Stepping Back and Listening: Staff Experiences of Using a Coaching Approach in an Acute Rehabilitation Ward for Older Adults
In this study, we aimed to affect the staff–patient relationship by implementing a coaching intervention in an older adult acute care setting. Here, we report on staff experiences of this coaching approach. Data were collected from 16 members of staff via semi-structured interviews, which were analyzed using thematic analysis. Four themes were identified: Putting a Label on It, Stepping Back and Listening, Identifying the Opportunities, and Working as Team. Our findings show that a coaching approach can be successful in getting staff to reconsider their interactions with patients and to focus on strategies that foste...
Source: Qualitative Health Research - July 3, 2016 Category: Global & Universal Authors: Gray, D., Ross, K., Prat-Sala, M., Kibble, S., Harden, B. Tags: Evidence for Practice Source Type: research
What Was (Also) at Stake When a Robot Bathtub Was Implemented in a Danish Elder Center: A Constructivist Secondary Qualitative Analysis
Assistive technologies are often considered to be passive tools implemented in targeted processes. Our previous study of the implementation of the robot bathtub in a Danish elder center suggested that purposeful rationality was not the only issue at stake. To further explore this, we conducted a constructivist secondary qualitative analysis. Data included interviews, participant observations, working documents, and media coverage. The analysis was carried out in two phases and revealed that the bathing of the older people was constructed as a problem that could be offensive to the users’ integrity, damaging to their ...
Source: Qualitative Health Research - July 3, 2016 Category: Global & Universal Authors: Beedholm, K., Frederiksen, K., Lomborg, K. Tags: Evidence for Practice Source Type: research
Investigating the Lived Experience of Recovery in People Who Hear Voices
Although there is evidence of both clinical and personal recovery from distressing voices, the process of recovery over time is unclear. Narrative inquiry was used to investigate 11 voice-hearers’ lived experience of recovery. After a period of despair/exhaustion, two recovery typologies emerged: (a) turning toward/empowerment, which involved developing a normalized account of voices, building voice-specific skills, integration of voices into daily life, and a transformation of identity, and (b) turning away/protective hibernation, which involved harnessing all available resources to survive the experience, with the ...
Source: Qualitative Health Research - July 3, 2016 Category: Global & Universal Authors: de Jager, A., Rhodes, P., Beavan, V., Holmes, D., McCabe, K., Thomas, N., McCarthy-Jones, S., Lampshire, D., Hayward, M. Tags: Evidence for Practice Source Type: research
Implementing a Systematic Voiding Program for Patients With Urinary Incontinence After Stroke
We explored health professionals’ views of implementing a systematic voiding program (SVP) in a multi-site qualitative process evaluation in stroke services recruited to the intervention arms of a cluster randomized controlled feasibility trial during 2011-2013. We conducted semi-structured group or individual interviews with 38 purposively selected nursing, managerial, and care staff involved in delivering the SVP. Content analysis of transcripts used normalization process theory (NPT) as a pre-specified organization-level exploratory framework. Barriers to implementing the SVP included perceived lack of suitability...
Source: Qualitative Health Research - July 3, 2016 Category: Global & Universal Authors: French, B., Thomas, L. H., Harrison, J., Burton, C. R., Forshaw, D., Booth, J., Britt, D., Cheater, F. M., Roe, B., Watkins, C. L., on behalf of the ICONS project team and the ICONS Patient, Public and Carer Involvement Groups Tags: Evidence for Practice Source Type: research
Through Their Eyes: Lessons Learned Using Participatory Methods in Health Care Quality Improvement Projects
In this methodological article, we examine participatory methods in depth to demonstrate how these methods can be adopted for quality improvement (QI) projects in health care. We draw on existing literature and our QI initiatives in the Department of Veterans Affairs to discuss the application of photovoice and guided tours in QI efforts. We highlight lessons learned and several benefits of using participatory methods in this area. Using participatory methods, evaluators can engage patients, providers, and other stakeholders as partners to enhance care. Participant involvement helps yield actionable data that can be transl...
