SSM. Qualitative research in health最新文献

{"title":"Presidential perspectives: COVID-19 and vaccination willingness in Tanzania under Magufuli and Hassan","authors":"Zanna Ramaekers ,&nbsp;Marie Van Espen ,&nbsp;Sara Dewachter ,&nbsp;Nathalie Holvoet","doi":"10.1016/j.ssmqr.2025.100647","DOIUrl":"10.1016/j.ssmqr.2025.100647","url":null,"abstract":"<div><div>This study examines the evolution of socio-political narratives regarding COVID-19 in the media and looks at their potential influence on COVID-19 vaccination willingness in Tanzania during the regimes of Presidents John Magufuli and Samia Suluhu Hassan. Through a longitudinal media analysis from March 2020 to September 2021, this paper explores how differing political approaches in immunisation governance, or lack thereof, influenced public perception and behaviour towards the pandemic and vaccination. Magufuli's response downplayed the severity of COVID-19, halting the release of infection data and promoting traditional remedies, which contributed to widespread scepticism, conspiracy thinking, and vaccine hesitancy. Following his unexpected death, President Hassan adopted a science-based approach, aligning with World Health Organization (WHO) guidelines and promoting vaccination. To frame the contrast between the content of the messages, we draw on Situational Crisis Communication Theory (SCCT) and show that Magufuli's response corresponded to a “deny” strategy, while Hassan pursued a “rebuild” approach. Yet despite these substantive differences, our longitudinal media analysis shows that both presidents relied on comparable rhetorical techniques — namely instrumentalisation, personalisation and identity affirmation — to legitimise their respective strategies and maintain their authority. These common rhetorical mechanisms emphasise the importance of how - and not just what - political leaders communicate in times of crisis. Our findings suggest that leadership discourse, as mediated through the press, has significantly influenced public trust and contributed to vaccine hesitancy. In politically unstable contexts, abrupt changes in messaging can fuel uncertainty and hesitation, even when policymakers adhere more closely to the scientific consensus.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100647"},"PeriodicalIF":2.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145264868","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":"Pre-empting concerns about child vaccination: How nurses anticipatorily address parental concerns about “New” vaccines","authors":"Lieve van Hengel,&nbsp;Bogdana Humă,&nbsp;Hedwig te Molder","doi":"10.1016/j.ssmqr.2025.100641","DOIUrl":"10.1016/j.ssmqr.2025.100641","url":null,"abstract":"<div><div>As childhood vaccination rates are declining, healthcare professionals’ conversations with parents are increasingly important for navigating a diverse set of concerns about vaccination. This article uses Conversation Analysis to illustrate that and how Dutch nurses pre-empt parental concerns that could be the basis for vaccination refusal during home visits to parents of newborn babies. We analysed 41 conversations recorded in the Netherlands between February and December 2024 in which the then recently introduced rotavirus vaccine is discussed. We identified three resources which nurses use to pre-empt concerns regarding the novelty and administration mode of the rotavirus vaccine: (1) self-initiated self-repairs, (2) contrast formulations and (3) accounts. By pre-empting parental concerns, nurses anticipatorily rule out possible (mis)interpretations of what they said and steer parents towards more apposite interpretations. Crucially, pre-emption work occurs <em>before</em> parental concerns have been explicitly voiced and at the <em>beginning</em> of the presentation of the vaccine by the nurse. Our findings suggest two key tensions within this pre-emption work: (1) a progressivity paradox – where pre-empting slows down progressivity locally while promoting overall progressivity and (2) a concern paradox – in which by anticipatorily addressing parental concerns, nurses may inadvertently suppress their articulation by parents.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100641"},"PeriodicalIF":2.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145264869","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":"The shifting role of nature and the landscape in psychiatric Institutions: A case study from Germany in a historical perspective","authors":"Hannah-Lea Schmid ,&nbsp;Timothy McCall ,&nbsp;Michel Rinderhagen ,&nbsp;Claudia Hornberg ,&nbsp;Klaus-Thomas Kronmüller ,&nbsp;Christine Norra ,&nbsp;Stefan Zerbe","doi":"10.1016/j.ssmqr.2025.100644","DOIUrl":"10.1016/j.ssmqr.2025.100644","url":null,"abstract":"<div><div>Nature has been pivotal in psychiatric care since the establishment of asylums, but its role within psychiatric institutions over time, including landscape design, utilisation, and therapeutic impact, has received limited attention. This study addresses this gap through a case study of a psychiatric clinic in Gütersloh, Germany. Drawing on scientific literature, historical analyses, and archival material, we trace the transformation of the clinic's landscape from its planning in 1904 to the present day. We examine its relationship with treatment paradigms, socio-political influences, and evolving theories of environmental mental health.</div><div>The analysis identifies five overlapping phases in the development: (1) <em>Nature as Therapy</em>, when rural locations and gardens were viewed as inherently therapeutic; (2) <em>Work in Nature</em>, a shift to agricultural work therapy which, under National Socialism, became distorted into forced labour; (3) <em>Therapy Indoors</em>, a post-war transition toward occupational and group therapies; (4) <em>Therapy in the Individual Body</em>, reflecting the rise of pharmacology and psychotherapy that shifted the locus of therapy and control to the patient's body; and (5) <em>Therapy in the Community</em>, outpatient care expanded in the decades following the “Psychiatry Enquête”.