola Oyaluade, Jennifer Akufo, R. Jeremiah, Sage J. Kim","doi":"10.4081/qrmh.2023.11546","DOIUrl":"https://doi.org/10.4081/qrmh.2023.11546","url":null,"abstract":"The study's goal was to look at providers' knowledge, attitudes, and behaviors regarding lung cancer screening among Black male smokers served by a federally qualified healthcare center. Participants in the study were interviewed in depth. Participants completed a short (5-10 minute) survey that assessed demographics, training, and attitudes toward lung cancer screening. For quantitative data, descriptive statistics were used, and for qualitative data, deductive thematic analysis was used. This study included ten healthcare professionals, the majority of whom identified as Black (80%) and were trained as advanced practice providers (60%). The majority of providers (90%) have heard of LDCT lung cancer screening; however, participants reported only being “somewhat” familiar with the LDCT eligibility criteria (70%). Despite generally positive attitudes toward LDCT, patient referral rates for screening were low. Barriers included a lack of provider knowledge about screening eligibility, a lack of use of shared decision-making tools, and patient concerns about screening risks. The reasons for the low referral rates varied, but they included a preference to refer patients for smoking cessation rather than screening, low screening completion and follow-up rates among referred patients, and a lower likelihood that Black smokers will meet pack-year requirements for screening. Additionally, providers discussed patient-level factors such as a lack of information, mistrust, and transportation. The study findings add to the body of knowledge about lung cancer knowledge and screening practices among providers in FQHC settings. This data can be used to create health promotion interventions aimed at smoking cessation and lung cancer screening in Black males and other high-risk smokers.","PeriodicalId":375726,"journal":{"name":"Qualitative Research in Medicine and Healthcare","volume":"19 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138603688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Review of Teresa Heinz Housel’s Mental Health among Higher Education Faculty, Administrators, and Graduate Students: A Critical Perspective (Rowman & Littlefield, 2021) 评论 Teresa Heinz Housel 的《高等教育教师、管理人员和研究生的心理健康》：批判性视角》（Rowman & Littlefield，2021 年）

Qualitative Research in Medicine and Healthcare Pub Date : 2023-12-04 DOI: 10.4081/qrmh.2023.12127

Michelle Walter

引用次数: 0

It’s long-term, well it’s for life basically: Understanding and exploring the burden of immunoglobulin treatment in patients with primary immunodeficiency disorders 它是长期的，基本上是终身的:理解和探索免疫球蛋白治疗对原发性免疫缺陷疾病患者的负担

Qualitative Research in Medicine and Healthcare Pub Date : 2021-02-25 DOI: 10.4081/QRMH.2020.9564

Georgina L Jones, E. Hajdukova, E. Hanna, R. Duncan, B. Gough, Janeen Hughes, D. Hughes, F. Ashworth, J. Prévot, J. Drabwell, Leire Solís, N. Mahlaoui, A. Shrimpton

{"title":"It’s long-term, well it’s for life basically: Understanding and exploring the burden of immunoglobulin treatment in patients with primary immunodeficiency disorders","authors":"Georgina L Jones, E. Hajdukova, E. Hanna, R. Duncan, B. Gough, Janeen Hughes, D. Hughes, F. Ashworth, J. Prévot, J. Drabwell, Leire Solís, N. Mahlaoui, A. Shrimpton","doi":"10.4081/QRMH.2020.9564","DOIUrl":"https://doi.org/10.4081/QRMH.2020.9564","url":null,"abstract":"This paper describes the burden of receiving immunoglobulin (Ig) treatment from the perspective of patients diagnosed with a Primary Immunodeficiency (PID). Thirty semi-structured interviews with patients receiving intravenous (n=21) and subcutaneous immunoglobulin (n=9) therapy, either at home or in hospital were undertaken. Underpinned by a phenomenological theoretical framework, and using a qualitative, inductive thematic approach to prioritise patients’ concerns, we identified that Ig treatment requires considerable effort by the patient, particularly in relation to the amount of time, organization and planning that is needed. They also face numerous physical, social, relationship, emotional, role functioning, travelling, and financial challenges in their effort to undergo and maintain their infusions and care for their health. Some qualitative differences in treatment burden were noted between home and hospital settings which contributed to non-adherence to those regimes. Immunoglobulin treatment burden is complex and influenced by therapeutic mode and setting and the personal circumstances of the patient. As choice over treatment method appears to be mainly informed by lifestyle needs, PID patients may benefit from more information about these potential Ig lifestyle influences when selecting which form of treatment to take together with their health professional.","PeriodicalId":375726,"journal":{"name":"Qualitative Research in Medicine and Healthcare","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122020933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Trauma, violence and recovery in the life stories of people who have injected drugs

