SSM. Qualitative research in health最新文献

{"title":"“Kind of backed into this corner:” exploring gendered interpretations and responses to violence in long-term residential care","authors":"Kirsten J. Brooks ,&nbsp;Rachel V. Herron ,&nbsp;Dale Spencer ,&nbsp;Sheila Novek ,&nbsp;Laura M. Funk ,&nbsp;Katie Aubrecht ,&nbsp;Christine Kelly ,&nbsp;Douglas A. Brownridge ,&nbsp;Lori E. Weeks","doi":"10.1016/j.ssmqr.2025.100555","DOIUrl":"10.1016/j.ssmqr.2025.100555","url":null,"abstract":"<div><div>Violence in long-term residential care (LTRC) is primarily directed at women who make up a disproportionate share of residents and staff, yet gender has been relatively understudied and undertheorized in research on violence in this setting. In this paper we draw together the concept of gender structure and Pierre Bourdieu's concepts of habitus and field to explore staff perspectives on violent situations and learn about gendered power dynamics in LTRC. Our analysis of interviews with 29 staff in two Canadian provinces explored how gender infused the ways in which staff interpreted, experienced, and responded to violence in LTRC. Gendered perceptions and assumptions manifested in how participants spoke of orienting to the importance of body size, strength, speed, and perceived capability when anticipating who might perpetrate violence. Likewise, gender and gendered bodily characteristics also appeared to shape work roles (e.g., who was expected to provide ‘back-up’ in violent situations). Staff accounts also provided insight into how past experiences of gender-based violence and gendered power dynamics outside of LTRC shaped violent situations and power dynamics inside LTRC. Lastly, in response to violent situations, staff routinely minimized, downplayed, and trivialized violence to cope with their positions within these situations, illuminating a gendered duty to care. Our findings advance understandings of gendered interpretations and strategies employed in response to violence in LTRC, raising questions about the consequences for both residents and staff.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100555"},"PeriodicalIF":1.8,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143800102","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":"Acceptance and implementation of evidence-based practices in delivery room resuscitation: A qualitative study","authors":"Cecelia L. Corson ,&nbsp;Ingrid M. Nembhard ,&nbsp;Christopher P. Bonafide ,&nbsp;Elizabeth E. Foglia ,&nbsp;Henry C. Lee ,&nbsp;Sara C. Handley","doi":"10.1016/j.ssmqr.2025.100557","DOIUrl":"10.1016/j.ssmqr.2025.100557","url":null,"abstract":"<div><h3>Background</h3><div>Variation persists in the implementation of evidence-based practices (EBPs) for delivery room resuscitation associated with high-quality care. To date, research has often studied leaders and rarely focused on the perspectives of delivery room resuscitation team members. We investigated team member perspectives on facilitators and barriers to accepting and implementing EBPs in delivery room resuscitation.</div></div><div><h3>Methods</h3><div>This is a qualitative analysis of responses to open-ended questions in a twice-administered survey of delivery room resuscitation team members from a 16-hospital network. We conducted a two-phase content analysis, I) inductive conventional content analysis and II) deductive directed content analysis, to map response themes onto the three elements of the Promoting Action on Research Implementation in Health Services (PARIHS) framework – evidence, facilitation, and context.</div></div><div><h3>Results</h3><div>There were 569 responses from 322 individuals representing all delivery room resuscitation team member roles. We identified five main themes that influence acceptance and implementation of EBPs: evidence, education, process characteristics, leadership, and change mindset. These themes aligned with the PARIHS framework elements of Evidence, Facilitation (occurring through education and process characteristics), and Context (determined by leadership and change mindset). We identified 12 sub-themes; 9 applied to both acceptance and implementation of EBPs, 1 applied only to acceptance of EBPs, and 2 applied only to implementation of EBPs.</div></div><div><h3>Conclusions</h3><div>While many facilitators and barriers are consistent for both acceptance and implementation, some differ. To optimize EBPs in delivery room resuscitation, organizations may benefit from tailoring interventions to incorporate facilitators and address barriers that influence EBP acceptance and/or implementation.