Qualitative Health Research最新文献_第5页

Adversity and Resilience: The Stories of People Living With HIV in Ecuador. 逆境与韧性：厄瓜多尔艾滋病毒感染者的故事》。

IF 2.4 2区医学

Qualitative Health Research Pub Date : 2025-09-01 Epub Date: 2024-11-17 DOI: 10.1177/10497323241292279

Emilia C Zamora-Moncayo, Bernarda Herrera-Díaz, Juan Francisco Camacho, Alexia Jiménez, Ser Brown, Valeria Troya

{"title":"Adversity and Resilience: The Stories of People Living With HIV in Ecuador.","authors":"Emilia C Zamora-Moncayo, Bernarda Herrera-Díaz, Juan Francisco Camacho, Alexia Jiménez, Ser Brown, Valeria Troya","doi":"10.1177/10497323241292279","DOIUrl":"10.1177/10497323241292279","url":null,"abstract":"People living with HIV (PLHIV) in Ecuador experience challenges including discrimination, violence, and limited access to healthcare, which impacts their mental health and well-being. However, research shows that PLHIV also rely on social resources to foster resilience. In the Ecuadorian context, there is no literature exploring these narratives, which results in a lack of qualitative data to improve the reality of PLHIV in the country. To gain a deeper understanding of these stories, 15 semi-structured interviews were undertaken (15 verbatim hours) within the context of a peer- and professional-led support group for PLHIV and were analyzed through a thematic approach based on Skovdal and Daniel's conceptual framework on resilience and adversity. Findings suggest that PLHIV face multifaceted challenges across the home, community, and political-economy spheres. Families and communities can elicit pain and fear, leading individuals to avoid discussing their diagnosis due to ongoing rejection. Further, discrimination perpetuated within the public health sector, as well as societal violence, exacerbates adversity. Nevertheless, participants stress the indispensable role of family support, community networks, and accessible healthcare in fostering resilience. Specifically, support, emotional reassurance, and willingness to learn enabled PLHIV to build resilience. These findings emphasize the need for approaches that counter discrimination, enhance well-being, ensure integral and intersectional healthcare access, and promote knowledge around HIV.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"1159-1176"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649373","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

"You Don't Realize What a Big Change It Is": A Reflexive Thematic Analysis of Patients' Experiences of Amputation Preparation, Information Provision, and Support. "你没有意识到这是多么巨大的改变"：对截肢准备、信息提供和支持过程中患者经历的反思性主题分析。

IF 2.4 2区医学

Qualitative Health Research Pub Date : 2025-09-01 Epub Date: 2024-11-15 DOI: 10.1177/10497323241293039

Maria Gonzalez Aguado, Lucina Wilde, Esmée Hanna

{"title":"\"You Don't Realize What a Big Change It Is\": A Reflexive Thematic Analysis of Patients' Experiences of Amputation Preparation, Information Provision, and Support.","authors":"Maria Gonzalez Aguado, Lucina Wilde, Esmée Hanna","doi":"10.1177/10497323241293039","DOIUrl":"10.1177/10497323241293039","url":null,"abstract":"The objective of this research was to extend current knowledge on the psychological and emotional aspects around patients' preparation for amputation surgery. This research explored amputees' perspectives on their preparation for amputation surgery and how patients can be better supported for this procedure. Data was collected through semi-structured interviews and online qualitative questionnaires with 17 amputees who underwent upper- or lower-limb amputation within the United Kingdom. The interviews were analyzed using reflexive thematic analysis. The analysis generated three themes describing participants' experiences of being prepared for this surgery and their ideas on how this process could be improved: (1) Making sense of amputation surgery, (2) Patients' experiences of information and support from healthcare staff, and (3) Patients' views on approaches to preparation. This research highlighted the importance of information provision and support from healthcare staff, along with the potential benefits of utilizing experiential knowledge through peer support to enhance feelings of preparedness for amputation surgery.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"1146-1158"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639889","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

Horror and Solidarity: Collective Health During the COVID-19 Emergency in Guayaquil, Ecuador. 恐怖与团结：厄瓜多尔瓜亚基尔 COVID-19 紧急事件期间的集体健康。

IF 2.4 2区医学

Qualitative Health Research Pub Date : 2025-09-01 Epub Date: 2024-11-25 DOI: 10.1177/10497323241287412

Manuel Capella, María Quinde, Lucía Mora

引用次数: 0

Self-Management Among People Living With Endometriosis: A Qualitative Study. 子宫内膜异位症患者的自我管理：定性研究。

IF 2.4 2区医学

Qualitative Health Research Pub Date : 2025-09-01 Epub Date: 2024-11-14 DOI: 10.1177/10497323241291787

Rebecca O'Hara, Louise Roufeil

引用次数: 0

The Tension Between Enhancing Reproductive Autonomy and Carrier Responsibility: An Empirical Ethics Analysis of Preconception Expanded Carrier Screening. 增强生殖自主性与载体责任之间的张力：孕前扩大载体筛查的实证伦理分析。

