Qualitative Health Research最新文献_第4页

Photos Sculpt the Stories of Youth: Using Photovoice to Holistically Capture the Lived Experiences and Pain of Youth Who Underwent Spinal Fusion Surgery. 照片雕刻青春的故事：利用摄影舆论全面捕捉接受脊柱融合手术的青少年的生活经历和痛苦。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-08-01 Epub Date: 2024-02-08 DOI: 10.1177/10497323241227218

Samantha Noyek, Gillian Newman, Abbie Jordan, Kathryn A Birnie, Melanie Noel

{"title":"Photos Sculpt the Stories of Youth: Using Photovoice to Holistically Capture the Lived Experiences and Pain of Youth Who Underwent Spinal Fusion Surgery.","authors":"Samantha Noyek, Gillian Newman, Abbie Jordan, Kathryn A Birnie, Melanie Noel","doi":"10.1177/10497323241227218","DOIUrl":"10.1177/10497323241227218","url":null,"abstract":"Spinal fusion surgery is one of the most common major surgical procedures in youth. Adolescent idiopathic scoliosis (AIS) is the most frequent reason for corrective spinal fusion. AIS (∼25%-47% of cases) and spinal fusion surgeries are associated with pain, including the development of new onset chronic pain for up to 15% of youth. This research used photovoice approaches to explore the journeys of youth from before, during, and after spinal fusion surgery, to demonstrate their experiences both of and beyond pain. Twenty participants were recruited from a previous study conducted by the senior author's lab. Participants captured photos/videos in their daily life (Phase 1); collected previously taken photos/videos from before/during/after their surgery (Phase 2); and participated in individual interviews to reflexively discuss the meaning behind photos/videos (Phase 3). Before interviews, a questionnaire was administered to assess pain characteristics. Nineteen girls/women with scoliosis and one boy/man with kyphosis (12-19 years old, Mage = 16 years) participated; they identified as white (80%), other (15%), and Southeast Asian (5%). The researchers used a reflexive thematic analysis approach, which generated five themes: (1) body aesthetic versus machine; (2) expectations and anticipation of surgery/outcomes; (3) desire of normalcy and freedom; (4) navigating a hoped-for positive surgery experience; and (5) the journey sculpts identity formation and sense of self. Findings support youth advocacy, underscoring the need to validate youth concerns and inform healthcare professionals of the importance of individualized care. Youth perspectives highlighted opportunities for optimizing surgery/healthcare experiences and the psychosocial impacts of scoliosis on body image and appearance.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11375908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703736","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

Significance of an Interprofessional Healthy Aging Program for Community-Dwelling Older Adults: A Narrative Study. 针对社区老年人的跨专业健康老龄化计划的意义：叙事研究。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-08-01 Epub Date: 2024-02-07 DOI: 10.1177/10497323241228187

Wanda I Colón-Ramirez, Rosa L Román-Oyola, Bárbara Segarra-Vazquez, Karla J Mercado-Rolón, Emanuel Dávila Collazo, Alma J Camacho-Martínez, Lypzia M Vélez-Jiménez

{"title":"Significance of an Interprofessional Healthy Aging Program for Community-Dwelling Older Adults: A Narrative Study.","authors":"Wanda I Colón-Ramirez, Rosa L Román-Oyola, Bárbara Segarra-Vazquez, Karla J Mercado-Rolón, Emanuel Dávila Collazo, Alma J Camacho-Martínez, Lypzia M Vélez-Jiménez","doi":"10.1177/10497323241228187","DOIUrl":"10.1177/10497323241228187","url":null,"abstract":"Participation is widely recognized as an important health determinant for older adults. Exploring interventions to promote active participation of community-dwelling older adults is an important step in translating current knowledge into practice. Few studies have examined community-level interventions to support older adults' participation. The study purpose was to examine the significance of the lived experiences of community-dwelling older adults who participated in an interprofessional healthy aging promotion program. The specific aims were to uncover the narrative significance of the lived experiences and how they evolved and intertwined with the life histories of the older adults 2 years after the intervention ended. A narrative inquiry design was used. Four key informants participated in two semi-structured interviews and a member-checking process. The data were analyzed from a three-dimensional inquiry space of time and continuity, place and context, and social interactions. The findings affirmed three core threads that wove the participants' lived experiences within the program together with their life histories after the intervention. These were enjoyment, learning, and sharing. Four themes revealed the essential elements of the lived experience, and three others exposed participants' growth and life enrichment, all being fundamental to participation. The 3-year community-level intervention was valued and a novel opportunity for facilitating participation and successful aging. It allowed the participants to acquire an evolved vision of self, have meaningful interactions, develop the means to engage in future community activities, implement new self-care strategies, and establish memories and friendships significant for life participation.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698728","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

