Qualitative Health Research最新文献_第10页

The (De)normalisation of Smoking Among Apprentices: Plurality of Settings, Norms and Vulnerability Levels. 学徒中的吸烟（非）正常化：环境、规范和易受害程度的多元性。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-04-01 Epub Date: 2023-05-12 DOI: 10.1177/10497323231166796

Sébastien Saetta, Katherine L Frohlich, Gaelle Le Dref, Joëlle Kivits, Laetitia Minary

{"title":"The (De)normalisation of Smoking Among Apprentices: Plurality of Settings, Norms and Vulnerability Levels.","authors":"Sébastien Saetta, Katherine L Frohlich, Gaelle Le Dref, Joëlle Kivits, Laetitia Minary","doi":"10.1177/10497323231166796","DOIUrl":"10.1177/10497323231166796","url":null,"abstract":"When it comes to smoking, apprentices are considered a 'vulnerable' population. They have been the subject of targeted approaches based on the assumption of common characteristics. In contrast to most public health studies, that assume homogeneity of vulnerable groups, this article, based on Lahire's 'theory of the plural individual', aims to examine inter- and intra-individual variability in relation to tobacco exposure. It is based on a secondary analysis of 30 interviews with apprentices in France on the stigma attached to their use in their different living environments. Our study confirms that the family and the Centre de Formation des Apprentis, as a whole, encourage smoking. It also provides a better understanding of the mechanisms by which inequalities are perpetuated (permissive rules, loans and gifts of cigarettes, spillover effects, lack of incentives to quit). Nevertheless, it allows us to observe that, in some families and in some companies, smoking is denormalised, even stigmatised. Several apprentice profiles emerge: those who are protected from tobacco and seem to be able to quit easily; those who are permanently confronted with it and for whom it is difficult to consider quitting or reducing; and those who are confronted with a plurality of norms, who seem ambivalent and whose consumption varies significantly. These results will allow us to adapt the interventions according to the profile of the apprentices and by including their entourage. In particular, it will be necessary to propose a 'go-to' approach that goes beyond the school setting and involves the family and the workplace.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9453495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Lasting Impression: Exploring the Meaningfulness of a Singular Moment. 一个持久的印象:探索一个单一时刻的意义。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-04-01 Epub Date: 2023-11-27 DOI: 10.1177/10497323231201254

Michael van Manen

引用次数: 0

Remembering Adele E. Clarke. 缅怀阿黛尔-克拉克

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-04-01 Epub Date: 2024-03-22 DOI: 10.1177/10497323241239558

引用次数: 0

A Discourse of Deviance: Blame, Shame, Stigma and the Social Construction of Head and Neck Cancer. 越轨话语:头颈癌的指责、羞耻、污名与社会建构。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-04-01 Epub Date: 2023-11-29 DOI: 10.1177/10497323231213819

Carla Thamm, Alexandra L McCarthy, Patsy Yates

{"title":"A Discourse of Deviance: Blame, Shame, Stigma and the Social Construction of Head and Neck Cancer.","authors":"Carla Thamm, Alexandra L McCarthy, Patsy Yates","doi":"10.1177/10497323231213819","DOIUrl":"10.1177/10497323231213819","url":null,"abstract":"Cancer of the head and neck is a confronting condition, as the disease and its treatments alter the appearance and function of body organs associated with physical appearance and identity. Many of the risk factors for head and neck cancers, including tobacco, alcohol, and human papilloma virus, can also have significant negative social and moral permutations. Language and action (discourse) plays an important role in constructing disease and illness and shape the way it is managed, both institutionally and socially. This research used a critical constructionist lens to investigate how the common discourses surrounding head and neck cancer are constructed within the healthcare context and how this influences patients and healthcare professionals' responses to the illness. Data were collected through semi-structured interviews, field noting, journaling and literature reviews. Analysis was guided by a three-dimensional approach to critical discourse analysis that investigated text, discursive practices, and social context. The overarching finding was that deviance dominates the common discourse and shapes head and neck cancer and responses to it. Deviance is channelled through metaphors, adjectives, descriptors, and collective nouns and is made overt through labelling, avoidance, blaming, shame, and categorization. Discourse is contextualized by a sociocultural understanding that when someone deviates from what is perceived as normal, they are devalued. Open dialogue and reflection on head and neck cancer discourse could enable better understanding of how people experience their condition and inform more supportive responses.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10996294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Living With Toxic Wounds: The Voices and Visual Self-Representations of Gulf War Veterans. 生活在有毒的伤口:海湾战争老兵的声音和视觉自我表现。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-04-01 Epub Date: 2023-11-29 DOI: 10.1177/10497323231213818

