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Full-Text Articles in Medicine and Health Sciences

Qualitative Health Research Involving Indigenous Peoples: Culturally Appropriate Data Collection Methods, Amy L. Wright, Olive Wahoush, Marilyn Ballantyne, Chelsea Gabel, Susan M. Jack Dec 2016

Qualitative Health Research Involving Indigenous Peoples: Culturally Appropriate Data Collection Methods, Amy L. Wright, Olive Wahoush, Marilyn Ballantyne, Chelsea Gabel, Susan M. Jack

The Qualitative Report

Historically, health research involving Indigenous peoples has been fraught with problems, including researchers not addressing Indigenous research priorities and then subsequently often failing to utilize culturally appropriate methods. Given this historical precedence, some Indigenous populations may be reluctant to participate in research projects. In response to these concerns, the Government of Canada has developed the Tri-Council Policy Statement (TCPS2): Research Involving the First Nations, Inuit and Métis Peoples of Canada, which stipulates the requirements for research collaborations with Indigenous communities. Utilizing this policy as an ethical standard for research practices, this paper describes, critiques and synthesizes the literature on culturally …


Nursing Preceptors And Meaning Making, Janice Miller, Brian Vivona, Gene Roth Nov 2016

Nursing Preceptors And Meaning Making, Janice Miller, Brian Vivona, Gene Roth

The Qualitative Report

This exploratory qualitative study was performed in order to identify the potentially transformative learning experiences of nurse preceptors. Semi-structured in depth interviews with nurse preceptors revealed how the experiences of acting as a teacher, trainer, and coach to new nurses bridges the gap between formal education and nursing practice. The lived experiences and the reflections on those experiences were examined in order to identify how the preceptor derived meaning from assisting new nurses into the profession. Such critical reflection revealed how these experiences resulted in new meaning schemes as well as identified some barriers to performing the receptor role.


College Health Care Providers’ Student-Centered Care, Cheryl Ann Lambert, Julie Donovan Oct 2016

College Health Care Providers’ Student-Centered Care, Cheryl Ann Lambert, Julie Donovan

The Qualitative Report

Patient care in the university setting is indelibly connected to college health care providers. College health care providers adapt to a specific set of circumstances unique to the university context in their patient care roles. The authors therefore sought to investigate the patient care phenomenon from college health care providers’ lived experiences. The patient care phenomenon was explored via in-depth interviews with 11 college health care providers at universities in the Midwest and Northeast regions of the United States. The phenomenological theoretical framework of the study revealed five themes of patient care during data analysis: health education, behavioral health, student …


Professional Action Sport Athletes’ Experiences With And Attitudes Toward Concussion: A Phenomenological Study, Caroline E. Faure, John M. Fitzpatrick Oct 2016

Professional Action Sport Athletes’ Experiences With And Attitudes Toward Concussion: A Phenomenological Study, Caroline E. Faure, John M. Fitzpatrick

The Qualitative Report

This study examined the lived experiences and subsequent attitudes of freestyle BMX and motocross athletes relative to suffering concussions. Eleven professional athletes were interviewed using a semi-structured protocol. All cited a significant personal history with concussion and those personal accounts, along with their observations of others who experienced similar head injuries, shaped the athletes’ attitudes towards concussion. Both intrinsic and extrinsic factors contributed to each athlete’s acceptance of concussion risk inherent in their respective sport. Generally, athletes accepted concussion risk as part of their sport, but were largely unfamiliar with what concussion was and what long-term effects could result from …


Impact Of Interviews On Heterosexual Students' Expressions Of Cultural Competency, Carol Isaac, Linda Behar-Horenstein Oct 2016

Impact Of Interviews On Heterosexual Students' Expressions Of Cultural Competency, Carol Isaac, Linda Behar-Horenstein

The Qualitative Report

The purpose of this qualitative study was to understand the effects of a cultural competency intervention on dental pre-doctoral students’ attitudes toward individuals of a different sexual orientation. 22 heterosexual students interviewed gay or lesbian individuals and wrote reflective text. Results illustrated that participants found that their interviewees had “surprisingly similar” beliefs and values – especially in the areas of religion and family. Because of their “similar values,” these students expressed respect toward their interviewees who were “so different” than themselves. This conclusion of “sameness” forced them to see homosexuals as people, rather than a stigmatized invisible outgroup, mitigating sexual …


From Interview To Transcript To Story: Elucidating The Construction Of Journalistic Narrative As Qualitative Research, Jørgen Jeppesen Sep 2016

From Interview To Transcript To Story: Elucidating The Construction Of Journalistic Narrative As Qualitative Research, Jørgen Jeppesen

