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https://www.readbyqxmd.com/read/27928829/mapping-the-illness-trajectories-of-insomnia-a-biographical-disruption
#1
Janet M Y Cheung, Bandana Saini, Delwyn J Bartlett, Tracey-Lea Laba, Paul H Mason
The insomnia illness experience can be conceptualised as a form of biographical disruption. Using a critical interpretive phenomenological lens 51 in-depth semi-structured interviews were conducted with patients from specialist sleep and psychology clinics (n = 22) and the general community (n = 29). Patients' narratives revealed key phases of their illness trajectories as they recognise, rethink and respond to insomnia. Their biographical events served as reference points for both patient groups to make sense of their illness experiences as they transitioned from a perceived state of sleeplessness to clinical insomnia...
December 7, 2016: Sociology of Health & Illness
https://www.readbyqxmd.com/read/27927243/traditional-mapuche-ecological-knowledge-in-patagonia-argentina-fishes-and-other-living-beings-inhabiting-continental-waters-as-a-reflection-of-processes-of-change
#2
Juana Aigo, Ana Ladio
BACKGROUND: Understanding how people interpret environmental change and develop practices in response to such change is essential to comprehend human resource use. In the cosmology of the American indigenous peoples, as among the Mapuche people, freshwater systems are considered a living entity, where animals have an enormous role to play in the universe of meaning. However, human adaptive responses to freshwater system dynamics are scarcely examined. In this work a survey is carried out in three Mapuche communities of Argentine Patagonia to assess their traditional knowledge of the fishes and other non-human living beings that inhabit lakes and rivers...
December 7, 2016: Journal of Ethnobiology and Ethnomedicine
https://www.readbyqxmd.com/read/27921321/from-paperwork-to-parenting-experiences-of-professional-staff-in-student-support
#3
Wendy C Y Hu, Eleanor Flynn, Rebecca Mann, Robyn Woodward-Kron
CONTEXT: For academic staff, responding to student concerns is an important responsibility. Professional staff, or non-academic staff who do administrative work in medical schools, are often the first to be approached by students, yet there is little research on how they manage student issues. Informed by the conceptual framework of emotional labour, we examined the experiences of professional staff, aiming to identify theoretical and practical insights for improving the provision of student support...
December 5, 2016: Medical Education
https://www.readbyqxmd.com/read/27917459/predictors-of-stress-generation-in-adolescents-in-mainland-china
#4
Claire J Starrs, John R Z Abela, David C Zuroff, Rhonda Amsel, Josephine H Shih, Shuqiao Yao, Xiong Zhao Zhu, Wei Hong
The current longitudinal study examined whether the personality vulnerabilities of self-criticism and dependency prospectively predicted stress generation in Chinese adolescents. Participants included 1,116 adolescents (588 girls and 528 boys), aged 15 to 18 years from rural, urban and ultra-urban mainland China. Participants completed self-report measures of personality, depressive and anxious symptoms and participated in a clinical interview assessing lifetime history of depression. The occurrence of negative life events was measured using a contextual-threat interview every 6-months for a total period of 18-months...
December 5, 2016: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/27893951/events-leading-to-hospital-related-disenrollment-of-home-hospice-patients-a-study-of-primary-caregivers-perspectives
#5
Veerawat Phongtankuel, Shawn Paustian, Manney Carrington Reid, Amanda Finley, Angela Martin, John Delfs, Rosemary Baughn, Ronald D Adelman
BACKGROUND: Approximately 25% of hospice disenrollments in the United States occur as the result of hospitalization, which can lead to burdensome transitions and undesired care. Informal caregivers (e.g., spouses, children) play a critical role in caring for patients on home hospice. Research examining hospital-related disenrollment among these patients is limited. OBJECTIVE: To understand the events surrounding the hospitalization of patients discharged from home hospice through the perspective of their informal caregivers...
November 28, 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27884581/family-stress-in-pediatric-critical-care
#6
Sandra Hagstrom
This mixed methods study explored stress in families whose children were hospitalized in the pediatric intensive care unit (PICU) for more than one week. The study aim was to describe sources of stress for families whose children require extended hospitalization in the PICU. Data collection included semi-structured interviews and completion of the Family Inventory of Life Events and Family System Stressor Strength Inventory. Themes reported in this paper are separation, not knowing, and the child's illness and distress...
November 21, 2016: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/27855240/identifying-critical-factors-in-determining-discharge-readiness-from-skilled-home-health-an-interprofessional-perspective
#7
Melissa O'Connor, Helene Moriarty, Rose Madden-Baer, Kathryn H Bowles
A lack of readiness for discharge from skilled home health can result in adverse events among older adults. The purpose of the current study was to explore interprofessional home health clinician perceptions of the factors they consider important to determine readiness for discharge among skilled home health recipients. A qualitative descriptive study was conducted using four focus groups among 32 interprofessional clinicians from one large skilled home health agency and two telephone interviews with home visiting physicians...