</div><div>Despite these shifts, research on current patient feedback highlights the continued value of greenspaces, aligning with the growing evidence of health-promoting effects of nature. By synthesising historical insights with current evidence, this research contributes to interdisciplinary understanding and provides insights for nature's integration into future psychiatric care. Participatory approaches and multifunctionality are essential to address the varied needs of psychiatric patients and maximise nature's therapeutic potential.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100644"},"PeriodicalIF":2.5,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145218914","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":"“Sailing the ship while building it”: Sandbox regulation and the political economy of Israeli healthcare AI innovation","authors":"Aviad Raz ,&nbsp;Liat Bela Lifshitz-Milwidsky ,&nbsp;Yael Inbar","doi":"10.1016/j.ssmqr.2025.100642","DOIUrl":"10.1016/j.ssmqr.2025.100642","url":null,"abstract":"","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100642"},"PeriodicalIF":2.5,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145218913","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":"On-screen medicine. How patients present themselves to medical specialists in video consultations","authors":"Anja M.B. Jensen,&nbsp;Sif Sofie Vange,&nbsp;Signe Smith Jervelund,&nbsp;Anne Sofie Borsch","doi":"10.1016/j.ssmqr.2025.100643","DOIUrl":"10.1016/j.ssmqr.2025.100643","url":null,"abstract":"<div><div>This study explores patient interactions with medical specialists via video consultations, focusing on their diverse perspectives and performative behaviors. Based on ten days of ethnographic observations and 15 in-depth interviews across Danish neurology, psychiatry, gynecology-obstetrics, and dermatology practices, we draw on Goffman's work on self-presentation to demonstrate how patients present themselves in video consultations to better convey their needs and health status. Our findings reveal a spectrum of patient perceptions and performances related to their disease, doctor-patient relationship, treatment needs, and home setting. The study underscores patients' varying performative agency in digital healthcare, emphasizing their more or less strategic navigation and presentation during video consultations, termed ‘on-screen medicine’.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100643"},"PeriodicalIF":2.5,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157079","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":"Deaf patient perspectives of healthcare provider cultural competency: Strategies for improvement across affective, cognitive, and behavioral dimensions","authors":"Sarah M. Hall ,&nbsp;Michael Ballard ,&nbsp;R. Parker Smith ,&nbsp;Hannah Mitchell ,&nbsp;Sophia Packard ,&nbsp;Sarah Major ,&nbsp;Michael Kennerley ,&nbsp;Brian Walker","doi":"10.1016/j.ssmqr.2025.100630","DOIUrl":"10.1016/j.ssmqr.2025.100630","url":null,"abstract":"<div><div>Deaf patients frequently encounter cultural and communication barriers in clinical settings, contributing to diminished trust, delayed care, and adverse health outcomes. This study explores healthcare provider cultural competency through the lived experiences of Deaf patients to identify challenges and strategies for improvement. Cultural competency was examined across <strong>affective, cognitive, and behavioral dimensions</strong>. Focus groups and individual interviews were conducted with 37 signing Deaf individuals in the United States. Sessions were co-facilitated by Deaf and hearing researchers, supported by Certified Deaf Interpreters and nationally certified hearing interpreters. Transcribed English interpretations were verified by a third-party interpreting agency. Data were analyzed in Nvivo 12 using both inductive and deductive coding. Participants reported healthcare providers frequently lacked cultural competency. Affective themes included frustration, fear, bias, and lack of motivation. Cognitive findings revealed limited provider understanding of Deaf identity, culture, communication needs, access barriers, and patient rights. In the behavioral dimension, providers often failed to ensure information access, communicate directly with patients, maintain visual attention, or use appropriate body language, facial expressions, volume, and pacing. Turn-taking and comprehension checks were often absent. These cross-cultural communication practices adversely impacted patients’ emotional, psychological, and physical well-being. This study offers actionable recommendations for medical institutions, healthcare organizations, providers, and Deaf patients. Proposed reforms include Deaf cultural competency training using inclusive disability models, recruitment of ASL-fluent personnel, reliable interpreter access, extended consultation lengths, provider self-reflection, patient feedback, and involvement of the Deaf community. These strategies aim to promote equity and improve care outcomes for Deaf patients.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100630"},"PeriodicalIF":2.