International Journal of Qualitative Studies on Health and Well-Being最新文献_第6页

Socio-ecological factors that influence youth vaping: perspectives from Western Australian school professionals, parents and young people. 影响青少年吸食毒品的社会生态因素：西澳大利亚州学校专业人员、家长和青少年的观点。

IF 1.8 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-02-28 DOI: 10.1080/17482631.2024.2322753

Kahlia McCausland, Sue Booth, Francene Leaversuch, Becky Freeman, Katharina Wolf, Tama Leaver, Jonine Jancey

{"title":"Socio-ecological factors that influence youth vaping: perspectives from Western Australian school professionals, parents and young people.","authors":"Kahlia McCausland, Sue Booth, Francene Leaversuch, Becky Freeman, Katharina Wolf, Tama Leaver, Jonine Jancey","doi":"10.1080/17482631.2024.2322753","DOIUrl":"10.1080/17482631.2024.2322753","url":null,"abstract":"Purpose: To understand from the perspectives of school professionals, parents and young people the socio-ecological factors that may facilitate and prevent e-cigarette use among young people in Perth, Western Australia.Methods: Purposive sampling was used to recruit school professionals, parents and young people for one-on-one (n = 35) or joint (n = 3) interviews (in-person n = 11 or online n = 27). Data were analysed using thematic analysis and classified into four domains based on the socio-ecological model: i) individual, ii) interpersonal, iii) organizational/community and iv) societal/policy.Results: Factors that were found to support vaping among young people included sensation-seeking and risk-taking behaviour; a low-risk perception of vapes; attractive characteristics of vapes; ease of access; perception vaping is a social activity; and lack of knowledge about vaping among parents and school professionals. Vaping prevention messages originating from the familial, educational and community spheres are lacking but wanted by adults and young people.Conclusions: The pervasiveness of the e-cigarette trade and persistent challenges related to surveillance and enforcement need to be addressed to reduce exposure and access to e-cigarettes. A mixture of \"hard\" and \"soft\" public policy tools involving key stakeholders in a range of settings is needed to prevent e-cigarette access and uptake by young people.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10903751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

"Are you OK doctor?" An expanded health belief model exploration of doctors' experiences and perspectives of on-shift health behaviour. "医生，你还好吗？扩展健康信念模式，探讨医生对轮班健康行为的体验和看法。

IF 2.1 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-08-05 DOI: 10.1080/17482631.2024.2388795

Kirsty L Hodgson, Daniel J Lamport, Allán Laville

{"title":"\"Are you OK doctor?\" An expanded health belief model exploration of doctors' experiences and perspectives of on-shift health behaviour.","authors":"Kirsty L Hodgson, Daniel J Lamport, Allán Laville","doi":"10.1080/17482631.2024.2388795","DOIUrl":"10.1080/17482631.2024.2388795","url":null,"abstract":"Purpose: Understanding doctors' health beliefs is essential for developing effective and competent healthcare practices that benefit doctors and their patients. This study aimed to qualitatively explore doctors' perceptions of on-shift health-protective behaviours and their perceived effects on competence.Methods: The research applied theoretically driven Expanded Health Belief Model (EHBM) enquiry methods to explore beliefs and experiences through an occupational context survey, 14 individual depth interviews, and two focus groups. Semantic and deductive themes associated with EHBM domains were examined, and an inductive thematic analysis of the interviews was conducted.Results: Doctors' beliefs were strongly imbued by their perceived identity within the systemic context; they expressed impaired self-efficacy in reacting to their health needs on shift, and several disclosed harm to themselves and patients. Dominant themes included the psychosocial effects of the systemic culture and the influence of the situational occupational context in impacting health-protective behavioural action. The context and implications of experiences during the COVID-19 pandemic are discussed.Conclusions: This study presents key belief-oriented factors influencing doctors' health-protective behaviour at work and its implications for competent practice. Further doctor-led guidance on focus points for evidence-based theoretically driven health improvement solutions is provided regarding operational practice, formulating policies, developing interventions and further research.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11305022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