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100557"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783986","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":"“I don't know if I'm a dad, I don't know if I'm a mom, I think I'm both”: Gender identity, parenting desires, and pregnancy among transgender, nonbinary, and gender expansive adults","authors":"Kaleb Masterson ,&nbsp;Alison H. Norris ,&nbsp;Marta Bornstein","doi":"10.1016/j.ssmqr.2025.100552","DOIUrl":"10.1016/j.ssmqr.2025.100552","url":null,"abstract":"<div><div>Many transgender and gender expansive (trans∗) people assigned female at birth retain the capacity for pregnancy and want to become parents, through pregnancy or otherwise. We explored the role of gender in parenting and pregnancy desires among gender minorities theoretically capable of pregnancy. We conducted in-depth, open-ended interviews with 12 trans∗ adults (18–35 years) from July–August 2023 in the US. Interviews focused on gender identity, parenting, and pregnancy decisions. We recorded, transcribed, and analyzed interviews using a combination of thematic and inductive methods. Two related themes emerged: (1) the relationship between gender identity development and parenting and pregnancy desires, and (2) how the gendered nature of pregnancy and obstetric care shaped feelings about pregnancy. Participants had complex feelings about parenting, and some realized they wanted to become a parent only after more fully understanding their gender. Others felt becoming a parent would help them better understand their gender identity. Participants were keenly aware of the gendered nature of parenting and pregnancy, and how their experiences and presentation conflicted with social and gender norms. Gender identity was salient in how participants experienced and made decisions about parenting and pregnancy. Healthcare providers should prioritize providing trans-competent reproductive and obstetric care to ensure trans∗ populations are supported in reaching their reproductive goals. Importantly, broader social and structural changes that allow for expansive gender identity expression in both pregnancy and parenthood are necessary to create safe and healthy environments for trans∗ people to make parenting and pregnancy decisions and pursue parenthood.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100552"},"PeriodicalIF":1.8,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776956","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":"“In the end … I got pregnant. And that wasn't what the plans were”: Threats to reproductive health and rights for migrant women intending to seek safety in the U.S.","authors":"Kaylee Ramage ,&nbsp;Emma Stirling-Cameron ,&nbsp;Nicole Ramos ,&nbsp;Isela Martinez SanRoman ,&nbsp;Arianna Spata ,&nbsp;Shira Goldenberg","doi":"10.1016/j.ssmqr.2025.100553","DOIUrl":"10.1016/j.ssmqr.2025.100553","url":null,"abstract":"<div><h3>Background</h3><div>Reproductive health and rights for migrant women intending to seek safety in the U.S. are shaped by the risk environments through which they migrate, including policy, social, economic, and physical factors. We examined migrant women's lived experiences of reproductive health and rights resulting from and perpetuated by these risk environments across migration phases.</div></div><div><h3>Methods</h3><div>As part of a larger study examining maternal and reproductive health among U.S.-bound pregnant and parenting migrant women seeking safety at the Mexico-U.S. border, we analyzed qualitative, semi-structured interviews of the lived experiences of threats to reproductive health and rights in relation to policies and practices experienced across phases of migration by migrant women intending to seek safety in the U.S.</div></div><div><h3>Results</h3><div>Among 38 migrant women, threats to reproductive health and rights were pervasive and strongly shaped by the risk environments and unsafe humanitarian conditions experienced during migration and at the Mexico-U.S. border. These included: i) experiences of <em>pervasive sexual violence and exploitation;</em> (ii) <em>unplanned pregnancy, disruptions to family planning,</em> and <em>threats to perinatal health;</em> and (iii) <em>experiences of violence pre- and during migration</em>, and <em>border experiences</em> that increased threats to the health and safety of women and their families.</div></div><div><h3>Conclusion</h3><div>Migrant women seeking safety in the U.S. face significant threats to reproductive health and rights during migration, perpetuated by the risk environments experienced in transit and at the Mexico-U.S. border. There is a need to shift existing migration policies towards sustainable immigration reforms that allow for safe, orderly, and timely migration.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100553"},"PeriodicalIF":1.8,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760373","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":"Integrating portable air purifiers in German daycare centers during the COVID-19 pandemic – A qualitative exploration of usage, maintenance and impact on prevention behaviors","authors":"Hannah Stephan,&nbsp;Felix Droop,&nbsp;Thomas Kistemann,&nbsp;Nico T. Mutters,&nbsp;Timo Falkenberg","doi":"10.1016/j.ssmqr.2025.100548","DOIUrl":"10.1016/j.ssmqr.2025.100548","url":null,"abstract":"<div><div>During the COVID-19 pandemic portable air purifiers with high-efficiency particulate air (HEPA) filters were suggested as a supplement to other prevention measures. Our previous study in German daycare centers did, however, not show a reduction in COVID-19 prevalence. The current study investigates possible reasons for the absence of preventive effects and examines confounding factors and particularities of the daycare setting. Prevention measures employed in the daycare centers, changes in prevention behavior as well as operation