Qualitative research in medicine & healthcare最新文献_第6页

Views from the trenches: California family physicians' challenges and resilience factors while providing patient care during the initial wave of COVID-19. 来自战壕的观点：加州家庭医生在COVID-19最初浪潮中提供患者护理时面临的挑战和恢复力因素。

Qualitative research in medicine & healthcare Pub Date : 2022-10-04 DOI: 10.4081/qrmh.2022.10296

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":"10.4081/qrmh.2022.10296","url":null,"abstract":"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.","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}

引用次数: 0

The practice of qualitative inquiry in illness narrative scholarship. 疾病叙事学术中的定性调查实践。

Qualitative research in medicine & healthcare Pub Date : 2022-10-04 DOI: 10.4081/qrmh.2022.10898

Warren Bareiss

引用次数: 0

A pilot study of participatory video in early psychosis: Qualitative findings. 参与式视频在早期精神病中的试点研究：定性结果。

Qualitative research in medicine & healthcare Pub Date : 2022-10-04 DOI: 10.4081/qrmh.2022.10438

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":"10.4081/qrmh.2022.10438","url":null,"abstract":"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.","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}

引用次数: 0

Tumor talk: A descriptive study of communication about tumor board meetings. 肿瘤谈话：关于肿瘤委员会会议交流的描述性研究。

Qualitative research in medicine & healthcare Pub Date : 2022-10-04 DOI: 10.4081/qrmh.2022.10717

Jillian A Tullis

引用次数: 0

Revealing and explaining deep structure via Qualitative Research in Medicine and Healthcare. 通过医学和医疗保健领域的定性研究揭示和解释深层结构。

Qualitative research in medicine & healthcare Pub Date : 2022-06-07 eCollection Date: 2022-05-31 DOI: 10.4081/qrmh.2022.10654

Warren Bareiss

引用次数: 0

Evaluation of the Family Liaison Officer role during the COVID-19 pandemic. COVID-19大流行期间家庭联络干事作用评估

Qualitative research in medicine & healthcare Pub Date : 2022-05-31 DOI: 10.4081/qrmh.2022.10287

Luke Hughes, Lisa Anderton, Rachel M Taylor

{"title":"Evaluation of the Family Liaison Officer role during the COVID-19 pandemic.","authors":"Luke Hughes, Lisa Anderton, Rachel M Taylor","doi":"10.4081/qrmh.2022.10287","DOIUrl":"10.4081/qrmh.2022.10287","url":null,"abstract":"Communication within healthcare settings is often a subject of contention for patients' families at the best of times; however, contention was greatly magnified in the United Kingdom by restrictions on hospital visitations during the early stage of the COVID-19 pandemic. To support communication between families and patients, a central London hospital introduced the role of the family liaison officer (FLO). This study was designed to evaluate the rapid implementation of the FLO and to explore potential for it to become a standard role. Semi-structured interviews were conducted with five FLOs and seven colleagues who had worked alongside them between April and June, 2020. Two versions of the role emerged based on FLOs' previous background: clinical (primarily nurses) and pastoral (primarily play specialists). The FLO became a key role during the pandemic in facilitating communication between patients, clinical teams, and families. Challenges associated with the role reflect the speed in which it was implemented. It was evident to those in the role, and clinicians who the role was supporting, that it had potential to help improve hospital communication and the work of healthcare staff beyond the pandemic.","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"6 1","pages":"10287"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/fb/qrmh-6-1-10287.PMC10336864.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10193236","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

"Life is about trying to find a better place to live": Discourses of dwelling in a pro-recovery suicide forum. “生活就是寻找一个更好的地方居住”：在一个支持康复的自杀论坛上居住的话语。

Qualitative research in medicine & healthcare Pub Date : 2022-05-31 DOI: 10.4081/qrmh.2022.10437

Mike Alvarez

{"title":"\"Life is about trying to find a better place to live\": Discourses of dwelling in a pro-recovery suicide forum.","authors":"Mike Alvarez","doi":"10.4081/qrmh.2022.10437","DOIUrl":"10.4081/qrmh.2022.10437","url":null,"abstract":"In the two decades since the advent of Web 2.0, scholars of cybersuicide have identified many beneficial and harmful uses of the internet. However, the discursive meanings interactionally created by suicide website users have scarcely been attended to. The present study uses the theory and method of cultural discourse analysis (CuDA) to arrive at meanings about place that radiate from online communication among users of SuicideForum.com (SF), a pro-recovery website. Analyses of 2,119 posts across 131 threads reveal two overarching discursive themes. The first speaks to problematic discourses about place, including the role of placelessness and entrapment in the genesis of suicidality and its affective states, leading to further diminution of experiential worlds. The second theme taps into participants' notions of what constitutes safe spaces, such as the presence of empathetic others who respect one's timetable for personal disclosure, and the freedom to experiment with new ways of inhabiting the world. The study has numerous implications for clinical practice, including recasting psychological disturbances in terms of self-world relations and reconsidering involuntary psychiatric hospitalization in light of forum participants' preoccupation with entrapment.","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"6 1","pages":"10437"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/c4/qrmh-6-1-10437.PMC10336861.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10193237","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

