Examining the Interplay Among Family, Culture, and Latina Teen Suicidal Behavior
In this article, we explore the relationships among culture, family, and attempted suicide by U.S. Latinas. We analyzed qualitative interviews conducted with Latina teen suicide attempters (n = 10) and their parents. We also incorporated data collected from adolescents with no reported history of self-harm (n = 10) and their parents to examine why some individuals turned to suicide under similar experiences of cultural conflict. Our results reveal that Latina teens who attempted suicide lacked the resources to forge meaningful social ties. Without the tools to bridge experiences of cultural contradiction, the girls in our ...
Source: Qualitative Health Research - March 31, 2015 Category: Global & Universal Authors: Gulbas, L. E., Zayas, L. H. Tags: Articles Source Type: research

Staying Healthy From Fibromyalgia Is Ongoing Hard Work
In conclusion, remaining healthy requires ongoing hard work to maintain the body, as well as profound changes in everyday life. At the same time, the narratives show continuity in the informants’ self-presentation as hard-working women. (Source: Qualitative Health Research)
Source: Qualitative Health Research - March 31, 2015 Category: Global & Universal Authors: Grape, H. E., Solbraekke, K. N., Kirkevold, M., Mengshoel, A. M. Tags: Articles Source Type: research

Patients' Understanding of Shared Decision Making in a Mental Health Setting
We examined patients’ accounts and understanding of shared decision making. We analyzed interviews from 54 veterans receiving outpatient mental health care at a Department of Veterans Affairs Medical Center in the United States. Although patients’ understanding of shared decision making was consistent with accounts published in the literature, participants reported that shared decision making goes well beyond these components. They identified the patient–provider relationship as the bedrock of shared decision making and highlighted several factors that interfere with shared decision making. Our findings h...
Source: Qualitative Health Research - March 31, 2015 Category: Global & Universal Authors: Eliacin, J., Salyers, M. P., Kukla, M., Matthias, M. S. Tags: Articles Source Type: research

The Relationship Between Self-Harm and Teen Dating Violence Among Youth in Hawaii
The connection between teen dating violence (TDV) and self-harm is important to consider because of the serious consequences for teens who engage in these behaviors. Self-harm includes nonsuicidal self-injury (NSSI) and suicide behaviors such as suicide attempts or deaths. Although prior research shows that these two public health problems are related, the context in which they occur is missing, including what leads teens to engage in self-harm and the timing of self-harming behaviors within the relationship. To fill this gap, we conducted focus groups with 39 high-school-aged teens, all of whom had experienced prior relat...
Source: Qualitative Health Research - March 31, 2015 Category: Global & Universal Authors: Baker, C. K., Helm, S., Bifulco, K., Chung-Do, J. Tags: Articles Source Type: research

Living With and Treating Rare Diseases: Experiences of Patients and Professional Health Care Providers
We explored the experiences of illness of patients suffering from rare diseases and of the health professionals who care for them at the Center for the Interregional Coordination of Rare Diseases of Piedmont and Valle d’Aosta in Italy. The research was carried out between 2010 and 2011. We collected qualitative data from 22 patients and 12 health professional health care providers. The interviews were analyzed using the Colaizzi phenomenological approach. We identified five themes from the narratives of the patient participants—dealing with disease development, living with the disease, everyday living, relating...
Source: Qualitative Health Research - March 31, 2015 Category: Global & Universal Authors: Garrino, L., Picco, E., Finiguerra, I., Rossi, D., Simone, P., Roccatello, D. Tags: Articles Source Type: research

Acceptable Care? Illness Constructions, Healthworlds, and Accessible Chronic Treatment in South Africa
Achieving equitable access to health care is an important policy goal, with access influenced by affordability, availability, and acceptability of specific services. We explore patient narratives from a 5-year program of research on health care access to examine relationships between social constructions of illness and the acceptability of health services in the context of tuberculosis treatment and antiretroviral therapy in South Africa. Acceptability of services seems particularly important to the meanings patients attach to illness and care, whereas—conversely—these constructions appear to influence what con...
Source: Qualitative Health Research - March 31, 2015 Category: Global & Universal Authors: Fried, J., Harris, B., Eyles, J., Moshabela, M. Tags: Articles Source Type: research

Storylines of Aging With HIV: Shifts Toward Sense Making
Aging with HIV is a new phenomenon. It is expected that by 2015, approximately half of adults living with HIV in the United States will be age 50 and older. We used narrative inquiry to explore how older adults with HIV storied their experience and made sense of aging. Over a 3.5-year period, we interviewed 5 older adults living with HIV for 13 to 24 years. In analyzing the coconstructed stories, we identify six storylines that enhance understanding and guide listening: embodiment of the illness, sense making, death and loss, secrets and stigma, identity, and seeking connection. We theorize that the degree to which one rec...
Source: Qualitative Health Research - March 31, 2015 Category: Global & Universal Authors: Beuthin, R. E., Bruce, A., Sheilds, L. Tags: Articles Source Type: research

