Qualitative research in medicine & healthcare最新文献

Three challenges in qualitative research. 定性研究面临的三大挑战。

Qualitative research in medicine & healthcare Pub Date : 2025-03-27 eCollection Date: 2025-03-01 DOI: 10.1016/j.qrmh.2025.100005

Warren Bareiss

引用次数: 0

"The message is the manner": Patterns of influence in communicating pap screening in North-Central Nigeria. “信息就是方式”：尼日利亚中北部宣传子宫颈抹片检查的影响模式。

Qualitative research in medicine & healthcare Pub Date : 2025-03-25 eCollection Date: 2025-03-01 DOI: 10.1016/j.qrmh.2025.100004

Nancin Dadem

引用次数: 0

An examination of veterinarians' negotiation of emotional labor. 兽医情绪劳动谈判的研究。

Qualitative research in medicine & healthcare Pub Date : 2025-03-18 eCollection Date: 2025-03-01 DOI: 10.1016/j.qrmh.2025.100001

Lynsey K Romo, April A Kedrowicz, Katelin A Mueller, Colin Mayhorn

{"title":"An examination of veterinarians' negotiation of emotional labor.","authors":"Lynsey K Romo, April A Kedrowicz, Katelin A Mueller, Colin Mayhorn","doi":"10.1016/j.qrmh.2025.100001","DOIUrl":"10.1016/j.qrmh.2025.100001","url":null,"abstract":"Veterinarians are expected to care for animals while managing clients' emotions and dealing with stress, depression, burnout, anxiety, suicidal ideation, and other mental health struggles that accompany their profession. Through an open-ended qualitative survey of 124 alumni of a southeastern U.S. vet school, this study was designed to provide a rich, holistic examination regarding veterinarians' management of emotional labor. The investigation found that although veterinarians felt overwhelmed, frustrated, powerless, and fearful, they were institutionally expected to suppress these feelings, which they did by focusing on logic and facts over emotions and by reframing negatives into positives. The study also showcases how participants, by staying neutral and strong for themselves and clients, engaged in double-faced emotion management, newly applying this concept to veterinary medicine. Participants coped with emotional labor demands by turning backstage, where they sought support, allowed themselves to get emotional, engaged in self-care, and decided to enact tangible changes. Some participants were unable to truly find peace backstage, however, due to an entrenched veterinarian identity, lack of communication skills, or preexisting mental health struggles that made it difficult to disengage from their emotions. This study largely supports the claim that emotional labor may be worsening some vets' preexisting stressors and mental health struggles and recommends that veterinary programs universally incorporate training that targets development of interpersonal communication competence, emotional labor, and wellbeing and their ability to decompress backstage.","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"9 1","pages":"100001"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12146643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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's sink or swim for us": The lived experiences of Filipino nurses in the UK during the COVID-19 pandemic. “成败在此一搏”：新冠肺炎大流行期间菲律宾护士在英国的生活经历

Qualitative research in medicine & healthcare Pub Date : 2025-03-18 eCollection Date: 2025-03-01 DOI: 10.1016/j.qrmh.2025.100002

Denise Borbolla, Ohemaa Nkansa-Dwamena

{"title":"\"It's sink or swim for us\": The lived experiences of Filipino nurses in the UK during the COVID-19 pandemic.","authors":"Denise Borbolla, Ohemaa Nkansa-Dwamena","doi":"10.1016/j.qrmh.2025.100002","DOIUrl":"10.1016/j.qrmh.2025.100002","url":null,"abstract":"Background: The United Kingdom has recruited Filipino nurses since the late 1990s to meet the country's healthcare needs. Currently, over 40,000 Filipinos are working in the National Health Service, and it is suggested that 36 % of all known healthcare worker (HCW) deaths from COVID-19 within the first two-month period (March and April 2020) were Filipinos, despite accounting for 8 % of the NHS nursing workforce. There was a clear disparity in social media exposure between the celebrated heroism of Filipino HCW and the coverage of disproportionate death rates within the Filipino HCW community in the UK. This study aimed to explore the lived experiences of Filipino nurses in the UK during the COVID-19 pandemic.Methods: A qualitative study was conducted using interpretative phenomenological approach (IPA). Six nurses were recruited using purposive and snowball sampling, and interviews were transcribed verbatim and analyzed using IPA.Findings: Drawing on interview data, two themes are presented: inescapability and relentlessness of COVID-19 and \"It's sink or swim\": psychological welfare.Interpretation: Filipino nurses experienced the COVID-19 pandemic as an all-consuming phenomenon, as they were perceived as the embodiment of threat and placed at disproportionate risk perpetuated by racial, systemic, and political factors. Despite this, they had no choice but to battle through, engaging in culturally specific ways of coping.","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"9 1","pages":"100002"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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 is harder for me: A thematic analysis of lived experience of self-care, and its relationship with self-injurious behaviors in psychiatric patients. 这对我来说更难：对自我护理的生活经历及其与精神病患者自我伤害行为的关系进行专题分析。