Source: Qualitative Health Research - July 3, 2016 Category: Global & Universal Authors: Balbale, S. N., Locatelli, S. M., LaVela, S. L. Tags: Evidence for Practice - Methods Source Type: research
Decision Making About Gastrostomy and Noninvasive Ventilation in Amyotrophic Lateral Sclerosis
We used thematic analysis to investigate factors affecting decision making about gastrostomy and noninvasive ventilation (NIV) by people with Amyotrophic Lateral Sclerosis (ALS) from the viewpoint of the health care professionals (HCPs) supporting them. We conducted 20 in-depth interviews with 19 HCPs nominated by people with ALS who had made a decision to accept or decline NIV or gastrostomy. We found the main themes influencing decision making were patient-centric, caregiver-related or related to HCPs’ own beliefs, perspectives, and actions. HCPs felt patients should be, and were, in control of decision making, alt...
Source: Qualitative Health Research - July 3, 2016 Category: Global & Universal Authors: Martin, N. H., Lawrence, V., Murray, J., Janssen, A., Higginson, I., Lyall, R., Burman, R., Leigh, P. N., Al-Chalabi, A., Goldstein, L. H. Tags: Evidence for Practice Source Type: research
Reflections of Low-Income, Second-Generation Latinas About Experiences in Depression Therapy
Depression is higher among second-generation Latinas compared with immigrants, but mental health treatment is stigmatized. Therefore, second-generation Latinas were interviewed after completing an eight-session depression treatment program to gain insight on what they found valuable about their therapy experiences. Constructivist grounded theory guided data collection and analysis which showed that women valued treatment more when they recognized their needs were being met, the therapist was a worthy copilot, and the program’s structure had flexibility. Four processes were considered important to their work in therap...
Source: Qualitative Health Research - July 3, 2016 Category: Global & Universal Authors: Heilemann, M. V., Pieters, H. C., Dornig, K. Tags: Evidence for Practice Source Type: research
Parents Perceptions of Primary Health Care Physiotherapy With Preterm Infants: Normalization, Clarity, and Trust
In this study, we investigated how parents’ perceptions of physiotherapy in primary health care influenced their adaptation to caring for a preterm child. We conducted 17 interviews involving parents of seven infants, at infants’ corrected age (CA) 3, 6, and 12 months. The analysis was a systematic text condensation, connecting to theory of participatory sense-making. The parents described a progression toward a new normalcy in the setting of persistent uncertainty. Physiotherapists can ameliorate this uncertainty and support the parents’ progression toward normalization, by providing knowledge and acknow...
Source: Qualitative Health Research - July 3, 2016 Category: Global & Universal Authors: Hakstad, R. B., Obstfelder, A., Oberg, G. K. Tags: Evidence for Practice Source Type: research
Parents Experiences of Two Different Approaches to Diabetes Care in Children Newly Diagnosed With Type 1 Diabetes
Various care approaches are provided to support families with newly diagnosed children in their task of diabetes management. We conducted qualitative interviews with 36 parents of 23 children, newly diagnosed with type 1 diabetes. The parents were recruited from participants in a Randomized Controlled Trial (RCT) evaluating hospital-based care (HBC) and hospital-based home care (HBHC), to explore their experiences of two different approaches to diabetes care. The HBC was considered as being safe but not family- or diabetes-oriented. The HBHC was described as a relaxed environment, providing individualized accessibility and...
Source: Qualitative Health Research - July 3, 2016 Category: Global & Universal Authors: Sparud-Lundin, C., Hallström, I. Tags: Evidence for Practice Source Type: research
Partner Facilitation and Partner Interference in Individuals Weight Loss Goals
Drawing on the logic of the relational turbulence model, this study examined the ways in which romantic partners facilitate and interfere with individuals’ weight loss goals. Participants (N = 122) described the ways in which their romantic partner had recently helped or hindered their weight loss at four times over the course of 2 months. We conducted a content analysis of responses to identify themes of partner facilitation (Research Question 1 [RQ1]) and partner interference (RQ2) in individuals’ weight loss goals. Results revealed seven themes of partner facilitation: (a) partner enabling diet, (b) motivati...