The Qualitative Report

There is a call to narrative investigators to be more explicit about their ways of working methodologically, in particular concerning dialogic/performative analysis. The purpose of this study was to examine how journalistic storytelling used as qualitative health research transformed, assembled and sequenced interview into transcripts, scenes, digressions, and other language products. A published story from a socio-narratological study of living with the terminal disease Amyotrophic Lateral Sclerosis was selected. Distribution and sequence of modes of transcription, versions of dialogue, transformation of observation and memory to scenes, and conversion of the researcher’s reflection to digression, were identified and calculated. Spots in …


Logistical Lessons Learned In Designing And Executing A Photo-Elicitation Study In The Veterans Health Administration, Michael A. Mitchell, Daniel O. Hedayati, Keri L. Rodriguez, Adam J. Gordon, Lauren M. Broyles, Gala True, Salva N. Balbale, James W. Conley Jul 2016

Logistical Lessons Learned In Designing And Executing A Photo-Elicitation Study In The Veterans Health Administration, Michael A. Mitchell, Daniel O. Hedayati, Keri L. Rodriguez, Adam J. Gordon, Lauren M. Broyles, Gala True, Salva N. Balbale, James W. Conley

The Qualitative Report

Participatory photography research methods have been used to successfully engage and collect in-depth information from individuals whose voices have been traditionally marginalized in clinical or research arenas. However, participatory photography methods can introduce unique challenges and considerations regarding study design, human subject protections, and other regulatory barriers, particularly with vulnerable patient populations and in highly regulated institutions. Practical guidance on navigating these complex, interrelated methodological, logistical, and ethical issues is limited. Using a case exemplar, we describe our experiences with the planning, refinement, and initiation of a research study that used photo-elicitation interviews to assess the healthcare experiences of homeless …


Evasions In Interactions: Examples From The Transcultural Nursing Research Field, Janice D. Crist Phd, Rn, Fngna, Faan, Heather Coats Ms, Aprn-Bc, Phd, Kay Lehman Rn, Msn, Cwocn, Isela Luna Rn, Phd, Ccm Jun 2016

Evasions In Interactions: Examples From The Transcultural Nursing Research Field, Janice D. Crist Phd, Rn, Fngna, Faan, Heather Coats Ms, Aprn-Bc, Phd, Kay Lehman Rn, Msn, Cwocn, Isela Luna Rn, Phd, Ccm

The Qualitative Report

Transcultural qualitative research is known for its utility in eliciting in-depth narratives, resulting in increased understanding about cultural phenomena. However, sometimes specific phenomena in the researcher’s inquiry are ignored, evaded, or denied; or a seemingly crucial experience demonstrating society’s unfairness, which the researcher had been expecting, does not emerge. In this paper, the issue of evasions in narratives is addressed, with two examples in which participants evaded the issue about which they were asked: perceptions of discrimination for aging adults of Mexican descent, and perceptions of living with life-limiting illnesses for aging African American adults. The Ethno-Cultural Gerontological Nursing Model …


A Recursive Frame Analysis Of Satir Through The Biopsychosocial Lens, Daniel Pelak Jun 2016

A Recursive Frame Analysis Of Satir Through The Biopsychosocial Lens, Daniel Pelak

The Qualitative Report

This study attempts to add to the understanding and metatheory of the therapeutic process through the analysis of a therapeutic session through the lens of the biopsychosocial model. The study examines which interventions were utilized, in what system, and during which stage of therapy. In order to accomplish this goal, a recursive frame analysis was utilized to track the different frames and interventions of Virginia Satir’s “Of Rocks and Flowers” training session. Results indicated that Satir operated at all three levels of the biopsychosocial system and utilized exploratory questions to assess the vicious cycle in Act I, in Act II …


Understanding The Employment Barriers And Support Needs Of People Living With Psychosis, Margaret Hampson, Richard Hicks, Bruce Watt May 2016

Understanding The Employment Barriers And Support Needs Of People Living With Psychosis, Margaret Hampson, Richard Hicks, Bruce Watt

The Qualitative Report

This study investigated the employment barriers and support needs of people living with psychosis. A purposive community sample of 137 volunteers drawn from six key stakeholder groups were invited to participate in focus groups and semi-structured individual interviews to elicit their perceptions on the employment barriers and support needs of people living with psychosis. The stakeholder groups included in this study were people with lived experience of schizophrenia or bipolar disorder, carers, health professionals, employers, employment service providers, and community members. Data obtained from 14 focus groups and 31 semi-structured individual interviews were transcribed, imported into NVivo 10, and coded …