November 1, 2016: Research in Gerontological Nursing
https://www.readbyqxmd.com/read/27779512/the-discriminatory-patient-and-family-strategies-to-address-discrimination-towards-trainees
#8
Emily E Whitgob, Rebecca L Blankenburg, Alyssa L Bogetz
PURPOSE: Trainee mistreatment remains an important and serious medical education issue. Mistreatment toward trainees by the medical team has been described; mistreatment by patients and families has not. Motivated by discrimination towards a resident by a family in their emergency department, the authors sought to identify strategies for trainees and physicians to respond effectively to mistreatment by patients and families. METHOD: A purposeful sample of pediatric faculty educational leaders was recruited from April-June 2014 at Stanford University...
November 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27748138/accessibility-of-medical-and-psychosocial-services-following-disasters-and-other-traumatic-events-experiences-of-deaf-and-hard-of-hearing-individuals-in-denmark
#9
Lotte Skøt, Tina Jeppesen, Angelina Isabella Mellentin, Ask Elklit
PURPOSE: This descriptive study sought to explore barriers faced by Deaf and hard-of-hearing (D/HH) individuals in Denmark when accessing medical and psychosocial services following large-scale disasters and individual traumatic experiences. METHODS: Semi-structured interviews were conducted with nine D/HH individuals who had experienced at least one disaster or other traumatic event. RESULTS: Difficulties were encountered during interactions with first response and healthcare services, which centered on: (1) lack of Deaf awareness among professionals, (2) problems accessing interpreter services, (3) professionals relying on hearing relatives to disseminate information, and (4) professionals who were unwilling to adjust their speech or try different forms of communication...
October 17, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27729405/participants-safety-versus-confidentiality-a-case-study-of-hiv-research
#10
Juan Manuel Leyva-Moral, Maria Feijoo-Cid
BACKGROUND: When conducting qualitative research, participants usually share lots of personal and private information with the researcher. As researchers, we must preserve participants' identity and confidentiality of the data. OBJECTIVE: To critically analyze an ethical conflict encountered regarding confidentiality when doing qualitative research. RESEARCH DESIGN: Case study. FINDINGS AND DISCUSSION: one of the participants in a study aiming to explain the meaning of living with HIV verbalized his imminent intention to commit suicide because of stigma of other social problems arising from living with HIV...
October 11, 2016: Nursing Ethics
https://www.readbyqxmd.com/read/27720335/inattentional-blindness-and-failures-to-rescue-the-deteriorating-patient-in-critical-care-emergency-and-perioperative-settings-four-case-scenarios
#11
Angela Jones, Megan-Jane Johnstone
BACKGROUND: Failure to identify and respond to clinical deterioration is an important measure of patient safety, hospital performance and quality of care. Although studies have identified the role of patient, system and human factors in failure to rescue events, the role of 'inattentional blindness' as a possible contributing factor has been overlooked. OBJECTIVES: To explore the nature and possible patient safety implications of inattentional blindness in critical care, emergency and perioperative nursing contexts...
October 5, 2016: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/27714766/an-observational-study-of-critical-care-physicians-assessment-and-decision-making-practices-in-response-to-patient-referrals
#12
M Charlesworth, M Mort, A F Smith
Previous studies of critical care admissions have largely compared patients that have been granted or declined admission. To better understand the decision process itself, our ethnographic approach combined observation of and interviews with critical care physicians in a large English hospital. We observed 30 critical care doctors managing 71 referrals and conducted ten interviews with senior decision-makers to explore the themes raised by our observations. We analysed data using the constant comparative method...
October 7, 2016: Anaesthesia
https://www.readbyqxmd.com/read/27697880/study-protocol-for-chronic-obstructive-pulmonary-disease-sitting-and-exacerbations-trial-copd-seat-a-randomised-controlled-feasibility-trial-of-a-home-based-self-monitoring-sedentary-behaviour-intervention
#13
Mark Orme, Amie Weedon, Dale Esliger, Paula Saukko, Mike Morgan, Michael Steiner, John Downey, Sally Singh, Lauren Sherar
INTRODUCTION: An acute exacerbation of chronic obstructive pulmonary disease (COPD) marks a critical life event, which can lower patient quality of life and ability to perform daily activities. Patients with COPD tend to lead inactive and highly sedentary lifestyles, which may contribute to reductions in functional capacity. Targeting sedentary behaviour (SB) may be more attainable than exercise (at a moderate-to-vigorous intensity) for behaviour change in patients following an exacerbation...
October 3, 2016: BMJ Open
https://www.readbyqxmd.com/read/27681145/a-qualitative-study-of-migrant-related-stressors-psychosocial-outcomes-and-hiv-risk-behaviour-among-truck-drivers-in-zambia
#14
Lynn Murphy Michalopoulos, Nomagugu Ncube, Simona J Simona, Brian Kansankala, Emmanuel Sinkala, Jasmin Raidoo
Truck drivers are part of mobile populations which have been noted as a key population at risk of HIV in Zambia. This study was aimed at: (1) determining potentially traumatic events (PTEs), labour migrant-related stressors, psychosocial problems and HIV risk behaviours among truck drivers in Zambia; and (2) examining the relationship between PTEs, migrant-related stressors, psychosocial outcomes and HIV sexual risk behaviour among truck drivers in Zambia. We conducted 15 semi-structured interviews with purposively sampled male truck drivers at trucking companies in Lusaka, Zambia...