Rebekka Dieterich-Hartwell, Bani Malhotra, Aslı Arslanbek, Bryann DeBeer, Tabitha Alverio, Girija Kaimal

{"title":"Living With Toxic Wounds: The Voices and Visual Self-Representations of Gulf War Veterans.","authors":"Rebekka Dieterich-Hartwell, Bani Malhotra, Aslı Arslanbek, Bryann DeBeer, Tabitha Alverio, Girija Kaimal","doi":"10.1177/10497323231213818","DOIUrl":"10.1177/10497323231213818","url":null,"abstract":"Operations Desert Shield and Storm occurred over 30 years ago, yet many of those who were deployed continue to experience chronic and debilitating symptoms, now recognized as Gulf War Illness (GWI). While efforts have been made to explore clinical treatments for GWI, misperceptions and skepticism about its complex nature and a lack of consensus on its etiology impede progress in this area. A critical necessity remains to better understand the experiences, needs, and concerns of veterans with GWI. In this qualitative research study, 40 Gulf War veterans were interviewed about their perceptions regarding symptoms of physical health, cognitive functioning, quality of life, and the quality of care received. In addition, they depicted their experiences through an artistic elicitation collage. Through a grounded theory method, key findings indicated that there are remaining hurdles, such as challenging symptoms, persisting unknowns about the illness, and variations in treatment quality. Veterans have mostly managed and coped with GWI, but they voice the need for acknowledgment and support. The main implication from this study is the significance of both clinical and institutional validation and recognition of the GWI experience as well as the need for specific support systems.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"This Is a Disease" and "Disease Has No Sin": Discourse Constructions of Individuals With Obsessive-Compulsive Disorder With Regard to Being Diagnosed. “这是一种疾病”与“疾病无罪”:强迫症患者在诊断过程中的话语建构。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-04-01 Epub Date: 2023-12-02 DOI: 10.1177/10497323231208988

Sinem Baltacı, Tülin Gençöz, Sevda Sarı

{"title":"\"This Is a Disease\" and \"Disease Has No Sin\": Discourse Constructions of Individuals With Obsessive-Compulsive Disorder With Regard to Being Diagnosed.","authors":"Sinem Baltacı, Tülin Gençöz, Sevda Sarı","doi":"10.1177/10497323231208988","DOIUrl":"10.1177/10497323231208988","url":null,"abstract":"Obsessive-compulsive disorder (OCD) symptoms have different cultural images in society. Deconstructive psychology studies can contribute to understanding the dominant discourse surrounding these patients, given the prevalence of OCD. The objective of this study was to investigate the discourse of participants regarding \"having/receiving a diagnosis of OCD\" and the function of this discourse. The research approach was qualitative and language-based, specifically employing Lacanian Discourse Analysis (LDA) perspective. The possible questions and prompts were determined along with the research team, and seven semi-structured interviews were conducted with six participants diagnosed with OCD. The interviews explored how participants referred to their diagnosis, the language they used, and the function of this discourse. The findings revealed that participants diagnosed with OCD insistently used the term \"disease\" to explain their peculiar and distressing situations, referring to \"medical discourse\" with expressions such as \"This is a disease\" and \"This disorder.\" Additionally, they often utilized \"religious discourse\" with the statements like \"Disease has no sin\" and \"The sick and insane are exempt from their responsibilities.\" The findings of the current research indicated that when individuals with OCD \"receive a name\" through a recognized diagnosis, they experience a sense of recognition and validation for their OCD-related problems. Consequently, individuals diagnosed with OCD tend to find \"legitimacy\" for their irrational or unwanted thoughts and behaviors by taking comfort from their diagnosis. This study provides valuable insights into an understanding of patients with OCD. The findings are discussed in the context of their implications for both theoretical and applied research.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of Fathers in Norway Attending an Online Course on Therapeutic Writing After the Death of a Child. 挪威父亲在孩子死后参加治疗性写作在线课程的经历。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-04-01 Epub Date: 2023-12-01 DOI: 10.1177/10497323231216099