"What about me?": lived experiences of siblings living with a brother or sister with a life-threatening or life-limiting condition. "我怎么办？"：与患有危及生命或生命垂危疾病的兄弟姐妹共同生活的兄弟姐妹的生活经历。

IF 1.8 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-02-25 DOI: 10.1080/17482631.2024.2321645

Trine Brun Kittelsen, Charlotte Castor, Anja Lee, Lisbeth Gravdal Kvarme, Anette Winger

{"title":"\"What about me?\": lived experiences of siblings living with a brother or sister with a life-threatening or life-limiting condition.","authors":"Trine Brun Kittelsen, Charlotte Castor, Anja Lee, Lisbeth Gravdal Kvarme, Anette Winger","doi":"10.1080/17482631.2024.2321645","DOIUrl":"10.1080/17482631.2024.2321645","url":null,"abstract":"Background: There is a lack of knowledge regarding siblings' experiences of being a brother or sister of a child with a life-threatening or life-limiting condition. Siblings' perspectives are often expressed through their parents and not by siblings themselves.Method: This study has a qualitative design within hermeneutic phenomenology. Thirteen siblings (ages 3-29) of children with cancer or genetic conditions participated in semi-structured interviews. Analyses followed a thematic analysis guided by van Manen's lifeexistentials.Results: One overall theme, \"What about me?\", illustrates that siblings of children with LT/LL conditions are dealing with their own challenges and needs in the situation while also struggling to receive attention from their parents. The overall theme derives from three subthemes: living with heavy strains, feeling disregarded, and having needs of one's own.Conclusion: The study revealed that siblings' own needs compete with the needs of the ill child, resulting in the risk of siblings taking a step back rather than expressing what they might actually need themselves. These findings can inform healthcare professionals on the importance of educating and supporting parents and the surrounding community close to the sibling, for example, by helping schoolteachers understand how to meet siblings' needs.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10898268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

"Maintaining symbiosis in conflict": the quality of life of disabled elderly individuals in Chinese elderly care institutions - a grounded theory study. "在冲突中维持共生"：中国养老机构中失能老人的生活质量--一项基础理论研究。

IF 2.1 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-09-05 DOI: 10.1080/17482631.2024.2397845

Ying Zuo, Guang Yang

{"title":"\"Maintaining symbiosis in conflict\": the quality of life of disabled elderly individuals in Chinese elderly care institutions - a grounded theory study.","authors":"Ying Zuo, Guang Yang","doi":"10.1080/17482631.2024.2397845","DOIUrl":"10.1080/17482631.2024.2397845","url":null,"abstract":"Background and objectives: Exploring the quality of life of disabled elderly individuals in eldercare facilities holds significant importance in the improvement of service quality, the allocation of eldercare resources, and the enhancement of the well-being of the elderly. This study, grounded in the subjective perspective of disabled elderly individuals, aims to investigate their quality of life within eldercare institutions.Research design and methods: A grounded theory approach was employed, involving semi-structured interviews with 35 participants.Results: Data analysis revealed that the quality of life of disabled elderly individuals in Chinese elderly care institutions is characterized by \"maintaining symbiosis in conflict\" and encompasses four dimensions: complex adaptation process, complexities in social interactions, physical pain and the lonely soul.Discussion and implications: Spending late years in elderly care institutions poses a trial and challenge for disabled elderly individuals, especially within a cultural environment that traditionally revolves around the \"family\" unit. In these institutions, disabled elderly individuals not only endure physical pain but also grapple with feelings of loneliness. They maintain the facade of family dignity by concealing true emotions, ensuring the harmonious and stable operation of the elderly care institution.Enhancing the quality of life for disabled elderly individuals requires not only an improvement in the service capabilities of elderly care institution staff but also collaborative efforts from policymakers and family members.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11382692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