IF 2.4 2区医学

Qualitative Health Research Pub Date : 2025-08-29 DOI: 10.1177/10497323251365474

Sofia Morberg Jämterud

{"title":"The Tension Between Enhancing Reproductive Autonomy and Carrier Responsibility: An Empirical Ethics Analysis of Preconception Expanded Carrier Screening.","authors":"Sofia Morberg Jämterud","doi":"10.1177/10497323251365474","DOIUrl":"https://doi.org/10.1177/10497323251365474","url":null,"abstract":"Through identifying \"carrier status,\" preconception expanded carrier screening aims to provide prospective parents with information about their reproductive likelihood of conceiving a child with a genetic condition. This article presents an empirical ethics analysis of this form of screening, hence combining qualitative interviews with a critical ethical analysis, with the aim of examining ethical aspects of \"carriership.\" The thematic analysis of the qualitative interviews showed a relationship between responsibility and carriership, and three aspects were identified in what is here called preconceptual reproductive carrier responsibility: a view of the self as genetically at risk, a normative claim about the responsibility to engage with the screening technique in order to prevent suffering, and responsibility as being future-oriented. The article is contextualized against the theory of biomedicalization and feminist ethical perspectives on responsibility as part of a social and cultural practice. It is claimed that responsibility can function regulatively, where socially constructed norms of what counts as responsible action can limit what a couple understands as being required of them. This calls for further reflection on individual autonomy within this screening practice, acknowledging that genetic technology shapes and changes social attitudes to responsibility in relation to reproduction and that couples' choices are situated within such contexts.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251365474"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974567","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

Linguicism in Caregiving: Insights From Japanese Care Workers in Aotearoa New Zealand. 护理中的语言：来自新西兰奥特罗阿的日本护理工作者的见解。

IF 2.4 2区医学

Qualitative Health Research Pub Date : 2025-08-27 DOI: 10.1177/10497323251361687

Shinya Uekusa, Jill M Weigt, Diwakar Khanal

{"title":"Linguicism in Caregiving: Insights From Japanese Care Workers in Aotearoa New Zealand.","authors":"Shinya Uekusa, Jill M Weigt, Diwakar Khanal","doi":"10.1177/10497323251361687","DOIUrl":"https://doi.org/10.1177/10497323251361687","url":null,"abstract":"Language communication in caregiving between care recipients and care workers is essential for the well-being and overall care experiences of both parties. However, challenges arise in language communication when care workers and/or recipients are linguistic minorities. With the increasing reliance on migrant workforces in the care industry globally, language communication challenges require careful attention. Research indicates that migrant care workers, many of whom are linguistic minorities, often report lower job satisfaction due to high job demands, limited social support, stress related to acculturation, and discrimination both within work and outside of their care roles. However, current studies on aging, health, and migration often overlook the exploration of language communication experiences in caregiving from the perspective of care workers. Unlike conventional research that frames language communication challenges merely as \"language barriers,\" our study critically examines the experiences of Japanese care workers' experiences, through the lens of linguicism, language ideologies, and Bourdieu's symbolic violence theory. Drawing insights from in-depth interviews (n = 10), our analysis reveals various forms of linguicism faced by the study participants. Some participants experienced discrimination due to their accents and overall language proficiency, both from care recipients and co-workers. Interpersonal linguicism is evident, but many participants also internalized language oppression.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251361687"},"PeriodicalIF":2.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974634","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

Human Analysis vs. Artificial Intelligence: Analyzing of Qualitative Medical Students' Narratives. 人分析与人工智能：质性医学生叙事分析

IF 2.4 2区医学

Qualitative Health Research Pub Date : 2025-08-07 DOI: 10.1177/10497323251359445

Kinneret Misgav, Galit Neufeld-Kroszynski, Michal Palombo, Orit Karnieli-Miller

{"title":"Human Analysis vs. Artificial Intelligence: Analyzing of Qualitative Medical Students' Narratives.","authors":"Kinneret Misgav, Galit Neufeld-Kroszynski, Michal Palombo, Orit Karnieli-Miller","doi":"10.1177/10497323251359445","DOIUrl":"https://doi.org/10.1177/10497323251359445","url":null,"abstract":"Reflective narratives contain meaningful information about medical students' experiences and environments and are a rich source for qualitative analysis. However, analyzing narratives to learn about their content is expensive in terms of time and money. Recently developed artificial intelligence-based tools may help ease the analysis process. This study explored the potential of large language models (LLMs) to facilitate narrative text analysis. The narratives were written by medical students on their observations and reflections on medical encounters in which bad news was delivered. These narratives are challenging for analysis due to their semi-structured nature and medical and emotional content. We compared a former analysis process done manually versus the ability of LLMs to analyze these narratives, across different categories, including contextual (e.g., demographics) and thematic analysis. Our results showed that the LLM effectively processed data and followed formatting requirements. However, the LLM's performance varied across different categories, showing closer alignment with human analysis in straightforward categories (e.g., age), while struggling with more nuanced aspects of the narratives (e.g., assessing surprise). Ambiguities and complexities in the narratives posed significant challenges for the LLM, limiting its interpretive accuracy needed in such cases. The findings suggest that LLMs could complement human analysis, particularly in extracting explicitly mentioned contextual information, thereby enhancing the efficiency of the analysis process. The research highlights the need for further investigation into the capabilities of LLMs, pointing toward a future where the LLM and human qualitative researchers work in synergy to manage the demand for a timely and accurate narrative analysis.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251359445"},"PeriodicalIF":2.4,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795877","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