Lay knowledge regarding the prevention of complications related to childbirth: Perceptions of Congolese pregnant women. 关于预防与分娩有关的并发症的知识：刚果孕妇的看法。

Qualitative research in medicine & healthcare Pub Date : 2022-05-31 DOI: 10.4081/qrmh.2022.8740

Claudine Tshiama, Gédéon Bongo, Oscar Nsutier, Mukandu Basua Babintu

{"title":"Lay knowledge regarding the prevention of complications related to childbirth: Perceptions of Congolese pregnant women.","authors":"Claudine Tshiama, Gédéon Bongo, Oscar Nsutier, Mukandu Basua Babintu","doi":"10.4081/qrmh.2022.8740","DOIUrl":"10.4081/qrmh.2022.8740","url":null,"abstract":"During pregnancy, women sometimes choose certain practices based upon the experience of their family and/or their vicinity to anticipate complications that may occur during childbirth. The main objective of this study is to understand the motivations and perceptions of pregnant women on lay knowledge in the prevention of complications related to childbirth among a sample of Congolese women. We conducted this study at N'djili Referral Hospital in Kinshasa, Democratic Republic of Congo, using a qualitative phenomenological survey and indepth face-to-face interviews. We interviewed seven women on the phenomenon of lay knowledge practice in the prevention of maternal difficulties and analyzed the data using thematic coding. We provided a consent form to the participants and were careful not to include identifying information. Three main themes emerged: i) discussion of complications related to pregnancy and delivery, ii) perceptions about lay knowledge in preventing complications related to childbirth, and iii) suggestions from participants about using lay knowledge in healthcare settings. Based upon data collected, we argue that lay knowledge about pregnancy can be integrated into formal antenatal training when appropriate and, in doing so, we can build trust among pregnant women toward professional medical instruction.","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"6 1","pages":"8740"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/24/d5/qrmh-6-1-8740.PMC10336876.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10193234","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

Openness and topic avoidance in interpersonal communication about ovarian cancer: An uncertainty management perspective. 卵巢癌人际沟通中的开放性与话题回避：不确定性管理视角。

Qualitative research in medicine & healthcare Pub Date : 2022-01-31 eCollection Date: 2021-12-31 DOI: 10.4081/qrmh.2021.9376

Dinah A Tetteh, Najma Akhther

{"title":"Openness and topic avoidance in interpersonal communication about ovarian cancer: An uncertainty management perspective.","authors":"Dinah A Tetteh, Najma Akhther","doi":"10.4081/qrmh.2021.9376","DOIUrl":"10.4081/qrmh.2021.9376","url":null,"abstract":"This study examined openness and topic avoidance in interpersonal communication about ovarian cancer. Guided by the uncertainty management theory, the researchers analyzed qualitative data from 28 ovarian cancer patients/survivors and found openness and topic avoidance to be complex communication behaviors which are connected to patients/survivors' uncertainty. Participants appraised uncertainty about disease prognosis and effectiveness of treatments as a threat; thus, they avoided topics such as treatment side effects and fears about death and disease recurrence to manage such uncertainty. Furthermore, findings showed that communication about ovarian cancer is layered with degrees of openness and avoidance relative to respective audiences and changing illness trajectories. Overall, the findings indicate connections between interpersonal communication about ovarian cancer and uncertainty management practices, suggesting that intervention efforts should help cancer patients/survivors and relational others practice sensitivity when discussing topics such as death and dying.","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"5 3","pages":"9376"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/2f/qrmh-5-3-9376.PMC10336888.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10193260","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

Using observation to better understand the healthcare context. 通过观察来更好地理解医疗环境。

Qualitative research in medicine & healthcare Pub Date : 2022-01-31 eCollection Date: 2021-12-31 DOI: 10.4081/qrmh.2021.9821

Lauren E Weston, Sarah L Krein, Molly Harrod

{"title":"Using observation to better understand the healthcare context.","authors":"Lauren E Weston, Sarah L Krein, Molly Harrod","doi":"10.4081/qrmh.2021.9821","DOIUrl":"10.4081/qrmh.2021.9821","url":null,"abstract":"Despite potential to capture rich contextual information, observation remains an underutilized data collection method. This paper provides a practical guide for using observation to understand complex issues in healthcare settings. Observation is a qualitative data collection method comprised of viewing and documenting phenomena in the usual environment. Drawing on our recent work using observation to better understand personal protective equipment use among healthcare personnel, we describe when to consider collecting data via observation, how to prepare and perform observation, and how to analyze resulting data. Observation data are documented in field notes that contain detailed information about setting, participants, and activity associated with the topic of interest. Field notes can be analyzed alone or triangulated with other types of data using theoretical or conceptual frameworks or by identifying themes. Observation is a valuable data collection method for health services researchers to identify key components involved in a topic of interest, a vital step in forming relevant questions, measuring appropriate variables, and designing effective interventions. Used with other methods or alone, observation yields the detailed data needed to address context-specific factors across a wide range of healthcare research topics and settings.","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"5 3","pages":"9821"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/e1/qrmh-5-3-9821.PMC10336880.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10193257","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