Olga V Lehmann, Trine Giving Kalstad, Robert A Neimeyer

{"title":"Experiences of Fathers in Norway Attending an Online Course on Therapeutic Writing After the Death of a Child.","authors":"Olga V Lehmann, Trine Giving Kalstad, Robert A Neimeyer","doi":"10.1177/10497323231216099","DOIUrl":"10.1177/10497323231216099","url":null,"abstract":"After the unexpected death of a child, bereaved parents require prompt access to helpful support systems. Online therapeutic writing courses can make such support accessible. Because few studies have included bereaved fathers as participants, we explored the experiences of fathers whose children died unexpectedly and who were part of an online course of therapeutic writing in Norway. We piloted two courses (group 1, six weeks, n = 9; group 2, 5 weeks, n = 5). We describe our methodological considerations for using poetic representations in qualitative health research and present four poetic representations based on fieldwork notes written by the principal investigator. Then, we triangulate and narratively analyze them together with two collective poems written by participants from each group; excerpts of the writings from two fathers, one per group; evaluation surveys (n = 4; n = 3); and, anonymous check-out journaling from the second group (n = 3). Resistance was a salient feature of our participants' grief, and writing enabled them to both be in contact with their emotional world and process difficult emotions as they looked for meaning despite the death of their children. Those who attended the most classes perceived the course as transformative, being part of an ongoing self-exploration, and a possibility to continue and strengthen the bond with their children. Our findings mirror the complexities of the grief experiences of fathers, giving account of their need to find a rhythm to dive into their emotional world, the importance of peer support, and the value of diversifying intervention techniques to meet individual needs and preferences.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10996295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Qualitative Systematic Literature Review: Participatory Visual Methods in Community Health Interventions With Migrants. 质性系统文献综述:参与视觉方法在移民社区健康干预中的应用。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-04-01 Epub Date: 2023-12-01 DOI: 10.1177/10497323231215241

Frederikke Sissel Blohm, Marie Honoré Jacobsen, Sarah Fredsted Villadsen, Catharina Thiel Sandholdt

{"title":"Qualitative Systematic Literature Review: Participatory Visual Methods in Community Health Interventions With Migrants.","authors":"Frederikke Sissel Blohm, Marie Honoré Jacobsen, Sarah Fredsted Villadsen, Catharina Thiel Sandholdt","doi":"10.1177/10497323231215241","DOIUrl":"10.1177/10497323231215241","url":null,"abstract":"This systematic review investigates how participatory visual methods (PVMs) (1) are applied in community health interventions (CHIs) with adult migrant populations and (2) identify potentials for participation. The search was performed in PubMed in 2021 and 2023. Eighteen articles fulfilled inclusion criteria as they investigated a CHI targeting migrants and used a visual method. We excluded articles that used quantitative methods, articles written in languages other than English, Danish, Swedish, or Norwegian, and the formats reviews, protocols, and theoretical articles. As a framework to graduate the degree of participation, we applied Arnstein's 'A Ladder of Citizen Participation'. Most of the studies took place in the United States, and the most frequent method used was photovoice. We categorize an equal number of articles as 'degrees of citizen power' or 'degrees of tokenism'. We identify the capacity to accommodate the needs of specific target groups to be a strength in PVMs, which has potential to engage migrants in several parts of the research process. Additionally, PVMs can be used to support a change in the participants' lives by facilitating a reflexive process concerning their life situation. However, utilization of PVMs also include a risk of tensions, they can be resource-demanding and potentially exclude certain groups.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fragility and Resilience: Stories of Recovering From Hip Fractures in the Oldest-Old Age. 脆弱性和恢复力:从最老的老年人髋部骨折中恢复的故事。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-04-01 Epub Date: 2023-11-29 DOI: 10.1177/10497323231215954