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157078","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":"“I'm not here to take anyone's guns away:” provider perspectives and strategies for addressing the fear of firearm seizure among rural-residing Veterans","authors":"Emily Masucci ,&nbsp;Megan Lafferty ,&nbsp;Nicole Cerra ,&nbsp;Lauren Maxim ,&nbsp;AnnaMarie O'Neill ,&nbsp;Kathleen Carlson","doi":"10.1016/j.ssmqr.2025.100639","DOIUrl":"10.1016/j.ssmqr.2025.100639","url":null,"abstract":"<div><div>Rural-residing Veterans experience higher rates of fatal and nonfatal firearm injury than their urban or civilian counterparts. Discussing firearm safety in clinical settings is a promising strategy for firearm injury prevention. In rural contexts especially, firearm safety discussions with Veterans—the acceptability, efficacy, and reach of these discussions—are often complicated by Veterans’ perceived risk of firearm seizure. Drawing on semi-structured interviews with Veterans Health Administration (VA) providers at three separate rural-serving VA sites, this study examines the factors that contribute to fear of firearm seizure to a) understand how the fear of firearm seizure informs Veteran attitudes and behaviors, and b) identify strategies to inform firearm safety interventions for rural-residing Veterans. Our results suggest that fear of firearm seizure is informed by several interlocking factors, including rural cultures and identities of firearm ownership, distrust in government, and misconceptions about VA care. Notably, we found that these beliefs drive Veteran attitudes and behaviors, particularly when it comes to adopting firearm safety strategies and seeking mental health care. Based on their experience working with rural-residing Veterans, providers shared strategies for addressing fears about firearm seizure which have the potential to improve Veteran engagement in VA care, enhance suicide and firearm injury prevention interventions, and ensure the health and safety of Veterans and their families.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100639"},"PeriodicalIF":2.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145094202","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":"Social, cultural & structural factors in reporting: A paradigmatic case study of medical trainee sexual abuse","authors":"Rosalind H. Searle ,&nbsp;Lewis Garippa","doi":"10.1016/j.ssmqr.2025.100638","DOIUrl":"10.1016/j.ssmqr.2025.100638","url":null,"abstract":"","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100638"},"PeriodicalIF":2.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145094203","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":"“Menopause is not a dirty word.” Australian women's opinions about increased public attention to menopause","authors":"Samantha L. Thomas,&nbsp;Simone McCarthy,&nbsp;Katrina Wood,&nbsp;Grace Arnot,&nbsp;Hannah Pitt","doi":"10.1016/j.ssmqr.2025.100634","DOIUrl":"10.1016/j.ssmqr.2025.100634","url":null,"abstract":"<div><div>Public narratives about menopause are framed by a range of stakeholders, who contribute to shaping women's experiences of and attitudes towards menopause. Research has provided an important focus on the range of narratives that are presented about menopause, particularly in the media. However, there is limited consideration of how women themselves view the new public focus on menopause. Using an online qualitative survey, this study sought to understand the views of n = 509 Australian cisgender women about - the new public attention to menopause, navigating menopause (mis)information, and the strategies that could be used to improve information and awareness raising. Reflexive thematic analysis was used to construct themes from the data. Participants perceived that increased public awareness to menopause was important in challenging stereotypes, stigma and shame, in normalising menopause and breaking intergenerational silence. However, there were concerns that those with vested interests were driving menopause narratives in a quest for profits. While participants acknowledged that misinformation created significant financial and emotional risks for women, some perceived that women should take personal responsibility for researching information and seeking medical advice. Participants advocated for an increased focus on the provision of credible, trustworthy, and accessible information - from governments, health professionals and services. This study provides new information about how women engage with public information about menopause. Ensuring the availability of independent, evidence-based information, and regulating commercial influence in health communication, are all critical steps as part of a comprehensive public health approach to supporting individuals during the menopause transition.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100634"},"PeriodicalIF":2.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145094194","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":"Why are states worse than being dead overlooked in healthcare policymaking? An ethnographic examination","authors":"Yael Assor","doi":"10.1016/j.ssmqr.2025.100635","DOIUrl":"10.1016/j.ssmqr.2025.100635","url":null,"abstract":"<div><div>This article investigates why states considered \"worse than being dead\" (SWD) are largely overlooked in healthcare decision-making frameworks that are based on Healthcare Technology Assessment (HTA) and/or Quality Adjusted Life Years (QALY). Despite scholarly and popular recognition of SWD in Euro-American societies, these states remain a marginal consideration in HTA and QALY-based procedures. Drawing on ethnographic research in two case studies—the Israeli Public National Advisory Committee (PNAC), responsible for determining public healthcare coverage, and a U.S.-based research center developing QALYs—this paper offers an initial mapping of the barriers to including SWD in policymaking.</div><div>Findings reveal four key barriers: (1) fear of death and health deterioration among decision-makers, (2) ethical imperatives prioritizing life extension, (3) pharmaceutical companies' lack of financial interest in researching SWD, and (4) the principle of simplicity that underpins health economic models and decision-making tools.</div><div>This study highlights how institutional priorities and epistemic practices shape what is considered relevant knowledge in health policymaking, complicating efforts to integrate SWD considerations. Addressing this gap requires reconfiguring funding incentives and rethinking methodological approaches to accommodate the complexity of <span>SWD</span> while adhering to the operational simplicity demanded by policy tools.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100635"},"PeriodicalIF":2.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108774","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}