and maintenance of the purifiers were qualitatively assessed. The study follows an interventional design with the intervention group utilizing air purifiers. It was conducted in 29 daycares in three districts of the German federal state of Rhineland-Palatinate. Semi-structured qualitative interviews with the daycare heads were conducted between November 2022 and April 2023. The results show no major differences in prevention behavior between the intervention and control groups, thus inadequate prevention measures cannot explain the absence of the preventive effect of the air purifiers. The effectiveness of the air purifiers is more likely to be influenced by the type and duration of their use. Exploration of the usage behavior revealed inconsistencies in the frequency of usage, cleaning and maintenance, which are likely confounding factors. Further, thermal and acoustic emissions of the purifiers induced inadequate use. The findings indicate that the use of air purifiers must be compatible with the particular environment, otherwise the preventive effect is not realized. The daycare setting has not shown to be ideal for the adequate use of portable air purifiers.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100548"},"PeriodicalIF":1.8,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705027","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 sexual abuse of adolescent boys in humanitarian emergencies: A qualitative study of the Rohingya refugee crisis","authors":"Shane Harrison ,&nbsp;Richard Dean Chenhall ,&nbsp;Karen Block ,&nbsp;Sabina Faiz Rashid ,&nbsp;Cathy Vaughan","doi":"10.1016/j.ssmqr.2025.100549","DOIUrl":"10.1016/j.ssmqr.2025.100549","url":null,"abstract":"<div><div>An increasing amount of evidence indicates that adolescent boys may be exposed to child sexual abuse in humanitarian emergencies. However, there is currently limited understanding of risk factors for adolescent boys' exposure to sexual abuse in emergency settings and how humanitarian organisations are responding. In this study, we examined sexual abuse against adolescent boys in the 2017 Rohingya refugee crisis and potential risk factors in this context. We collected data from the emergency response in Cox's Bazar, Bangladesh between 2018 and 2019. This included six and a half months of participant observation, 23 semi-structured interviews and 12 informal ethnographic interviews with humanitarian staff, and 10 focus group discussions with a total of 52 child protection caseworkers. Our results showed that younger adolescent boys aged 9–14 were more at risk in the camp environment compared to older adolescent boys. Perpetrators were primarily older Rohingya and Bangladeshi males, with abuse taking place in public places and at home. In the main, the humanitarian response was limited to case management support and referrals to services of varying quality. Our findings suggest that adolescent boys may be at heightened risk of sexual abuse due to their social location and environment. Moreover, our data indicates that adolescent survivors may have been an oversight in the initial crisis response. We believe that public health actors should improve the overall response to adolescent survivors of sexual abuse in the onset of a humanitarian crisis and carefully adapt interventions to account for the needs of adolescent boys.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100549"},"PeriodicalIF":1.8,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705028","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":"“I was being true to myself”: Listening to young people talk about gender identity and transition","authors":"Dr Kathy McKay ,&nbsp;Dr Eilis Kennedy ,&nbsp;Dr Talen Wright ,&nbsp;Professor Bridget Young","doi":"10.1016/j.ssmqr.2025.100550","DOIUrl":"10.1016/j.ssmqr.2025.100550","url":null,"abstract":"","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100550"},"PeriodicalIF":1.8,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684035","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":"Emotional labour in midwifery care: Balancing between woman’s autonomy and clinical control during childbirth through watchful attendance","authors":"Giulia Sinatti ,&nbsp;Lotte Kaster ,&nbsp;Jip Hoeijmakers ,&nbsp;Larissa Zanstra ,&nbsp;Corine Verhoeven ,&nbsp;Ank de Jonge","doi":"10.1016/j.ssmqr.2025.100546","DOIUrl":"10.1016/j.ssmqr.2025.100546","url":null,"abstract":"<div><div>This article explores midwives' engagement with emotional labour. Drawing on theorisation first proposed by Arlie Hochschild, we investigate how midwives display emotions to induce certain emotional states in the birthing woman and, while doing so, simultaneously regulate their own emotions. Inspired by recent work from within the field of midwifery science on ‘watchful attendance’, we understand midwivery care as uniquely combining both clinical expertise and woman-centred support, particularly during childbirth. This perspective moves away from prevailing dichotomous views in the literature that tend to frame midwifery and technocratic models as oppositional, the former inspired by a natural and the latter by a pathological approach to birth. Ethnographic research we conducted in the Netherlands —including observations during childbirth and in-depth interviews with midwives and birthing women— confirms that midwives' work simultaneously responds to different care logics and that they deal with an inherent tension between promoting natural birth while ensuring clinical safety. We identify this tension as a key source of midwives' emotional labour, as they experience having to balance between the prioritization of women's autonomy, essential for natural birth, with the exercise of clinical control to monitor for and respond to potential risks. Our research highlights the emotional demands placed on midwives and calls for greater recognition of the emotional dimensions of their work.