Multiple Meanings of "Gift" and its Value for Organ Donation
The "gift of life" metaphor is used to promote organ donation where commercialization is prohibited. In this article, we explore how multiple parties involved in organ transfer procedures think of gift terminology by drawing on interview data with transplantation specialists, organ transplant recipients, living directed donors and living nondirected donors. The interviews took place across New Zealand between October 2008 and May 2012, in participants’ homes and hospital workplaces. The interviews were transcribed verbatim, coded manually, and thematically analyzed. Although gift language is often viewed as clear-cut...
Source: Qualitative Health Research - March 31, 2015 Category: Global & Universal Authors: Shaw, R. M., Webb, R. Tags: Articles Source Type: research

Trauma Systems in Kenya: A Qualitative Analysis at the District Level
We described hospital care in terms of human resources, infrastructure, and definitive care. The interviewers repeatedly emphasized the lack of hospital infrastructure. We showed the need to develop prehospital care systems and strengthen hospital trauma care services. (Source: Qualitative Health Research)
Source: Qualitative Health Research - March 31, 2015 Category: Global & Universal Authors: Wesson, H. K. H., Stevens, K. A., Bachani, A. M., Mogere, S., Akungah, D., Nyamari, J., Masasabi Wekesa, J., Hyder, A. A. Tags: Articles Source Type: research

"Data Were Saturated . . . "
(Source: Qualitative Health Research)
Source: Qualitative Health Research - March 31, 2015 Category: Global & Universal Authors: Morse, J. M. Tags: Editorial Source Type: research

Parents' Experiences of Caring for a Child With Autism Spectrum Disorder
Autism spectrum disorder (ASD) is a developmental disorder involving abnormal communication, repetitive and restrictive interests, and impaired social functioning. ASD can have a profound impact on family life, including the roles and responsibilities that parents assume. In this metasynthesis, we explore the experiences of parents who care for a child with ASD. We undertook a thematic synthesis to integrate qualitative evidence, searching 10 electronic databases and reviewing 4,148 abstracts. We selected 31 articles for inclusion (involving 160 fathers and 425 mothers) and examined the articles using a constant comparativ...
Source: Qualitative Health Research - March 5, 2015 Category: Global & Universal Authors: DePape, A.-M., Lindsay, S. Tags: Evidence for Practice Source Type: research

Conceptualizations of Postpartum Depression by Public-Sector Health Care Providers in Mexico
In this article we describe the knowledge frameworks that 61 physicians, nurses, social workers, and psychologists from five public-sector health care facilities in Mexico used to conceptualize postpartum depression. We also demonstrate how providers applied social and behavioral antecedents in their conceptualizations of postpartum depression. Using grounded theory, we identify two frameworks that providers used to conceptualize postpartum depression: biochemical and adjustment. We highlight an emerging model of the function of social and behavioral antecedents within the frameworks, as well as the representation of postp...
Source: Qualitative Health Research - March 5, 2015 Category: Global & Universal Authors: Place, J. M. S., Billings, D. L., Blake, C. E., Frongillo, E. A., Mann, J. R., deCastro, F. Tags: Articles Source Type: research

Facilitating Communication About Sexual Health Between Aging Women and Their Health Care Providers
Many women experience changes in sexual health as they age, and discussing these changes with health care providers is an essential component of optimal health management. The purpose of this study was to understand aging women’s perspectives about communicating with providers about sexual health. We used the integrative model of behavioral prediction as a theoretical lens to explore women’s attitudes, perceived norms, and perceived self-efficacy that promote or inhibit the likelihood of communicating about sexual health. In this theory-based qualitative study, we interviewed 28 community-dwelling older women i...
Source: Qualitative Health Research - March 5, 2015 Category: Global & Universal Authors: Hughes, A. K., Lewinson, T. D. W. Tags: Articles Source Type: research

Persistent Optimizing: How Mothers Make Food Choices for Their Preschool Children
Mothers’ ability to provide healthy food choices for their children has become more complex in our current obesogenic environment. We conducted a total of 35 interviews with 18 mothers of preschool children. Using constructivist grounded theory methods, we developed a substantive theory of how mothers make food choices for their preschoolers. Our substantive theory, persistent optimizing, consists of three main integrated conceptual categories: (a) acknowledging contextual constraints, (b) stretching boundaries, and (c) strategic positioning. Implications to improve mothers’ ability to make healthy food choices...
Source: Qualitative Health Research - March 5, 2015 Category: Global & Universal Authors: Walsh, A., Meagher-Stewart, D., Macdonald, M. Tags: Articles Source Type: research

Vicarious Resilience in Counselors of Child and Youth Victims of Interpersonal Trauma
In this study, we investigated how bearing witness to clients’ resilience processes during treatment impacts the personal and professional lives of counselors who work with child and youth victims of interpersonal trauma. We used a qualitative instrumental multiple-case study design and thematic analysis to explore the research question. The participants indicated that they experienced an increased sense of hope and optimism, and were inspired by the strengths of their clients while working with this population. As the participants reflected on the challenges that their clients faced, the participants put their own c...
Source: Qualitative Health Research - March 5, 2015 Category: Global & Universal Authors: Silveira, F. S., Boyer, W. Tags: Articles Source Type: research