It looks like nature - a phenomenological study of the built environment in psychotherapy from psychologists' and psychiatrists' perspective. 它看起来像大自然--从心理学家和精神病学家的角度对心理治疗中的建筑环境进行的现象学研究。

IF 2.1 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-10-02 DOI: 10.1080/17482631.2024.2408812

Anne Hagerup, Helle Wijk, Göran Lindahl, Sepideh Olausson

{"title":"It looks like nature - a phenomenological study of the built environment in psychotherapy from psychologists' and psychiatrists' perspective.","authors":"Anne Hagerup, Helle Wijk, Göran Lindahl, Sepideh Olausson","doi":"10.1080/17482631.2024.2408812","DOIUrl":"10.1080/17482631.2024.2408812","url":null,"abstract":"Introduction: The study aims to examine psychologists' and psychiatrists' experiences of built environments, indoors and outdoors, in providing psychotherapy. The research explores how the environment matters in clinical practice from the perspective of psychologists and psychiatrists and seeks to comprehend the significance of the facilities where psychotherapy takes place.Methods: This study design is explorative and qualitative. Data is generated by eight in-depth interviews with six clinical psychologists and two psychiatrists and was analyzed using an interpretative phenomenological approach.Results: Our findings revealed that the built environment matters in clinical practice as it appears to be closely linked to fostering a more comprehensive approach and facilitating various associations and themes in psychotherapy. Three superordinate themes emerged from the data: Design as therapeutic tool, Nature as a co-therapist, and lastly, Expanding the therapeutic space, highlights the participants' perspective on the transformative potential of the built environment to become therapeutic.Conclusion: The findings reveal how built environments can be actively utilized as tools in psychotherapy. Environments are not to be considered merely as neutral and passive spaces for conducting and receiving psychotherapy rather than experienced as places that may regulate and impact both therapists and patients, the relationship between them.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11451331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Exploring mental health stigma among Indonesian healthcare students towards individuals with mental illnesses: a qualitative study. 探索印尼医学生对精神疾病患者的心理健康成见：一项定性研究。

IF 1.8 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-03-11 DOI: 10.1080/17482631.2024.2327103

Muhammad Arsyad Subu, Jacqueline Maria Dias, Richard Mottershead, Fatma Refaat Ahmed, Sari Narulita, Maryuni Maryuni, Zakiyah Zakiyah, Irma Nurbaeti, Alounoud Mohamed Al Marzouqi, Nabeel Al-Yateem

{"title":"Exploring mental health stigma among Indonesian healthcare students towards individuals with mental illnesses: a qualitative study.","authors":"Muhammad Arsyad Subu, Jacqueline Maria Dias, Richard Mottershead, Fatma Refaat Ahmed, Sari Narulita, Maryuni Maryuni, Zakiyah Zakiyah, Irma Nurbaeti, Alounoud Mohamed Al Marzouqi, Nabeel Al-Yateem","doi":"10.1080/17482631.2024.2327103","DOIUrl":"10.1080/17482631.2024.2327103","url":null,"abstract":"Background: The social disapproval or stigma surrounding mental illness contributes to the postponement of individuals seeking assistance and frequently undermines therapeutic alliances between mental illness sufferers and health care professionals.Aims: This study explored perceptions and attitudes towards individuals with mental illness among college healthcare students in Indonesia.Methods: This study used a qualitative method. Twenty five students enrolled in six healthcare programs were interviewed using a semi structured format. The data analysis adopted a thematic analysis.Results: Our thematic analysis generated four main themes: (1) general perceptions of mental health and mental illness; (2) knowledge about mental illness; (3) mental health stigma; and (4) mental health stigma campaigns.Conclusions: The participants exhibited positive perceptions of mentally ill people. Students understood mental health, and they exhibited positive attitudes toward mentally ill people. Some students have stigma and lack of confidence to assist those who have mental illness. Further efforts are required to acquaint students with mental health issues and facilitate their interaction with mentally ill individuals. Anti-stigma campaigns are required to combat the pervasive stigmatization of individuals with mental illness. It is recommended to conduct a more extensive study about the stigma that students encounter in relation to mentally ill individuals.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10930137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140095103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