Post-Traumatic Growth In Cancer Survivors: Narrative Markers And Functions Of The Experience's Transformation, Maria Luisa Martino, Maria Francesca Freda Apr 2016

Post-Traumatic Growth In Cancer Survivors: Narrative Markers And Functions Of The Experience's Transformation, Maria Luisa Martino, Maria Francesca Freda

The Qualitative Report

The concept that a traumatic experience, such as a cancer, can lead to a positive change and transformation of self, life and relationships was named as post-traumatic growth (PTG). A large amount of research measured PTG in cancer survivors arguing an interpretation of the construct as an outcome. Recently, qualitative research shows different types of narrative of PTG, but the narrative markers and their functions of transformation remain still unclear. Within a mixed-method, we aim to highlight the narrative markers and their transformative functions, underlying the PTG, within 12 cancer survivors’ narratives with medium/high and medium/low level of PTG. A …


The Components Of Attentiveness In Oncology Care, Klaartje Klaver, Andries Baart Apr 2016

The Components Of Attentiveness In Oncology Care, Klaartje Klaver, Andries Baart

The Qualitative Report

This article presents the first findings of a qualitative empirical study of caregivers' attentiveness in hospital oncology care. It takes a care ethical perspective, in which attentiveness is considered an indispensable element of good care. The data are derived from participant observation at the oncology department of a general hospital in the Netherlands. The analysis shows a descriptive exploratory model of attentiveness, which comprises a coherent set of the clusters perception (A), object finding (B), and space for attentiveness (C). The methodological output of this article is an important one: the presented descriptive model of attentiveness promotes further research into …


Pregnancy And Childbirth Practices Among Immigrant Women From India: “Have A Healthy Baby”, Rama Cousik, M. Gail Hickey Apr 2016

Pregnancy And Childbirth Practices Among Immigrant Women From India: “Have A Healthy Baby”, Rama Cousik, M. Gail Hickey

The Qualitative Report

In India, practices relating to pregnancy, childbirth and child development have been rooted in cultural beliefs and traditions that are based on knowledge contained in ancient Indian texts. Many Indians residing across the globe continue to observe these practices. Some may find it challenging to do so when they are residing abroad, away from familiar surroundings and separated from their extended families. A small body of research exists that shows that migrant Indian women do observe traditional maternal practices based on cultural beliefs, but there is a need to learn more about how this knowledge is acquired, disseminated and preserved. …


A Phenomenological Approach To Understand The Challenges Faced By Medical Students, R. Deepa, Anuja S. Panicker Mar 2016

A Phenomenological Approach To Understand The Challenges Faced By Medical Students, R. Deepa, Anuja S. Panicker

The Qualitative Report

Life in a medical school is more challenging, when compared to other disciplines like arts and engineering. The innate nature of the medical curriculum and the demands of the profession have created extensive pressure on its students, leading to the prevalence of high stress levels and stress related disorders in them. The mental health of future doctors is very important for quality patient care. Hence it is high time for medical institutions to design interventions to mitigate this situation. A significant amount of research has gone into identifying the predominant stressors of medical education and the prevailing stress levels amongst …


The Fertility Problem Inventory And Infertility-Related Stress: A Case Study, Staci L. Born, Jennifer J. Preston Mar 2016

The Fertility Problem Inventory And Infertility-Related Stress: A Case Study, Staci L. Born, Jennifer J. Preston

The Qualitative Report

More than seven million people of childbearing age in the United States experience infertility. Oftentimes, for women, the experience of infertility is stressful. The Fertility Problem Inventory (FPI) has been used to quantitatively measure women’s experience of infertility-related stress. However, the construct of infertility-related stress is poorly described in existing literature. The purpose of this case study was to understand how women experience the FPI as a measure of infertility-related stress. To address this issue, women who were undergoing infertility treatment completed the FPI and participated in unstructured interviews. Archival documents were also retrieved to corroborate findings and satisfy saturation. …


Maternal Perceptions To Open-Ended Questions About Life With Down Syndrome In Korea, Hyunkyung Choi, Marcia Van Riper Feb 2016

Maternal Perceptions To Open-Ended Questions About Life With Down Syndrome In Korea, Hyunkyung Choi, Marcia Van Riper

The Qualitative Report

In this study the authors explored maternal perceptions of life with Down Syndrome (DS) in Korea. Written responses to open-ended questions were collected as a part of a larger study and examined using content analysis. Most mothers commonly reported responses toward children with DS at both the societal and community level were negative. Many mothers acknowledged that even though there are ongoing challenges associated with being the mother of a child with DS, they have experienced unexpected joys as well. Increased awareness of cultural differences in beliefs and attitudes about children with DS and their care will help health care …