Qualitative Research in Medicine and Healthcare Pub Date : 2020-10-29 DOI: 10.4081/qrmh.2020.9073

R. Hammersley, M. Reid, P. Dalgarno, Jason Wallace, D. Liddell

{"title":"Trauma, violence and recovery in the life stories of people who have injected drugs","authors":"R. Hammersley, M. Reid, P. Dalgarno, Jason Wallace, D. Liddell","doi":"10.4081/qrmh.2020.9073","DOIUrl":"https://doi.org/10.4081/qrmh.2020.9073","url":null,"abstract":"This paper reports qualitative data about violence and trauma amongst drug injectors in Scotland, collected using a life story method with 55 drug injectors currently in recovery. It focusses on different types of violence and trauma that occurred whilst using drugs. Stories told of very severe and repeated traumas often involving extreme violence. One motive for escalating and continuing drug use was avoidant coping to deaden the emotions and thoughts regarding these traumas. Many traumas were due partly to the criminal drug milieu, so respondents were in a vicious cycle of using opiates and other sedative drugs to cope with the consequences of being involved in a lifestyle of using, supplying and obtaining illegal sedative drugs. Drugs were used as a dynamic method of self-medication or avoidant coping to cope with life in a criminal milieu. Traumatic events were more often described as worsening the lifestyle than as being motives for quitting. Amongst the traumas recounted were many incidents of extreme violence. Using drugs to block the psychological effects of such traumas may help explain why people persist using opiates despite experiencing evident serious harms. Interventions need to recognise this, be trauma-aware and appreciate that violence and trauma have severe adverse effects on drug injectors even when they are themselves hardened and violent.","PeriodicalId":375726,"journal":{"name":"Qualitative Research in Medicine and Healthcare","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123998825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Exploring rural palliative care patients’ experiences of accessing psychosocial support through telehealth: A longitudinal approach 探讨农村姑息治疗患者通过远程医疗获得社会心理支持的经验:纵向方法

Qualitative Research in Medicine and Healthcare Pub Date : 2020-09-01 DOI: 10.4081/QRMH.2020.8821

R. Rahman, J. Keenan, J. Hudson

{"title":"Exploring rural palliative care patients’ experiences of accessing psychosocial support through telehealth: A longitudinal approach","authors":"R. Rahman, J. Keenan, J. Hudson","doi":"10.4081/QRMH.2020.8821","DOIUrl":"https://doi.org/10.4081/QRMH.2020.8821","url":null,"abstract":"In this research, we explore the experiences of rural palliative care patients receiving psychosocial support through telehealth. A longitudinal approach considered how experiences vary over time. Three patients with a terminal cancer diagnosis were given a laptop to access psychosocial support via telehealth over three months. Semi-structured interviews were conducted at monthly intervals. Interpretative phenomenological analysis identified four themes: Deepening understanding through unburdened and continuous connections; the ever-present paradox of visible and invisible telehealth; insight into the holistic self: from barrier to facilitator; and, the immediate change from unnecessary distraction to mindful engagement. Findings challenge previous conclusions regarding the inability of telehealth to support meaningful relationships, and instead provide novel insights to explain why enabling rural palliative care patients to access support from home is supportive for their wellbeing and the quality of healthcare relationships. Our conclusions question whether the indirect benefits of telehealth could also offer a valuable way of accessing health services beyond a palliative care setting.","PeriodicalId":375726,"journal":{"name":"Qualitative Research in Medicine and Healthcare","volume":"5 11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127605574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Editor’s introduction: qualitative research and the epistemics of experience 编者按:质性研究与经验认识论

Qualitative Research in Medicine and Healthcare Pub Date : 2019-09-06 DOI: 10.4081/qrmh.2019.8536

M. Bartesaghi

引用次数: 0

Assisted living in rural areas: aging in blurred landscapes 农村养老:模糊景观中的老龄化

Qualitative Research in Medicine and Healthcare Pub Date : 2019-08-26 DOI: 10.4081/qrmh.2019.7826

