Mari Thiart, Megan O'Connor, Jana Müller, Nuhaa Holland, Jason Bantjes
{"title":"Operating in the margins: Women's lived experience of training and working in orthopaedic surgery in South Africa.","authors":"Mari Thiart, Megan O'Connor, Jana Müller, Nuhaa Holland, Jason Bantjes","doi":"10.4081/qrmh.2023.10902","DOIUrl":"https://doi.org/10.4081/qrmh.2023.10902","url":null,"abstract":"<p><p>Medicine in South Africa (SA), as in other parts of the world, is becoming an increasingly gender diverse profession, yet orthopaedic surgery continues to be dominated by men, with women constituting approximately 5% of the profession in SA. The aim of this descriptive qualitative study was to explore women's experiences of training and working as orthopaedic surgeons in SA and identify structures, practices, attitudes, and ideologies that may promote or impede the inclusion of women. Data were collected via focus group discussions with women orthopaedic surgeons (n=16). Grounded in phenomenology, data were analysed using thematic analysis following a data-driven inductive approach to making sense of participants' experiences. Five main themes emerged: i) dynamic working environments and the work of transformation; ii) negotiating competing roles of mother and surgeon; iii) belonging, exclusion and internalised sexism; iv) gaslighting and silencing; and v) acts of resistance - agency and pushing back. The findings highlight the dynamic process in which both men and women contribute to co-creating, re-producing, and challenging practices that make medicine more inclusive.</p>","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"7 1","pages":"10902"},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0a/a4/qrmh-7-1-10902.PMC10336873.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9817111","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}
Mellanie V Springer, Tiffany Hodges, Cristi Lanning, Michael Tupper, Lesli E Skolarus
{"title":"Using qualitative data to inform the adaptation of a stroke preparedness health intervention.","authors":"Mellanie V Springer, Tiffany Hodges, Cristi Lanning, Michael Tupper, Lesli E Skolarus","doi":"10.4081/qrmh.2022.10639","DOIUrl":"https://doi.org/10.4081/qrmh.2022.10639","url":null,"abstract":"<p><p>Qualitative research methods are often used to develop health interventions, but few researchers report how their qualitative data informed intervention development. Improved completeness of reporting may facilitate the development of effective behavior change interventions. Our objective was to describe how we used qualitative data to develop our stroke education intervention consisting of a pamphlet and video. First, we created a questionnaire grounded in the theory of planned behavior to determine reasons people delay in activating emergency medical services and presenting to the hospital after stroke symptom onset. From our questionnaire data, we identified theoretical constructs that affect behavior which informed the active components of our intervention. We then conducted cognitive interviews to determine emergency department patients' understanding of the intervention pamphlet and video. Our cognitive interview data provided insight into how our intervention might produce behavior change. Our hope is that other researchers will similarly reflect upon and report on how they used their qualitative data to develop health interventions.</p>","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"6 3","pages":"10639"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/03/6d/qrmh-6-3-10639.PMC10336881.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10174347","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}
{"title":"Review of Jan Doolittle Wilson’s Becoming Disabled: Forging a Disability View of the World (Lexington Books, 2021)","authors":"Monika Shehi Herr","doi":"10.4081/qrmh.2022.11069","DOIUrl":"https://doi.org/10.4081/qrmh.2022.11069","url":null,"abstract":"Jan Doolittle Wilson doesn’t invite as much as she compels the readers to do the uncomfortable, complicated, and necessary work of reimagining disability. Writing not only as a scholar of disability studies, but also as a disabled person, the granddaughter of a disabled woman, and the mother of a disabled child, Wilson uses an autoethnographic approach to not only get able-bodied readers to see disabled people in a new light, but also, and above all, to turn their gaze towards themselves and question their own understanding of disability. As Wilson explains, the autoethnographic approach is “defined as one in which an author draws on personal experiences to analyze and create meaning about larger social, cultural, and political phenomena” (p. 6). [...]","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46700851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Near-death