Bodil Tveit

{"title":"Fragility and Resilience: Stories of Recovering From Hip Fractures in the Oldest-Old Age.","authors":"Bodil Tveit","doi":"10.1177/10497323231215954","DOIUrl":"10.1177/10497323231215954","url":null,"abstract":"This study uses a narrative approach to explore the experiences of adults in the oldest stage of old age after they suffered a hip fracture. The focus was on participants' perceptions and descriptions of the traumatic event, the recovery process, and the impact of the fracture on their lives. The study had a longitudinal design and included interviews with 10 participants (mean age 89) who had suffered hip fractures. Up to three semi-structured interviews were conducted with each of the participants (a total of 27 interviews) over a 3-month period. The first interviews were at the hospital, the second at municipal rehabilitation facilities, and the third at the participants' homes. The material was analysed by means of narrative analysis. The results show how the incident affected the participants' active and meaningful lives and how they seemed to mobilise their resources and motivation to train and recover to be able to come back home and resume the life they had before the hip fracture. The study provides nuances in the understanding of how a hip fracture can impact lives in old age. The stories emphasise the resources and capacity for resilience elderly people can possess and the importance of listening to the individual life stories, situation, personal goals, and needs when planning services for elderly people recovering from a hip fracture.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10996292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Shadowing Stroke Patients to Explore the Rehabilitation Built Environment: Approach, Insights, and Lessons Learned. 跟随中风患者探索康复建筑环境：方法、见解和经验教训。

IF 3.2 2区医学

Qualitative Health Research Pub Date : 2024-03-28 DOI: 10.1177/10497323241236305

Maja Kevdzija

{"title":"Shadowing Stroke Patients to Explore the Rehabilitation Built Environment: Approach, Insights, and Lessons Learned.","authors":"Maja Kevdzija","doi":"10.1177/10497323241236305","DOIUrl":"https://doi.org/10.1177/10497323241236305","url":null,"abstract":"Shadowing is a research method that combines observing events and short on-the-go interviews to investigate people's roles and behaviours in various settings. Even though it is not a widely used method in architectural research, it can be adapted to focus on the interaction of individuals with the built environment. This is especially important in healthcare environments, where people are vulnerable and more dependent on their surroundings. In this article, I reflect on the experience of adapting and using the shadowing method to explore stroke inpatients' interactions with the built environment during their recovery in rehabilitation centres. This research study was the first to employ shadowing in the stroke patient population on such a large scale. One day (12 consecutive hours) was spent with each of the 70 participating stroke inpatients, recording their interactions with the built environment in different forms - on the floor plans, as narrative descriptions, creating sketches of situations and noting down patients' remarks. This method was useful in capturing the built environment's role in patients' daily experiences in rehabilitation centres. Research in healthcare facilities includes various challenges, and close contact with the patient population of older adults with stroke introduces numerous unexpected events and ethical dilemmas in the field. At the same time, this method provides research insights that would otherwise be unobtainable. Researchers are given practical information and recommendations on how to prepare for using shadowing for architectural research and what to expect in the field.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0