Attuning to the World of Peace of Mind and Trust: Women's Lived Experience of the Woman-Midwife Relationship in Japan. 适应安心与信任的世界：日本妇女与助产士关系的生活体验》。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-08-01 Epub Date: 2024-02-16 DOI: 10.1177/10497323241226568

Keiko Doering, Judith McAra-Couper, Andrea Gilkison

{"title":"Attuning to the World of Peace of Mind and Trust: Women's Lived Experience of the Woman-Midwife Relationship in Japan.","authors":"Keiko Doering, Judith McAra-Couper, Andrea Gilkison","doi":"10.1177/10497323241226568","DOIUrl":"10.1177/10497323241226568","url":null,"abstract":"In Japan, many pregnant women and mothers suffer from anxiety, depression, and other postnatal issues that can be exacerbated by their birth experiences. While benefiting from advanced medical care, these women's mental and psychological health may be disregarded in their maternity care. Midwives have the potential to play a significant role in improving women's birth experiences. Hence, this study aimed to explore the meaning of the woman-midwife relationship, with a specific focus on sensing peace of mind and trust to improve women's birth experiences. Using a hermeneutic phenomenological approach, 14 Japanese women were interviewed. Sensing peace of mind and trust was one of the significant meanings of the woman-midwife relationship and is articulated across five themes: (1) attuning to the world, (2) different kinds of safety and trust, (3) relying on and entrusting midwives, (4) making a mother, and (5) an emotional bridge. The positive relationship with midwives enhanced the women's mental well-being through allowing the women to attune to the peaceful mind which directed their future perspectives and sustained them in motherhood. They became confident mothers by trusting their midwives. The maternity care system in Japan needs to shift to more relationship-based care to ensure continuity of midwifery care that will improve women's birth experiences and their long-term well-being.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139747564","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

Exploring the Methodological Benefits and Challenges of Utilising a Photovoice Methodology With Individuals in Recovery From Problem Substance Use. 探索对问题药物使用康复者使用摄影选言方法的方法论优势和挑战。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-08-01 Epub Date: 2024-01-11 DOI: 10.1177/10497323231217601

Emma Smith, Melody Carter, Elaine Walklet, Paul Hazell

引用次数: 0

How Community-Based Health and Social Care Professionals Support Unpaid Caregivers: Experiences From One Health Authority in Ontario, Canada. 社区卫生和社会护理专业人员如何支持无偿照顾者：加拿大安大略省卫生局的经验。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-08-01 Epub Date: 2024-02-29 DOI: 10.1177/10497323241231425

Jodi Webber, Marcia Finlayson, Kathleen E Norman, Tracy J Trothen

{"title":"How Community-Based Health and Social Care Professionals Support Unpaid Caregivers: Experiences From One Health Authority in Ontario, Canada.","authors":"Jodi Webber, Marcia Finlayson, Kathleen E Norman, Tracy J Trothen","doi":"10.1177/10497323241231425","DOIUrl":"10.1177/10497323241231425","url":null,"abstract":"In Ontario, Canada, rising rates of caregiver distress have been the 'canary in the coal mine' for a health system out of balance with the needs of an ageing population. Community-based health and social care professionals are well placed to play an important role in the caregiver support process; however, a gap has remained in the understanding of if and how caregiver support strategies are operationalized or experienced by community service providers (CSPs). The goal of this study was to describe how CSPs interpreted policy and how those interpretations may enable their work in supporting unpaid caregivers. Using a qualitative constructionist design, we interviewed 24 participants and reviewed 92 publicly available documents. Braun and Clarke's method of thematic analysis was used for analysis strategy. Four overarching themes were identified: (1) community care as a priority, (2) sidewalk accountability, (3) creative care planning through partnerships, and (4) challenges to care delivery. We found that the importance of caregivers to the health system was reflected in organizational policy and strategy. There is an opportunity to improve health outcome for caregivers and the population alike through strong leadership and a clear shared vision. Our findings also suggested that social capital was a significant factor in enabling providers in their work, leveraging long-standing relationships, and accumulated local knowledge to implement highly creative care plans.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11375905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991534","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