experiences and the change of worldview in survivors of sudden cardiac arrest: A phenomenological and hermeneutical study.","authors":"Hans Zingmark, Anetth Granberg-Axèll","doi":"10.4081/qrmh.2022.10241","DOIUrl":"https://doi.org/10.4081/qrmh.2022.10241","url":null,"abstract":"<p><p>Near-death experiences (NDEs) can occur during episodes of unconsciousness from life-threatening conditions, such as sudden cardiac arrests (SCAs). This study is based on interviews with patients who had an NDE. The interviews were analyzed with phenomenological hermeneutical method for their lived experiences and the meaning for the view of life and death. Four participants were interviewed 10 weeks after their NDE. Four themes emerged: being on the other side, in another dimension; not dreaming, this is a real experience; being in a non-physical condition without my body; and comparing views of life and death before and after the NDEs. The participants described the NDEs as an experience of another realm as non-physical in nature and existing beyond space and time. This study shows that this experience of another state of being, through the lived experiences of NDEs, gave the participants an entirely new meaning on life and death. To them, death was no longer viewed as an end but a passage into something else and that life continues after death. This realization instantly changed their worldview.</p>","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"6 3","pages":"10241"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/60/qrmh-6-3-10241.PMC10336875.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10174348","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}
{"title":"Editorial Tips on Publishing Qualitative Research in Medicine & Healthcare.","authors":"Warren Bareiss","doi":"10.4081/qrmh.2022.11170","DOIUrl":"https://doi.org/10.4081/qrmh.2022.11170","url":null,"abstract":"Welcome to Issue 3, Volume 6 of Qualitative Research in Medicine in Healthcare. The term “qualitative research” covers a wide range of theories and methodologies, and this issue certainly illustrates that diversity of approaches. As with most articles published in QRMH, authors featured in this issue worked through multiple manuscript iterations prior to acceptance for publication. Many other submitted manuscripts, of course, never make it that far. No doubt the story is the same for any reputable research journal. [...]","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"6 3","pages":"11170"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/59/87/qrmh-6-3-11170.PMC10336863.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10193231","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}
Avital Fischer, Johanna Shapiro, Tan Nguyen, Gabriela Meckler, Tien Lam, Uyen Mai, Reece Fenning, Jan Paolo De La Cruz, Cynthia Haq
{"title":"Views from the trenches: California family physicians' challenges and resilience factors while providing patient care during the initial wave of COVID-19.","authors":"Avital Fischer, Johanna Shapiro, Tan Nguyen, Gabriela Meckler, Tien Lam, Uyen Mai, Reece Fenning, Jan Paolo De La Cruz, Cynthia Haq","doi":"10.4081/qrmh.2022.10296","DOIUrl":"https://doi.org/10.4081/qrmh.2022.10296","url":null,"abstract":"<p><p>This study examined challenges and factors promoting resilience among 20 California family physicians (FPs) during the first six months of the COVID-19 pandemic. A subset of academic, community, and resident FPs who responded to an online survey also participated in a semi-structured interview that explored concerns, moral distress, burnout, resource needs, support systems, coping strategies, and motivation to continue caring for patients. Thematic analysis was used to identify common themes in participant interviews. Interviewees demonstrated adaptability, resilience, and grit (i.e., commitment to completing a valued goal in the face of setbacks and adversity) despite challenges disrupting patient care, fears for family and self, and frustration due to the politicization of the pandemic. Factors promoting well-being and perseverance included professional and personal support, strong coping skills, and focusing on the meaning derived from practicing medicine. A service orientation that permeates family medicine philosophy and values motivated practitioners to continue to provide patient care while dealing with overwhelming personal and structural challenges. FPs drew strength from their internal coping skills, core family medicine values, and external support, notwithstanding demoralizing effects of mixed messages and politicization of the pandemic. FPs demonstrated resilience and grit in the face of challenges created by the COVID-19 pandemic. Ensuring adequate resources to promote a physically and psychologically healthy workforce while increasing access to care for all patients is crucial to prepare for the next healthcare crisis.</p>","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"6 2","pages":"10296"},"PeriodicalIF":0.0,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ef/71/qrmh-6-2-10296.PMC10336883.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9816598","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}
