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https://www.readbyqxmd.com/read/28528239/the-experiences-of-women-midwives-and-obstetricians-when-women-decline-recommended-maternity-care-a-feminist-thematic-analysis
#1
Bec Jenkinson, Sue Kruske, Sue Kildea
BACKGROUND: pregnant women, like all competent adults, have the right to refuse medical treatment, although concerns about maternal and fetal safety can make doing so problematic. Empirical research about refusal of recommended maternity care has mostly described the attitudes of clinicians, with women's perspectives notably absent. DESIGN: feminist thematic analysis of in-depth, semi-structured interviews with women's (n=9), midwives' (n=12) and obstetricians' (n=9) about their experiences of refusal of recommended maternity care...
May 11, 2017: Midwifery
https://www.readbyqxmd.com/read/28526026/a-qualitative-study-of-telehealth-patient-information-leaflets-tils-are-we-giving-patients-enough-information
#2
Reem Kayyali, Iman Hesso, Evelyn Ejiko, Shereen Nabhani Gebara
BACKGROUND: The provision of patient information leaflets regarding telehealth has been perceived by potential consumers as a strategy to promote awareness and adoption of telehealth services. However, such leaflets need to be designed carefully if adoption and awareness among potential users is to be promoted. Therefore, the aims of this study were: first, to see how telehealth was portrayed in some of the existing telehealth leaflets (THLs). Second, to explore patients' perceptions of the existing THLs and their engagement with the concept and how THLs can be optimised...
May 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28523938/-it-was-like-i-had-to-fit-into-a-category-care-seekers-experiences-of-gender-regulation-in-the-swedish-trans-specific-healthcare
#3
Ida Linander, Erika Alm, Isabel Goicolea, Lisa Harryson
The few previous studies investigating regulation of gender in trans-specific healthcare are mainly based on text material and interviews with care-providers or consist solely of theoretical analyses. There is a lack of studies analysing how the regulation of gender is expressed in the care-seeker's own experiences, especially in a Nordic context. The aim of this study is to analyse narratives of individuals with trans experiences (sometimes called transgender people) to examine how gender performances can be regulated in trans-specific care in Sweden...
May 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28516881/exploring-the-remission-concept-in-rheumatoid-arthritis-with-patients-and-rheumatologists-time-for-a-new-approach
#4
Carlos Acebes, José Luis Andreu, Alejandro Balsa, Enrique Battle, Javier de Toro-Santos, Francisco García Llorente, María Victoria Hernández, Benjamín Fernández-Gutiérrez, Cristina Hidalgo-Calleja, Lucía Mayordomo, Esperanza Naredo, Francisco Javier Narváez, Ana M Ortiz, José Luis Pablos, Trinidad Pérez-Sandoval, Carlos Rodríguez-Lozano, Olga Sánchez-Pernaute, Jacqueline Usón, José B Negrón, Estibaliz Loza, Loreto Carmona, Susana Gómez Castro, María Montoro Alvarez
OBJECTIVES: To explore the remission concept in rheumatoid arthritis (RA) and to compare remission definitions and related concepts between rheumatologists and patients with the purpose of identifying similarities and disparities to comprehend the different perspectives of the disease. METHODS: This was a qualitative study of discourse and content analysis through focus groups, conducted from February to March 2016. Four focus groups were set up, each one with different interests: rheumatologists involved in basic research (BR), rheumatologists with high specialisation in imaging techniques (IR), clinical rheumatologists (CR), and patients (PA)...
May 8, 2017: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/28514927/la-vida-normal-living-with-hiv-in-santo-domingo-dominican-republic
#5
Clare Barrington, Deanna Kerrigan, Francisco I Cáceres Ureña, Karen Brudney
In this study, we explore how individuals living with HIV in the Dominican Republic strive to live a 'normal' life and the consequences of this pursuit of normalcy. We conducted qualitative in-depth interviews with men (n = 20) and women (n = 20) living with HIV and receiving care at two urban clinics in Santo Domingo. We analysed the data using a combination of narrative analysis and thematic coding. We aimed to identify how fears and/or lived experiences with social rejection and HIV-related stigma and discrimination shaped participants' abilities to maintain social relationships, be economically productive and manage HIV within the context of sexual relationships...
May 18, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28511791/-usefulness-of-the-budget-and-the-balanced-scorecard-in-managing-primary-care-centres-impact-on-staff-motivation
#6
Juan Manuel Ramón-Jerónimo, Raquel Flórez-López, Natalia Domínguez-Lario
OBJECTIVE: To analyse the utility perceived by managers of centers of primary care about management tools (budget and balanced scorecard), together their impact on human resources motivation. DESIGN: Qualitative study (case study) based on grounded theory performed between January and June 2014. LOCATION: Units of Clinical Management of Primary Health (UGCAP) in Metropolitan Health Area of Seville, Spain. PARTICIPANTS: UGCAP managers and Health Area (CEO) managers...