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100546"},"PeriodicalIF":1.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748708","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":"Key users and the creation of everyday relations with digital technologies in care","authors":"Vlas Nikulkin,&nbsp;Catharina Margaretha van Leersum,&nbsp;Alexander Peine","doi":"10.1016/j.ssmqr.2025.100547","DOIUrl":"10.1016/j.ssmqr.2025.100547","url":null,"abstract":"<div><div><em>The introduction of new technologies in care is not a smooth process, bringing new challenges, the need to adapt, and changes in work routines and carer–care receiver relationships. These changes, coming from an emerging new regime of digitalised care, are often met with reluctance and suspicion both by carers and care receivers. This results in slowing down the process, and, at times, the complete jeopardy of top-down organisational efforts to introduce new technologies. This study presents a case of Dutch carers providing care to older adults, who voluntarily</em> support <em>the introduction and use of digital technologies implemented by their organisations from above.</em> We applied qualitative research methods, and present findings based on 11 semi-structured interviews with professional care providers regarding<em>supportive work examples, such as external information absorption, sharing information and learning about the use of digital tools with colleagues, proactive engagement in resolving emerging frictions, and adjusting new technologies to specific care provision needs. Theoretically, our study builds on the relational approach to the care, which focuses on everyday practices and relations co-producing interdependence of carers, care receivers, and their socio-material worlds. We argue that the work by key user carers is a crucial driver for the successful adoption of new digital technologies in care practice.</em></div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100547"},"PeriodicalIF":1.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143726202","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 start of something that I hope could be greater”: Health information technology tools for social care","authors":"Arwen Bunce ,&nbsp;Suzanne Morrissey ,&nbsp;Rachel Gold ,&nbsp;Jenna Donovan ,&nbsp;Maura Pisciotta ,&nbsp;India Gill ,&nbsp;Shelby L. Watkins ,&nbsp;Brenda McGrath ,&nbsp;Laura M. Gottlieb","doi":"10.1016/j.ssmqr.2025.100544","DOIUrl":"10.1016/j.ssmqr.2025.100544","url":null,"abstract":"<div><div>Federal policies and professional guidelines in the United States increasingly encourage and incentivize health systems to collect and meaningfully respond to patients’ social risks. In response, many health systems employ health information technology to implement, standardize, and scale these social care activities. We created and evaluated electronic health record tools to support the collection and documentation of social risk information, and the integration of this information into clinical decision-making; the <span>National Academies of Sciences, Engineering, and Medicine</span> labels these activities Awareness and Adjustment. Our realist-informed evaluation explored how, why, and for whom the tools did/did not support the use of social risk information in care planning in community health centers. The five-year study was completed in 2024. The dataset consisted of 41 meeting observations, 36 clinician and staff interviews, and regular team discussions regarding tool use at participating clinics. Analysis involved cyclical data querying to identify mechanisms underlying tool (non)acceptance and (non)use. Findings highlighted the importance of aligning technology to the values underlying professional identity – in this case, the value assigned to patient-centered care. Clinicians and staff perceived that Awareness tools enhanced their ability to provide patient-centered care, which led to increased uptake. In contrast, participants often felt that the Adjustment tools superseded clinician autonomy, failed to support direct patient care, and disrupted patient-clinician relationships contributing to low motivation for use. These results may be specific to the ways in which clinicians serving low-income communities conceptualize their role in social-medical integration; similar work should be undertaken in other healthcare settings.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100544"},"PeriodicalIF":1.8,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654505","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}