{"title":"The practice of qualitative inquiry in illness narrative scholarship.","authors":"Warren Bareiss","doi":"10.4081/qrmh.2022.10898","DOIUrl":"10.4081/qrmh.2022.10898","url":null,"abstract":"","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"6 2","pages":"10898"},"PeriodicalIF":0.0,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a4/04/qrmh-6-2-10898.PMC10336860.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9806653","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}
Arlene G MacDougall, Elizabeth Price, Sarah Glen, Joshua C Wiener, Sahana Kukan, Laura Powe, Richelle Bird, Paul H Lysaker, Kelly K Anderson, Ross M G Norman
{"title":"A pilot study of participatory video in early psychosis: Qualitative findings.","authors":"Arlene G MacDougall, Elizabeth Price, Sarah Glen, Joshua C Wiener, Sahana Kukan, Laura Powe, Richelle Bird, Paul H Lysaker, Kelly K Anderson, Ross M G Norman","doi":"10.4081/qrmh.2022.10438","DOIUrl":"https://doi.org/10.4081/qrmh.2022.10438","url":null,"abstract":"<p><p>For people with psychotic disorders, developing a personal narrative about one's experiences with psychosis can help promote recovery. This pilot study examined participants' reactions to and experiences of participatory video as an intervention to help facilitate recovery-oriented narrative development in early psychosis. Outpatients of an early psychosis intervention program were recruited to participate in workshops producing short documentary-style videos of their collective and individual experiences. Six male participants completed the program and took part in a focus group upon completion and in an individual semistructured interview three months later. Themes were identified from the focus group and interviews and then summarized for descriptive purposes. Prominent themes included impacts of the videos on the participants and perceived impacts on others, fulfilment from sharing experiences and expressing oneself, value of collaboration and cohesion in a group, acquiring interpersonal and technological skills, and recommendations for future implementation. Findings of this study suggest that participatory video is an engaging means of self-definition and self-expression among young people in recovery from early psychosis.</p>","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"6 2","pages":"10438"},"PeriodicalIF":0.0,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/d6/qrmh-6-2-10438.PMC10336884.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9816592","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}
{"title":"Tumor talk: A descriptive study of communication about tumor board meetings.","authors":"Jillian A Tullis","doi":"10.4081/qrmh.2022.10717","DOIUrl":"10.4081/qrmh.2022.10717","url":null,"abstract":"<p><p>Tumor board meetings are behind-the-scenes settings where communication about health and strategizing about healthcare delivery take place. Despite their wide use in hospitals and cancer centers, there is a dearth of information about the communication practices in this context. Drawing upon six weeks of observations, this study investigated communication during tumor board meetings at a tertiary cancer center in the Southeastern United States. Findings revealed differences in communication among cancer specialties, with one tumor board consistently talking about the medical and non-medical elements of patient cases, while other specialties focused primarily on plans for treatment with little discussion about quality of life, economic, or caregiver support issues. The manuscript includes suggestions for modifying tumor conferences and opportunities for future research.</p>","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"6 2","pages":"10717"},"PeriodicalIF":0.0,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/58/6f/qrmh-6-2-10717.PMC10336866.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9816593","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}
{"title":"Revealing and explaining deep structure via <i>Qualitative Research in Medicine and Healthcare</i>.","authors":"Warren Bareiss","doi":"10.4081/qrmh.2022.10654","DOIUrl":"10.4081/qrmh.2022.10654","url":null,"abstract":"","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"6 1","pages":"10654"},"PeriodicalIF":0.0,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e9/fc/qrmh-6-1-10654.PMC10336872.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10193235","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}