B. H. Blix, Torunn Hamran

{"title":"Assisted living in rural areas: aging in blurred landscapes","authors":"B. H. Blix, Torunn Hamran","doi":"10.4081/qrmh.2019.7826","DOIUrl":"https://doi.org/10.4081/qrmh.2019.7826","url":null,"abstract":"Here, we explore the experiences and practices of care in the context of assisted living facilities (ALFs) in rural areas from the perspectives of family members, health care professionals, and senior citizen interest group representatives. Specifically, we focus on the potential for ALFs to safeguard and unify the health care policy ambitions of equity, quality, and aging in place. Focus group interviews with health care professionals and interest group representatives and individual interviews with family members were conducted in largely rural Norwegian municipalities. Providing high-quality health care services in people’s homes remains challenging, particularly in rural areas. ALFs have been introduced as a compromise, a home away from home. In rural areas, ALFs are typically localized in community centers. ALFs are neither homes nor nursing homes, and residents possess varying and changing care needs. Several parties experience challenges with respect to safety, evolving care needs, and responsibilities. Moreover, the service allocation and user payment systems may undermine equity. This study indicates that health care authorities should evaluate whether prioritizing assisted living is still suitable for the aging population in rural areas and beyond.","PeriodicalId":375726,"journal":{"name":"Qualitative Research in Medicine and Healthcare","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123519758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

There’s just huge anxiety: ontological security, moral panic, and the decline in young people’s mental health and well-being in the UK 存在着巨大的焦虑:本体论上的安全、道德上的恐慌，以及英国年轻人心理健康和幸福感的下降

Qualitative Research in Medicine and Healthcare Pub Date : 2019-08-26 DOI: 10.4081/qrmh.2019.8200

J. Bell, M. Reid, J. Dyson, A. Schlösser, T. Alexander

{"title":"There’s just huge anxiety: ontological security, moral panic, and the decline in young people’s mental health and well-being in the UK","authors":"J. Bell, M. Reid, J. Dyson, A. Schlösser, T. Alexander","doi":"10.4081/qrmh.2019.8200","DOIUrl":"https://doi.org/10.4081/qrmh.2019.8200","url":null,"abstract":"This study aims to critically discuss factors associated with a recent dramatic rise in recorded mental health issues amongst UK youth. It draws from interviews and focus groups undertaken with young people, parents and professionals. We offer valuable new insights into significant issues affecting young people’s mental health and well-being that are grounded in their lived experiences and in those who care for and work with them. By means of a thematic analysis of the data, we identified an increase in anxiety related to: future orientation, social media use, education, austerity, and normalization of mental distress and self-harm. We apply the notion of ontological security in our interpretation of how socio-cultural and political changes have increased anxiety amongst young people and consequent uncertainty about the self, the world and the future, leading to mental health problems. There are also problems conceptualizing and managing adolescent mental health, including increased awareness, increased acceptance of these problems, and stigmatisation. We relate this to the tendency for moral panic and widespread dissemination of problems in a risk society. In our conclusion, we highlight implications for future research, policy and practice.","PeriodicalId":375726,"journal":{"name":"Qualitative Research in Medicine and Healthcare","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124314882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Advantages and challenges of using mobile ethnography in a hospital case study: WhatsApp as a method to identify perceptions and practices 在医院案例研究中使用移动人种学的优势和挑战:WhatsApp作为识别感知和实践的方法

Qualitative Research in Medicine and Healthcare Pub Date : 2019-08-23 DOI: 10.4081/qrmh.2019.7795

Thomas Bjørner, M. Schrøder

{"title":"Advantages and challenges of using mobile ethnography in a hospital case study: WhatsApp as a method to identify perceptions and practices","authors":"Thomas Bjørner, M. Schrøder","doi":"10.4081/qrmh.2019.7795","DOIUrl":"https://doi.org/10.4081/qrmh.2019.7795","url":null,"abstract":"The focus of this article is to provide the reader with reflexivity and a framework for using mobile ethnography. Based on a case study with an ethnographic approach (including mobile ethnography using WhatsApp), we identified perceptions and practices for improved workflows and procedures related to nurses’ introduction and implementation of self-catheterization at the National Spinal Injuries Centre in Great Britain. We offer detailed procedures, advantages, and challenges in using mobile ethnography. The ethnographic approach consisted of four phases, including initial workshops, go-along observations, interviews, and a mobile ethnographic approach using WhatsApp as a mobile diary for six nurses. Within the case study, three major themes were revealed by the ethnographic approach, with the conclusion that nurses have positive attitudes towards self-catheterization, but these nurses are becoming less influential and the practices around this technique are consequently disappearing. The main result is that use of WhatsApp as a self-tracking tool can extend the methodological toolbox, but reflexivity and preliminary work are required to make the practice beneficial.","PeriodicalId":375726,"journal":{"name":"Qualitative Research in Medicine and Healthcare","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128479966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

It doesn’t make sense, but we do: framing disease in an online metastatic breast cancer support community 这似乎没有意义，但我们做到了:在一个在线转移性乳腺癌支持社区中构建疾病

Qualitative Research in Medicine and Healthcare Pub Date : 2019-08-23 DOI: 10.4081/qrmh.2019.7007

A. B. Anderson

引用次数: 1