Narrating Vulvodynia: A Qualitative Inquiry Into Experiences of Chronic Pain and the Relevance of Social Relationships. 叙述外阴痛：对慢性疼痛经验和社会关系相关性的定性调查。

IF 2.4 2区医学

Qualitative Health Research Pub Date : 2025-08-03 DOI: 10.1177/10497323251357203

Diego Romaioli, Gaia Caprini

引用次数: 0

Constructing a Conformer-Explorer Identity in Pandemic Narratives: A Qualitative Study of Chinese Emerging Adults. 在大流行病叙事中构建顺应者-探索者身份：对中国新成人的定性研究。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-08-01 Epub Date: 2024-10-28 DOI: 10.1177/10497323241280394

Yanping Liu, Wenyi Zhu, Fawen Hu

{"title":"Constructing a Conformer-Explorer Identity in Pandemic Narratives: A Qualitative Study of Chinese Emerging Adults.","authors":"Yanping Liu, Wenyi Zhu, Fawen Hu","doi":"10.1177/10497323241280394","DOIUrl":"10.1177/10497323241280394","url":null,"abstract":"Existing research indicates that social crises such as the COVID-19 pandemic reshaped young people's sense of self, but little is known about what identities emerging adults construct in their pandemic narratives. Following propositions of narrative identity and Terror Management Theory, this qualitative study investigated Chinese emerging adults' identity construction in their narratives of the national outbreak of the COVID-19 pandemic in late 2022. Participants were 62 college students invited to share their pandemic experiences with reflections. Thematic analysis of the data suggests that the participants shared their pandemic experiences as a process of managing their death terror activated in the pandemic which threatened their sense of self and meanwhile motivated them to reconstruct who they are in the world. Based on their meaning-making capacities, the participants disclosed death awareness and vulnerabilities, adopted a temporal perspective in storytelling, emphasized their interpersonal and social connections, and made meaning out of the pandemic experiences to defend against death terror. As an outcome of their narration, a conformer-explorer identity was constructed in their pandemic narratives and we proposed a dialectical model to capture the dynamics of the construction. Although with limitations, this study contributes to our understanding of the functions of mortality salience on narrative identity among emerging adults in collectivist cultures during crises such as the COVID-19 pandemic.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"967-979"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523391","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

Prompts, Pearls, Imperfections: Comparing ChatGPT and a Human Researcher in Qualitative Data Analysis. 提示、珍珠、不完美：比较定性数据分析中的 ChatGPT 和人类研究员。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-08-01 Epub Date: 2024-05-22 DOI: 10.1177/10497323241244669

Jonas Wachinger, Kate Bärnighausen, Louis N Schäfer, Kerry Scott, Shannon A McMahon

{"title":"Prompts, Pearls, Imperfections: Comparing ChatGPT and a Human Researcher in Qualitative Data Analysis.","authors":"Jonas Wachinger, Kate Bärnighausen, Louis N Schäfer, Kerry Scott, Shannon A McMahon","doi":"10.1177/10497323241244669","DOIUrl":"10.1177/10497323241244669","url":null,"abstract":"The impact of ChatGPT and other large language model-based applications on scientific work is being debated across contexts and disciplines. However, despite ChatGPT's inherent focus on language generation and processing, insights regarding its potential for supporting qualitative research and analysis remain limited. In this article, we advocate for an open discourse on chances and pitfalls of AI-supported qualitative analysis by exploring ChatGPT's performance when analyzing an interview transcript based on various prompts and comparing results to those derived by an experienced human researcher. Themes identified by the human researcher and ChatGPT across analytic prompts overlapped to a considerable degree, with ChatGPT leaning toward descriptive themes but also identifying more nuanced dynamics (e.g., 'trust and responsibility' and 'acceptance and resistance'). ChatGPT was able to propose a codebook and key quotes from the transcript which had considerable face validity but would require careful review. When prompted to embed findings into broader theoretical discourses, ChatGPT could convincingly argue how identified themes linked to the provided theories, even in cases of (seemingly) unfitting models. In general, despite challenges, ChatGPT performed better than we had expected, especially on identifying themes which generally overlapped with those of an experienced researcher, and when embedding these themes into specific theoretical debates. Based on our results, we discuss several ideas on how ChatGPT could contribute to but also challenge established best-practice approaches for rigorous and nuanced qualitative research and teaching.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"951-966"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077125","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