September 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27679976/narrowing-the-focus-on-the-assessment-of-psychosis-related-ptsd-a-methodologically-orientated-systematic-review
#15
REVIEW
Miriam Fornells-Ambrojo, Alison Gracie, Chris R Brewin, Amy Hardy
BACKGROUND: Posttraumatic stress disorder (PTSD) in response to psychosis and associated experiences (psychosis-related PTSD, or PR-PTSD) is the subject of a growing field of research. However, a wide range of PR-PTSD prevalence rates has been reported. This may be due to definitional and methodological inconsistencies in the assessment of PR-PTSD. OBJECTIVE: The focus of the review is two-fold. (1) To identify factors that enhance, or detract from, the robustness of PR-PTSD assessment and (2) to critically evaluate the evidence in relation to these identified criteria, including the impact on PR-PTSD prevalence rates...
2016: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/27641620/disaster-impact-on-impoverished-area-of-us-an-inter-professional-mixed-method-study
#16
Linda H Banks, Lisa A Davenport, Meghan H Hayes, Moriah A McArthur, Stacey N Toro, Cameron E King, Hazel M Vazirani
: Introduction In the foothills of the Cumberland Mountains, in central Appalachia (a region that spans 13 states in the US), sits an economically distressed and rural community of the United States. Once a thriving coal-mining area, this region now is reported as one of the hardest places to live in the US. Southeastern Kentucky, located in a remote, rocky, mountainous area surrounded by rivers and valleys and prone to flooding, experienced a major flood in Spring 2013 causing significant damage to homes and critical infrastructure...
December 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27639195/cooperative-warning-systems-the-impact-of-false-and-unnecessary-alarms-on-drivers-compliance
#17
Frederik Naujoks, Andrea Kiesel, Alexandra Neukum
Cooperative warning systems have a great potential to prevent traffic accidents. However, because of their predictive nature, they might also go along with an increased frequency of incorrect alarms that could limit their effectiveness. To better understand the consequences associated with incorrect alarms, a driving simulator study with N=80 drivers was conducted to investigate how situational context and warning urgency jointly influence drivers' compliance with an unreliable advisory warning system (AWS)...
September 14, 2016: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/27608817/parental-care-seeking-behavior-and-prehospital-timelines-of-care-in-childhood-arterial-ischemic-stroke
#18
Mark T Mackay, Belinda Stojanovski, Ian Mosley, Leonid Churilov, Geoffrey A Donnan, Paul Monagle
BACKGROUND AND PURPOSE: Taking appropriate action in the prehospital setting is important for rapid stroke diagnosis in adults. Data are lacking for children. We aimed to describe parental care-seeking behavior and prehospital timelines of care in childhood arterial ischemic stroke. METHODS: A structured questionnaire was developed, using value-focused event-driven conceptual modeling techniques, to interview parents of children presenting to the emergency department with arterial ischemic stroke from 2008 to 2014...
October 2016: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/27598009/stakeholder-engagement-in-trial-design-survey-of-visitors-to-critically-ill-patients-regarding-preferences-for-outcomes-and-treatment-options-during-weaning-from-mechanical-ventilation
#19
Karen E A Burns, Sonu Karottaiyamvelil Jacob, Valeria Aguirre, Janice Gomes, Sangeeta Mehta, Leena Rizvi
RATIONALE: Stakeholder engagement in research is expected to provide unique insights, make research investments more accountable and transparent, and ensure that future research is applicable to patients and family members. OBJECTIVES: To inform the design of a trial of strategies for weaning from mechanical ventilation, we sought to identify preferences of patient visitors regarding outcome and treatment measures. METHODS: We conducted an interviewer-administered questionnaire of visitors of critically ill patients in two family waiting rooms serving three intensive care units (ICUs) in Toronto, Canada...
September 6, 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27572490/a-tool-for-exploring-the-dynamics-of-innovative-interventions-for-public-health-the-critical-event-card
#20
Ana Claudia Figueiro, Sydia Rosana de Araújo Oliveira, Zulmira Hartz, Yves Couturier, Jocelyne Bernier, Maria do Socorro Machado Freire, Isabella Samico, Maria Guadalupe Medina, Ronice Franco de Sa, Louise Potvin
OBJECTIVES: Public health interventions are increasingly represented as complex systems. Research tools for capturing the dynamic of interventions processes, however, are practically non-existent. This paper describes the development and proof of concept process of an analytical tool, the critical event card (CEC), which supports the representation and analysis of complex interventions' evolution, based on critical events. METHODS: Drawing on the actor-network theory (ANT), we developed and field-tested the tool using three innovative health interventions in northeastern Brazil...
August 29, 2016: International Journal of Public Health
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