Qualitative research in medicine & healthcare Pub Date : 2025-01-23 eCollection Date: 2024-09-09 DOI: 10.4081/qrmh.2024.12544

Jonas Bjärehed, Hanna Grenner, Sara Pavlovic, Magnus Nilsson

{"title":"It is harder for me: A thematic analysis of lived experience of self-care, and its relationship with self-injurious behaviors in psychiatric patients.","authors":"Jonas Bjärehed, Hanna Grenner, Sara Pavlovic, Magnus Nilsson","doi":"10.4081/qrmh.2024.12544","DOIUrl":"10.4081/qrmh.2024.12544","url":null,"abstract":"Self-injury is associated with significant psychological distress and functional impairments, including difficulties with self-care. However, little is known about how individuals engaging in self-injury perceive and manage self-care in their daily lives. This study aimed to explore the lived experiences of self-care among individuals receiving psychiatric treatment for self-injury and to identify factors that support or hinder self-care capacity. Twelve participants were recruited from a psychiatric outpatient clinic and semi-structured interviews were conducted focusing on participants' perceptions of self-care, its relationship with self-injury, and factors influencing self-care. Reflexive thematic analysis was conducted to identify patterns and themes. The analysis revealed four themes: i) Why should I choose self-care?, highlighting motivational challenges rooted in low self-worth and the need for meaning; ii) Self-care is a difficult choice for me, reflecting how emotional variability, uncertainty about self-care, and dichotomous thinking hinder decision-making; iii) Self-care is beyond my control, emphasizing struggles with planning, routines, and the interplay of emotional states and self-care behaviors; and iv) Support can both help and hinder self-care, illustrating the critical yet complex role of external support. Findings highlight the multifaceted challenges individuals face in managing self-care and its intersection with self-injury. Clinical implications include the need for tailored, person-centered interventions that address barriers to self-care. Recognizing the dual role of self-injury-as both a barrier to and a risky form of self-care-may enhance treatment approaches for this population.","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"8 Suppl 1","pages":"12544"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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 research is about listening and growing. 定性研究是关于倾听和成长的。

Qualitative research in medicine & healthcare Pub Date : 2025-01-23 eCollection Date: 2024-11-20 DOI: 10.4081/qrmh.2024.13654

Warren Bareiss

引用次数: 0

The potential impact of nonsuicidal self-injury disorder: Insights from individuals with lived experience. 非自杀性自伤障碍的潜在影响：来自有生活经验的个体的见解。

Qualitative research in medicine & healthcare Pub Date : 2025-01-23 eCollection Date: 2024-09-09 DOI: 10.4081/qrmh.2024.12631

Gregory J Lengel, Brooke A Ammerman, Kerri-Anne Bell, Jason J Washburn

{"title":"The potential impact of nonsuicidal self-injury disorder: Insights from individuals with lived experience.","authors":"Gregory J Lengel, Brooke A Ammerman, Kerri-Anne Bell, Jason J Washburn","doi":"10.4081/qrmh.2024.12631","DOIUrl":"10.4081/qrmh.2024.12631","url":null,"abstract":"Nonsuicidal self-injury disorder (NSSI-D) is presently a condition for further study in the Diagnostic & Statistical Manual of Mental Disorders (DSM-5-TR) (American Psychiatric Association, 2022). While previous studies focused on NSSI-D through the lens of experts, there is a shortage of research that explores the potential impact of NSSI-D from the perspective of those most directly affected - individuals with NSSI lived experience. The present study aimed to expand this limited literature and provide a more enhanced and nuanced understanding of the potential implications and consequences of NSSI-D from lived experience viewpoints. Adults with lifetime NSSI history (N = 38) completed a semi-structured interview that surveyed perspectives on NSSI-D, including the meaning of officially recognizing NSSI-D, potential impacts of receiving an NSSI-D diagnosis, and the impact of NSSI-D on one's decision to speak with a clinician. Results from our thematic analysis of the interview data suggested opinions about NSSI-D and its potential impact were generally positive (e.g., increased awareness, understanding, and validation, increased comfort with disclosing NSSI behavior, positive impacts on treatment, and improved functioning). Participants also highlighted potential concerns about the potential consequences of NSSI-D (e.g., negative self-perception, increased stigma, and concerns about the necessity and utility of NSSI-D), and some expressed neutral/indifferent opinions about NSSI-D. Overall, results provide valuable insights regarding potential implications and consequences of official recognition and diagnosis of NSSI-D and have relevant implications for client-clinician interactions. Results also highlight the importance and value of amplifying lived experience perspectives.","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"8 Suppl 1","pages":"12631"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Suicide's very abstract": A qualitative analysis of risk assessment training recommendations from family physicians. “自杀很抽象”：对家庭医生风险评估培训建议的定性分析。