"I am the one taking care of her and donating blood": lived experiences of role-routines of hospital-based informal caregiving in Nigeria. "我是照顾她和献血的那个人"：尼日利亚医院非正式护理的角色常规生活经验。

IF 1.8 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-05-22 DOI: 10.1080/17482631.2024.2356928

Kudus Adebayo, Mofeyisara Omobowale, Adebayo Akinyemi, Rukayat Usman, Atinuke Olujimi, Funmilayo Omodara

{"title":"\"I am the one taking care of her and donating blood\": lived experiences of role-routines of hospital-based informal caregiving in Nigeria.","authors":"Kudus Adebayo, Mofeyisara Omobowale, Adebayo Akinyemi, Rukayat Usman, Atinuke Olujimi, Funmilayo Omodara","doi":"10.1080/17482631.2024.2356928","DOIUrl":"10.1080/17482631.2024.2356928","url":null,"abstract":"Purpose: Informal caregivers (ICs) in Africa perform a long list of tasks to support hospitalization care. However, available studies are weak in accounting for the experiences of everyday role-routines of hospital-based informal caregiving (HIC) in under-resourced settings. This article explored the experiences of role-routines among informal caregivers in a Nigerian tertiary health facility.Methods: The ethnographic exploratory study relied on primary data collected from 75 participants, including 21 ICs, 15 inpatients, 36 hospital staff, and 3 ad-hoc/paid carers in a tertiary health facility in Southwestern Nigeria.Results: ICs perform several essential roles for hospitalized relatives, with each role characterized by a range of tasks. An integrative narrative of everyday routines of HIC as experienced by ICs showed critical complexities and complications involved in seemingly simple tasks of assisting hospitalized relatives with hygiene maintenance, medical investigations, blood donation, resource mobilization, errand-running, patient- and self-care and others. The role-routines are burdensome and ICs' experiences of them revealed the undercurrents of how health systems dysfunctions condition family members to support hospitalization care in Nigeria.Conclusion: The intensity and repetitive nature of role-routines is suggestive of \"routinization of suffering\". We recommend the closing of gaps driving hospital-based informal caregiving in Africa's under-resourced settings.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11123441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Lost and changed meaning in life of people with Long Covid: a qualitative study. 长冠肺炎患者生命意义的丧失和改变:一项定性研究。

IF 1.8 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2023-12-06 DOI: 10.1080/17482631.2023.2289668

Marishelle Lieberwerth, Alistair Niemeijer

{"title":"Lost and changed meaning in life of people with Long Covid: a qualitative study.","authors":"Marishelle Lieberwerth, Alistair Niemeijer","doi":"10.1080/17482631.2023.2289668","DOIUrl":"10.1080/17482631.2023.2289668","url":null,"abstract":"Long Covid (LC) has been called the greatest mass-disabling event in human history. For patients, LC not only has implications for quality of life but also for meaning in life: how one's life and the world are understood and what is seen as valuable in one's life. This qualitative empirical study used a Constructivist Grounded Theory approach to investigate the meaning in life of people struggling with LC through ten patient interviews. This study shows that patients lose their prior understanding of life and come to a changed meaning in life, in part due to the experienced (social) isolation and loss of (both physical and cognitive) abilities caused by LC. Moreover, patients struggled with acceptance, uncertainty, and the inherent incomprehensibility and uncontrollability that living with LC entails, though this simultaneously co-existed with hope, optimism and acceptance. Additionally, dimensions of meaning intersect; a patient having some understanding of their illness (dimension of meaning: comprehension) required an understanding Other (dimension of meaning: connection). Emerging from lockdown brought the challenge and isolation of adjusting to chronic illness in society as usual (albeit divided about COVID-19 measures). This study thus offers novel insights regarding changed, present, and sought meaning in life for LC patients.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Experience of moral distress among doctors at emergency departments in Stockholm during the Covid-19 pandemic: a qualitative interview study. 斯德哥尔摩急诊科医生在 Covid-19 大流行期间的道德压力体验：定性访谈研究。