May 13, 2017: Atencion Primaria
https://www.readbyqxmd.com/read/28505222/discourse-characteristics-in-aphasia-beyond-the-western-aphasia-battery-cutoff
#7
Davida Fromm, Margaret Forbes, Audrey Holland, Sarah Grace Dalton, Jessica Richardson, Brian MacWhinney
Purpose: This study examined discourse characteristics of individuals with aphasia who scored at or above the 93.8 cutoff on the Aphasia Quotient subtests of the Western Aphasia Battery-Revised (WAB-R; Kertesz, 2007). They were compared with participants without aphasia and those with anomic aphasia. Method: Participants were from the AphasiaBank database and included 28 participants who were not aphasic by WAB-R score (NABW), 92 participants with anomic aphasia, and 177 controls...
May 15, 2017: American Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/28504335/tele-analysis-the-use-of-media-technology-in-psychotherapy-and-its-impact-on-the-therapeutic-relationship
#8
Christian Roesler
A growing number of approaches in psychotherapy make use of internet- and other media-based interactions. This paper discusses the impact on the therapist-client relationship of using media technology and gives an overview of the current state of the debate. It is suggested that the technical conditions of internet-based interactions produce new forms of social relationships that differ significantly from face-to-face-interactions and that unconscious, nonverbal cues get lost. Research on the therapeutic interaction making use of 'discourse linguistic' methods is presented...
June 2017: Journal of Analytical Psychology
https://www.readbyqxmd.com/read/28502406/steering-the-conversation-a-linguistic-exploration-of-natural-language-interactions-with-a-digital-assistant-during-simulated-driving
#9
David R Large, Leigh Clark, Annie Quandt, Gary Burnett, Lee Skrypchuk
Given the proliferation of 'intelligent' and 'socially-aware' digital assistants embodying everyday mobile technology - and the undeniable logic that utilising voice-activated controls and interfaces in cars reduces the visual and manual distraction of interacting with in-vehicle devices - it appears inevitable that next generation vehicles will be embodied by digital assistants and utilise spoken language as a method of interaction. From a design perspective, defining the language and interaction style that a digital driving assistant should adopt is contingent on the role that they play within the social fabric and context in which they are situated...
September 2017: Applied Ergonomics
https://www.readbyqxmd.com/read/28492389/-what-about-the-next-generation-that-s-coming-the-recontextualization-of-mothering-post-refugee-resettlement
#10
Sarah J Hoffman, Cheryl L Robertson, Jessica Dockter Tierney
The purpose of this analysis was to explore the recontextualization of mothering in Karen refugees from Burma. We collected ethnographic data over an 11-month period with a cohort of 12 Karen women postresettlement. Using Spradley's and tools of critical discourse analysis, we interpreted the migration narratives of women, in particular, experiences they shared as mothers. These narratives were grounded in the space of cultural difference; thus, we engaged hybridity as a theoretical frame. Findings reflect the negotiation of mothering practices within the norms, structures, and policies of the country of resettlement...
April 2017: ANS. Advances in Nursing Science
https://www.readbyqxmd.com/read/28490854/effects-of-sequences-of-cognitions-on-group-performance-over-time
#11
Inge Molenaar, Ming Ming Chiu
Extending past research showing that sequences of low cognitions (low-level processing of information) and high cognitions (high-level processing of information through questions and elaborations) influence the likelihoods of subsequent high and low cognitions, this study examines whether sequences of cognitions are related to group performance over time; 54 primary school students (18 triads) discussed and wrote an essay about living in another country (32,375 turns of talk). Content analysis and statistical discourse analysis showed that within each lesson, groups with more low cognitions or more sequences of low cognition followed by high cognition added more essay words...
April 2017: Small Group Research
https://www.readbyqxmd.com/read/28488302/the-big-d-eal-professional-identity-through-discursive-constructions-of-patient
#12
Brett Schrewe, Joanna Bates, Dan Pratt, Claudia W Ruitenberg, William H McKellin
CONTEXT: Professional identity formation has become a key focus for medical education. Who one becomes as a physician is contingent upon learning to conceptualise who the other is as a patient, yet, at a time when influential ideologies such as patient-centred care have become espoused values, there has been little empirical investigation into assumptions of 'patient' that trainees take up as they progress through their training. METHODS: Our team employed a critical discourse analysis approach to transcripts originally produced from a micro-ethnography of medical student learning on an acute care in-patient paediatric ward...
June 2017: Medical Education
https://www.readbyqxmd.com/read/28488264/the-primacy-of-discourse-in-the-study-of-gender-in-family-therapy
#13
Olga Sutherland, Andrea LaMarre, Carla Rice
Family therapists and scholars increasingly adopt poststructural and postmodern conceptions of social reality, challenging the notion of stable, universal dynamics within family members and families and favoring a view of reality as produced through social interaction. In the study of gender and diversity, many envision differences as social constructed rather than as "residing" in people or groups. There is a growing interest in discourse or people's everyday use of language and how it may reflect and advance interests of dominant groups in a society...