Family Member Experiences in Intensive Care Units Care: Insights From a Family Involvement Tool Implementation Trial. 重症监护病房护理中的家庭成员体验：家庭参与工具实施试验的启示。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-08-01 Epub Date: 2024-02-10 DOI: 10.1177/10497323241226678

Janet Alexanian, Ian Fraser, Orla Smith, Simon Kitto

{"title":"Family Member Experiences in Intensive Care Units Care: Insights From a Family Involvement Tool Implementation Trial.","authors":"Janet Alexanian, Ian Fraser, Orla Smith, Simon Kitto","doi":"10.1177/10497323241226678","DOIUrl":"10.1177/10497323241226678","url":null,"abstract":"Family involvement is widely considered an important part of patient care in the intensive care unit. From professional health care organizations, government, and hospital associations, there has been a cultural shift toward family presence as part of a wider commitment to patient-centered care. At the same time, the meaning and impact of family involvement in the intensive care unit setting remain opaque and under-studied. This study employed an ethnographic approach to better understand family involvement in practice and from the perspective of health care professionals and family members by studying an implementation trial of a family involvement tool in two intensive care units over 2 years. The findings revealed that an expanded and self-defined role for family members as carers in the intensive care unit challenged the current configuration of the nurse patient/family relationship and that family members were aware of these dynamics. While the intensive care unit implementation teams were both motivated to implement a novel way of facilitating family involvement, the processual, organizational, and contextual factors in the intensive care units largely determined the possibilities of its application. This suggests that interventions should address the specific context in which they are employed.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139716544","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

Understanding the Experiences of COVID-19 Public Health Measures and Well-Being: A Qualitative Study Among Older Adults in Quebec, Canada. 了解 COVID-19 公共卫生措施和幸福感的体验：加拿大魁北克老年人定性研究》。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-08-01 Epub Date: 2024-03-05 DOI: 10.1177/10497323241232928

Julie Karmann, Ingrid Handlovsky, Gregory Moullec, Katherine L Frohlich, Réjean Hébert, Olivier Ferlatte

{"title":"Understanding the Experiences of COVID-19 Public Health Measures and Well-Being: A Qualitative Study Among Older Adults in Quebec, Canada.","authors":"Julie Karmann, Ingrid Handlovsky, Gregory Moullec, Katherine L Frohlich, Réjean Hébert, Olivier Ferlatte","doi":"10.1177/10497323241232928","DOIUrl":"10.1177/10497323241232928","url":null,"abstract":"This interpretative descriptive study explores how public health measures implemented during the first wave of the COVID-19 pandemic in Quebec, Canada, affected the well-being of older adults. Twenty-six participants aged 60-81 took photographs to depict how COVID-19 public health measures affected their well-being and were invited to discuss their photographs in virtual focus groups. Data were analyzed using thematic analysis. The impacts of health measures on the well-being of participants were framed according to three overarching themes. First, participants endured an intensification of ageism, feeling diminished and excluded from their social spheres. Second, they faced a burden of loneliness due to the loss of connections with their communities, particularly for those who were single and without children. Third, participants highlighted navigating a degradation of social cohesion. This manifested through tensions and distrust in both the public and private spheres, as well as acts of resistance in response to rules deemed unjust. While public health measures were essential to prevent onward transmission of COVID-19 and mortality, they negatively impacted older adults' self-image, loneliness, and trust in society. This study argues for a rethinking of public health norms specific to older adults to address potential sources of inequality. In particular, a greater emphasis is needed on social connectedness and addressing the unique needs of older adults during pandemics.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11375906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040682","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

Age Melancholy of Older Mizrahi Women Residing in Tel Aviv as a Social Loss: Exploring Intersections of Health and Social Support in an Ethnographic Study. 居住在特拉维夫的老年米兹拉希妇女的老年忧郁症是一种社会损失：在人种学研究中探索健康与社会支持的交叉点。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-07-30 DOI: 10.1177/10497323241263238