IF 1.8 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-01-23 DOI: 10.1080/17482631.2023.2300151

Clara Brune, Janne Agerholm, Bo Burström, Ann Liljas

{"title":"Experience of moral distress among doctors at emergency departments in Stockholm during the Covid-19 pandemic: a qualitative interview study.","authors":"Clara Brune, Janne Agerholm, Bo Burström, Ann Liljas","doi":"10.1080/17482631.2023.2300151","DOIUrl":"10.1080/17482631.2023.2300151","url":null,"abstract":"Purpose: The COVID-19 pandemic and consequent strain on healthcare globally shed light on the concept of moral distress among healthcare workers, albeit to a smaller extent among doctors at emergency departments. This study aimed to examine moral distress as perceived by medical doctors working at emergency departments in Stockholm during the pandemic, with the purpose of investigating causes of moral distress and methods to manage moral distress.Methods: Semi-structured interviews were conducted with twelve doctors working at two emergency departments. A questionnaire was developed based on previous research and the interviews were analysed qualitatively through thematic analysis.Results: The themes \"The factors that precipitated moral distress\", \"Experience of workplace support\" and \"Coping strategies\" as well as seven subthemes and 15 codes were identified. The informants reported on various situations with different causes of moral distress. Common causes were resource depletion, such as hospital bed shortages, and following stricter triage criteria. Informants reported varying ways of managing moral distress.Conclusions: Informants experienced moral distress when faced with challenges such as resource depletion, rules and regulations, and colleagues' decisions. The informants who chose to seek support received it from their workplace, which helped them cope with their experiences. Some informants chose to not seek support.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10810614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Therapeutic stance towards persons with psychosis - a Grounded Theory study. 对精神病患者的治疗立场--一项基础理论研究。

IF 1.8 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-03-29 DOI: 10.1080/17482631.2024.2333064

Laura Galbusera, Ralph Endres, Thelke Scholz, Emilia Jirku, Samuel Thoma

{"title":"Therapeutic stance towards persons with psychosis - a Grounded Theory study.","authors":"Laura Galbusera, Ralph Endres, Thelke Scholz, Emilia Jirku, Samuel Thoma","doi":"10.1080/17482631.2024.2333064","DOIUrl":"10.1080/17482631.2024.2333064","url":null,"abstract":"Objective: Over the last decades, psychotherapy of psychosis has increasingly gained attention. The quality of the therapeutic alliance has been shown to have an impact on therapy outcome. Yet, little is know about the influence of the therapeutic stance on the alliance. In this study, we explore psychotherapists' stance towards persons with psychosis with the aim of better understanding its characteristic-hindering and helpful-aspects.Method: 6 semi-structured interviews with psychotherapists from three different schools (CBT, PD, ST) were analysed with Grounded Theory. Credibility was checked through external and peer-researcher-supported debriefing.Results: 4 core categories were generated and interrelated in a theoretical model. Therapists' stance was initially characterized by insecurity. Diffent ways of dealing with insecurity yielded different stances: a monological and an open one. A helpful stance was conceived as stemming from openness and was characterized by a dialogical structure. A co-presence (or \"dosing\") of you and I was conceived as its core aspect.Conclusion: These findings specify the interpersonal dynamics arising from different stances and their impact on the therapeutic alliance and process. Research is still needed to further understand the characteristics of helpful and hindering therapeutic stances, which should also inform the training of psychotherapists.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10984242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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