May 10, 2017: Family Process
https://www.readbyqxmd.com/read/28471313/coming-out-confessions-negotiating-the-burden-of-lesbian-identity-politics-in-south-africa
#14
Ella Kotze, Brett Bowman
For lesbians, "coming out" or disclosing one's sexual orientation has come to be seen as a marker of self-acceptance, actualisation and the imperative first step in the authentication of a liberated subjectivity and social identity. However, other critical schools of thought, largely informed by Foucault's middle writings, have argued that "coming-out" is merely a confessional response to an incitement to discourse about sex. This study explored constructions of coming-out by a group of self-identified lesbians in South Africa...
May 4, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28471258/developing-interprofessional-education-online-an-ecological-systems-theory-analysis
#15
Patricia Bluteau, Lynn Clouder, Debra Cureton
This article relates the findings of a discourse analysis of an online asynchronous interprofessional learning initiative involving two UK universities. The impact of the initiative is traced over three intensive periods of online interaction, each of several-weeks duration occurring over a three-year period, through an analysis of a random sample of discussion forum threads. The corpus of rich data drawn from the forums is interpreted using ecological systems theory, which highlights the complexity of interaction of individual, social and cultural elements...
May 4, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28470773/new-sexism-in-couple-therapy-a-discursive-analysis
#16
Olga Sutherland, Andrea LaMarre, Carla Rice, Laura Hardt, Amanda Le Couteur
The persistence of gender inequality in postindustrial societies is puzzling in light of a plethora of changes that destabilize it, including shifts in economy, legislation, and the proliferation of feminist politics. In family relations, such persistence manifests as a disconnect between couples aspiring to be more egalitarian yet continuing to enact traditional gender roles and hierarchies. There is an emerging consensus that gender inequality persists because of people's continued reliance on sexist ideology or gendered assumptions that constitute women as innately distinct from and inferior to men...
May 4, 2017: Family Process
https://www.readbyqxmd.com/read/28467191/whole-system-in-the-room-toward-systems-integration-in-healthcare
#17
Tony Huzzard, Andreas Hellström, Svante Lifvergren
How might systems integration be furthered in healthcare? The paper addresses this by exploring critically the potentials of appreciative inquiry for accelerating systems integration through a large group intervention. We analyze a one-day dialog workshop to get "the whole system in the room" to improve cancer care in a regional health authority in south west Sweden. Seeing systems integration as socialization and enhanced common understandings, we suggest that discourse may play a crucial role in bringing together the various stakeholders in the system...
May 3, 2017: Health Communication
https://www.readbyqxmd.com/read/28466752/what-makes-a-robot-social
#18
Raya A Jones
Rhetorical moves that construct humanoid robots as social agents disclose tensions at the intersection of science and technology studies (STS) and social robotics. The discourse of robotics often constructs robots that are like us (and therefore unlike dumb artefacts). In the discourse of STS, descriptions of how people assimilate robots into their activities are presented directly or indirectly against the backdrop of actor-network theory, which prompts attributing agency to mundane artefacts. In contradistinction to both social robotics and STS, it is suggested here that to view a capacity to partake in dialogical action (to have a 'voice') is necessary for regarding an artefact as authentically social...
April 1, 2017: Social Studies of Science
https://www.readbyqxmd.com/read/28458588/evolution-and-complexity-of-government-policies-to-protect-the-health-of-undocumented-illegal-migrants-in-thailand-the-unsolved-challenges
#19
Rapeepong Suphanchaimat, Weerasak Putthasri, Phusit Prakongsai, Viroj Tangcharoensathien
BACKGROUND: Of the 65 million residents in Thailand, >1.5 million are undocumented/illegal migrants from neighboring countries. Despite several policies being launched to improve access to care for these migrants, policy implementation has always faced numerous challenges. This study aimed to investigate the policy makers' views on the challenges of implementing policies to protect the health of undocumented/illegal migrants in light of the dynamics of all of the migrant policies in Thailand...
2017: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/28456856/exploring-trainer-and-trainee-emotional-talk-in-narratives-about-workplace-based-feedback-processes
#20
A A Dennis, M J Foy, L V Monrouxe, C E Rees
Emotion characterises learners' feedback experiences. While the failure-to-fail literature suggests that emotion may be important, little is known about the role of emotion for educators. Secondary analyses were therefore conducted on data exploring 110 trainers' and trainees' feedback experiences. Group and individual narrative interviews were conducted across three UK sites. We analysed 333 narratives for emotional talk using textual analysis: Linguistic Inquiry and Word Count. Furthermore, thematic framework analysis was conducted on the trainer narratives to explore aspects of feedback processes that are emotional...
April 29, 2017: Advances in Health Sciences Education: Theory and Practice
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