Tal Shamur

{"title":"Age Melancholy of Older Mizrahi Women Residing in Tel Aviv as a Social Loss: Exploring Intersections of Health and Social Support in an Ethnographic Study.","authors":"Tal Shamur","doi":"10.1177/10497323241263238","DOIUrl":"https://doi.org/10.1177/10497323241263238","url":null,"abstract":"Inspired by Freud's \"Mourning and Melancholia\" and expanding upon his notions within the social context, this article proposes an innovative concept called \"age melancholy\" to describe the multifaceted elements of social loss experienced by empty nest older adults. While most studies emphasize a psychological-individualist approach to this phenomenon, age melancholy frames older age as a process marked by a loss of social engagements. The findings are grounded in anthropological fieldwork conducted from 2010 to 2013 in a lower-income neighborhood of Tel Aviv. They are based on deductive comprehension of social melancholy, combined with inductive qualitative analyses of 29 meetings within a designated narrative group of older Mizrahi women-Jewish immigrants from Islamic countries. The results reveal that empty nest older adults perceive their loneliness, fragile health, and approaching death as interrelated aspects of social detachment, leading to melancholy. However, whereas their emotional experiences are tainted by age melancholy, it is temporal and contextual and may be mitigated through social support.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856763","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

The Changing Care of Older Adults With Bipolar Disorder: A Narrative Analysis. 双相情感障碍老年人护理的变化：叙事分析。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-07-30 DOI: 10.1177/10497323241263043

Aaron Warner, Jasper Palmier-Claus, Carol Holland, Elizabeth Tyler, Verity Rhodes, Geoff Settle, Fiona Lobban

{"title":"The Changing Care of Older Adults With Bipolar Disorder: A Narrative Analysis.","authors":"Aaron Warner, Jasper Palmier-Claus, Carol Holland, Elizabeth Tyler, Verity Rhodes, Geoff Settle, Fiona Lobban","doi":"10.1177/10497323241263043","DOIUrl":"https://doi.org/10.1177/10497323241263043","url":null,"abstract":"Older adults with bipolar disorder experience distinct challenges compared to younger age groups with bipolar disorder. They potentially require adaptations to the care they receive. This study aimed to explore experiences of care and changing care needs in older adults with bipolar disorder. People with bipolar disorder (aged ≥60) were recruited through three NHS Trusts in the North West of England, charity organisations, a confidential university participant database, and social media. Participants completed single time-point biographical narrative interviews, which were analysed using narrative analysis. Sixteen participants' accounts led to the creation of four themes: (1) 'Navigating the disruption caused by diagnosis'; (2) 'The removal of services that provided hope'; (3) 'Later life: We are on our own now'; and (4) 'Changing care needs in later life: We still need support'. The care needs of older adults with bipolar disorder appear to change over time, and services often fail to offer adequate, tailored care for this group at present. Current support requires adaptation to be effective and appropriate and to enable this group to age well in later life.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793828","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

COVID-19 Public Health Restrictions and New Mothers' Mental Health: A Qualitative Scoping Review. COVID-19 公共卫生限制与新妈妈的心理健康：定性范围审查。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2024-07-20 DOI: 10.1177/10497323241251984

Ammanie Abdul-Fatah, Michelle Bezanson, Sebastian Lopez Steven, Emily Tippins, Sarah Jones, Heather MacDonald, Renate Ysseldyk

{"title":"COVID-19 Public Health Restrictions and New Mothers' Mental Health: A Qualitative Scoping Review.","authors":"Ammanie Abdul-Fatah, Michelle Bezanson, Sebastian Lopez Steven, Emily Tippins, Sarah Jones, Heather MacDonald, Renate Ysseldyk","doi":"10.1177/10497323241251984","DOIUrl":"https://doi.org/10.1177/10497323241251984","url":null,"abstract":"Public health restrictions to protect physical health during the COVID-19 pandemic had unintended effects on mental health, which may have disproportionately affected some potentially vulnerable groups. This scoping review of qualitative research provides a narrative synthesis of new mothers' perspectives on their mental health during COVID-19 pandemic restrictions through pregnancy to the postpartum period. Database searches in PubMed, CINAHL, and PsycINFO sought primary research studies published until February 2023, which focused on new mothers' self-perceived mental health during the pandemic (N = 55). Our synthesis found that new mothers' mental health was impacted by general public health restrictions resulting in isolation from family and friends, a lack of community support, and impacts on the immediate family. However, public health restrictions specific to maternal and infant healthcare were most often found to negatively impact maternal mental health, namely, hospital policies prohibiting the presence of birthing partners and in-person care for their infants. This review of qualitative research adds depth to previous reviews that have solely examined the quantitative associations between COVID-19 public health restrictions and new mothers' mental health. Here, our review demonstrates the array of adverse impacts of COVID-19 public health restrictions on new mothers' mental health throughout pregnancy into the postpartum period, as reported by new mothers. These findings may be beneficial for policy makers in future public health emergency planning when evaluating the impacts and unintended consequences of public health restrictions on new mothers.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141727984","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