Qualitative research in medicine & healthcare Pub Date : 2025-01-22 eCollection Date: 2024-11-20 DOI: 10.4081/qrmh.2024.12676

Mark A Dixon, Kathleen A McNamara, David A Moss

{"title":"\"Suicide's very abstract\": A qualitative analysis of risk assessment training recommendations from family physicians.","authors":"Mark A Dixon, Kathleen A McNamara, David A Moss","doi":"10.4081/qrmh.2024.12676","DOIUrl":"10.4081/qrmh.2024.12676","url":null,"abstract":"Suicide risk has consistently increased over the past 2.5 decades, despite growing awareness and tailored programs aimed at combating this epidemic. Suicide prevention initiatives include ensuring 24/7 access to crisis hotlines, encouraging individuals to seek mental health care, and reducing access to lethal means among high-risk populations. A recent area of focus is the physician's office, as research shows that nearly half of those who die by suicide had seen a primary care physician within one month of their death. However, primary care physicians do not consistently inquire about suicide risk among their patients. This study presents findings from 15 interviews with family medicine residents at a U.S. military hospital. Participants identified gaps in three key areas of training: i) foundational knowledge (e.g., risk assessment flow, available tools and resources, and therapeutic skills), ii) training program structure (e.g., timing, exposure, and effectiveness), and iii) training culture (e.g., fostering courage and support). Residents recognized their central role in suicide prevention and were eager to address perceived gaps in their knowledge. They also shared their ideal training environment, which would support learning and skill development. This paper offers clear and actionable recommendations for family medicine residency programs to advance the suicide prevention agenda.","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"8 3","pages":"12676"},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11791472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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 is veteran suicide prevention really about? Questions from the community to researchers. 预防退伍军人自杀的真正目的是什么？社区向研究人员提出的问题。

Qualitative research in medicine & healthcare Pub Date : 2025-01-22 eCollection Date: 2024-11-20 DOI: 10.4081/qrmh.2024.13323

Brandy M Fox

{"title":"What is veteran suicide prevention really about? Questions from the community to researchers.","authors":"Brandy M Fox","doi":"10.4081/qrmh.2024.13323","DOIUrl":"10.4081/qrmh.2024.13323","url":null,"abstract":"Military veterans are one of the most researched groups in healthcare in the United States. This population has extremely high rates of suicide attempts and completions. Despite increasing research focus, millions of dollars in funding, and being designated as a high clinical priority, rates of suicidal behavior continue to rise among veterans. Veterans are extremely concerned about this trend and critical of some suicide prevention projects. This study engaged 20 veterans who are connected to individuals within the military community who have attempted or completed suicide. Through semi-structured interviews, participants expressed a profound sense of disconnection from existing policies, treatments, and strategies aimed at preventing veteran suicide. During the course of the interviews, participants posed their own questions: Why is the public really concerned about veteran suicide? Why won't the public recognize its part in the veteran suicide epidemic? Why won't the medical industry listen and collaborate with us? This study underscores the critical need for all stakeholders involved in veteran suicide prevention to reflect on these concerns and to incorporate veterans' insights into future prevention strategies, creating a more responsive and effective approach.","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"8 3","pages":"13323"},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11791473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Obstetric care under the military health system: An analysis of active-duty women's and female spouses' online discussions. 军队医疗系统下的产科护理：对现役女性和女性配偶在线讨论的分析。

Qualitative research in medicine & healthcare Pub Date : 2025-01-22 eCollection Date: 2024-11-20 DOI: 10.4081/qrmh.2024.12641

Amanda M Rebhi

{"title":"Obstetric care under the military health system: An analysis of active-duty women's and female spouses' online discussions.","authors":"Amanda M Rebhi","doi":"10.4081/qrmh.2024.12641","DOIUrl":"10.4081/qrmh.2024.12641","url":null,"abstract":"This research undertakes a thematic analysis of discussion threads on social media forums to determine women's perceptions of quality of obstetric care under TRICARE Prime and TRICARE Select. Following an open coding process and thematic analysis, themes arose regarding obstetric care as experienced by active-duty women as well as female spouses of active-duty members. Themes surrounding active-duty perceptions of quality of obstetric care concerned proximity to care deferred deliveries, lack of care options, deficient on-base care, better civilian care experiences, and lamenting having less options than spouses. Spouses generated themes of positive connotation with TRICARE Select, including low costs, freedom of choice, and proximity to care and negative connotation with TRICARE Prime, such as difficulty getting care, process bureaucracy, and deficient care. Ample evidence pointed to a strong spouse preference for TRICARE Select over TRICARE Prime, but there was not enough evidence to indicate if active-duty women were pursuing out-of-pocket care to circumvent TRICARE Prime restrictions. Overall, women's discussions point to a need to improve the Military Health System and concerningly suggest active-duty women are confined to care within a system plagued with issues that impact obstetric care.","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"8 3","pages":"12641"},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11791471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0