Source: Qualitative Health Research - July 3, 2016 Category: Global & Universal Authors: Theiss, J. A., Carpenter, A. M., Leustek, J. Tags: Evidence for Practice Source Type: research
Finding Qualitative Research Evidence for Health Technology Assessment
Health technology assessment (HTA) agencies increasingly use reviews of qualitative research as evidence for evaluating social, experiential, and ethical aspects of health technologies. We systematically searched three bibliographic databases (MEDLINE, CINAHL, and Social Science Citation Index [SSCI]) using published search filters or "hedges" and our hybrid filter to identify qualitative research studies pertaining to chronic obstructive pulmonary disease and early breast cancer. The search filters were compared in terms of sensitivity, specificity, and precision. Our screening by title and abstract revealed that qualitat...
Source: Qualitative Health Research - July 3, 2016 Category: Global & Universal Authors: DeJean, D., Giacomini, M., Simeonov, D., Smith, A. Tags: Evidence for Practice - Piths Source Type: research
Book Review: Rapid Qualitative Inquiry: A Field Guide to Team-Based Assessment, by Beebe, J.
(Source: Qualitative Health Research)
Source: Qualitative Health Research - June 5, 2016 Category: Global & Universal Authors: Brett, J. A. Tags: Book Review Source Type: research
Perceptions of Depression and Access to Mental Health Care Among Latino Immigrants: Looking Beyond One Size Fits All
Compared with non-Latino Whites, Latino immigrants have a lower prevalence of depression. However, they are also less likely to seek professional mental health services. Our objective was to compare and contrast perceptions of depression and access to mental health care among four of the largest Latino immigrant subgroups in Florida (Puerto Rican, Cuban, Mexican, and Colombian). We conducted a total of 120 interviews (30 men and women from each subgroup). Thematic analysis of qualitative data revealed that participants across the four groups were aware of the signs and symptoms of depression and had similar perceptions of ...
Source: Qualitative Health Research - June 5, 2016 Category: Global & Universal Authors: Martinez Tyson, D., Arriola, N. B., Corvin, J. Tags: Seeking Wellness Source Type: research
Factors Influencing Delayed Health Care Seeking Among Pulmonary Tuberculosis Suspects in Rural Communities in Ntcheu District, Malawi
Delayed diagnosis and treatment of tuberculosis (TB) among individuals suspected of having TB may lead to continued transmission of Mycobacterium tuberculosis in communities, higher mortality rates, and increase in government health expenditure because of prolonged illness due to late diagnosis and treatment initiation. The study explored factors leading to delayed health care seeking among individuals living in Ntcheu District, Malawi. Two key informant interviews, 16 in-depth interviews, and three focus group discussions were conducted. Participants were aged 18 years and older and never had TB. Data were analyzed using ...
Source: Qualitative Health Research - June 5, 2016 Category: Global & Universal Authors: Nyasulu, P., Phiri, F., Sikwese, S., Chirwa, T., Singini, I., Banda, H. T., Banda, R., Mhembere, T., Chimbali, H., Ngwira, B., Munthali, A. C. Tags: Seeking Wellness Source Type: research
The Structural Violence of Patient Participation in Cambodian HIV Services
Participation of people living with HIV/AIDS (PLHA) has become a new standard of good governance in HIV services worldwide, and most HIV organizations make reference to it. This standard has had a considerable impact in Cambodia, where hundreds of PLHA have been recruited by organizations to participate in the development of HIV services. However, participation is a vague concept with various interpretations and applications. Drawing on ethnographic research conducted between 2006 and 2008, this article first clarifies what promoters expect from patient participation in Cambodia and then examines its meanings and uses for ...
Source: Qualitative Health Research - June 5, 2016 Category: Global & Universal Authors: Bureau-Point, E., Phan, S. Tags: Seeking Wellness Source Type: research
