International Journal of Qualitative Studies on Health and Well-Being最新文献

Purpose: This study examines the nurse-patient relationship in forensic psychiatric care (FPC) from a philosophical perspective, with a focus on ethical complexities. Using Løgstrup's ethical philosophy, the work explores how trust, moral responsibility, and relational tensions shape caregiving.

Materials and methods: A theoretical analysis was conducted based on five empirical qualitative studies of nurses' lived experiences in forensic inpatient care. These studies, rooted in phenomenology and hermeneutics, were re-analysed using reflective lifeworld research (RLR), a phenomenological approach grounded in the lifeworld theory of Husserl and Merleau-Ponty, that emphasizes openness and reflection to capture the meaning of lived experiences. The analysis was interpreted through Løgstrup's ethical framework.

Findings: Five key themes emerged: Having Trust or Feeling Distrust, Being Compassionate or Being Indifferent, Having Courage or Being Afraid, Being Genuine or Pretending, and Being a Ballerina or Being a Bulldozer. These themes highlight the "space in-between", where nurses navigate ethical tensions, institutional constraints, and patient interactions.

Conclusions: Forensic psychiatric nursing requires balancing institutional control and compassionate care. Ethical encounters emerge through both self-reflection and relational engagement. Structured reflection and dialogue help nurses navigate ethical challenges, foster professional growth, and enhance patient-centred care.

Objective: The purpose of this narrative study was to understand Métis adults' stories of culture and social support in relation to their health and wellbeing.

Methods: In partnership with Saskatoon Métis Local 126, 19 adults (9 females, 30 ± 11 years) participated in conversational interviews and photovoice reflections.

Results: Four themes represent the importance of culture and social support to Métis People's health: 1) Métis Identity: "It was really empowering to learn about where I come from"; 2) Kinship, Community, and Culture: "Métis are people who gather"; 3) The Métis Environment and Land Connection: "Where I go to recharge"; 4) Knowledge, Impacts, and Intentional Steps for the Future: "Taking what's good and making that in a way forward".

Conclusions: Culture and social support are important protective factors in facilitating positive health outcomes for Métis People.

Introduction: The purpose of this study is to examine line manager perspectives on two workplace-based efforts to reduce sickness absence (uniform procedures for managing sickness absence and initiating preventive actions), two components from an intervention to reduce sickness absence in public sector workplaces in Denmark.

Methods: We performed 19 semi-structured interviews with line managers from four public sector workplaces. The interviews were analysed using thematic analysis (TA). Normalization Process Theory (NPT) was used as theoretical framework.

Results: Uniform sickness absence procedures are meaningful and provide clear expectations for line managers and employees about roles and responsibilities during sick leave. Line managers expressed a desire for flexibility in adjusting the procedures to the individual needs of the employees. They also reported a need for proactive preventive actions that prevent sickness absence from occurring in the first place. The line managers reported lacking competencies to ensure appropriate sick leave management and that their own well-being was often overlooked.

Conclusion: Future interventions should focus on improving the work environment instead of focusing solely on absenteeism. It is essential to consider the well-being of the line managers and provide adequate training, as this can affect their capability to ensure the well-being of, and reduce sickness absence, among their employees.

Purpose: The perspectives of individuals with lived experience are essential to understanding how care practices support or hinder person-centred suicide prevention. This study explores experiences of individuals who sought healthcare in Sweden during suicidal crises.

Methods: In-depth interviews with 28 individuals with current or past suicidal behaviour were analysed using a phenomenological hermeneutical approach.

Results: Six themes emerged: (1) Hoping for the best, while preparing for the worst, (2) The risks of help-seeking, (3) In need of a safe space, (4) Support from professionals, (5) "Now it's your turn", and (6) A shared journey. Findings indicate that individuals with suicidal behaviour view themselves as motivated and capable partners in shaping the care process and believe that co-creating care can help delay or lessen exacerbations. Participants who co-created their care felt better prepared for self-care during early escalation and more confident that, if their condition worsened, they and their healthcare team could address a shared challenge.

Conclusion: According to participants, key elements of person-centred care include early engagement, long-term goals, and planning for crises. During intense suicidality, they emphasised the need for supportive environments and relationships-over mere security. Mutual trust between patient and healthcare team was seen as essential.

Purpose: To improve care for patients in the last phase of life, healthcare professionals (HCPs) need to understand what matters to them in terms of care and follow-up. Therefore, in our study, we investigated how patients with cancer in Norway who are receiving home care perceive their situations and what matters to them at the end of life and compared it with HCPs' views on what matters to such patients.

Methods: Following a qualitative design, we conducted in-depth interviews with eight patients with late-stage cancer living at home and four focus group interviews with 21 hCPs, mainly nurses. Patients and HCPs were recruited from two municipalities in Southeast and mid-Norway. The study period lasted from December 2020 to October 2022. We performed reflexive, thematic analyses of both data sets.

Results: The views of all eight patients and all 21 hCPs were interpreted according to five themes: cancer impacts all aspects of life, navigating the healthcare system, living with dying, the paramount importance of relationships, and dying at home.

Conclusion: Entering the end of life, patients feel exhausted, lonely, and abandoned. They lack confidence in HCPs and the healthcare system. HCPs characterized plans and predictability as being important during end-of-life care, whereas patients were often hesitant to talk about and plan for the last phase of life.

Purpose: Prostate cancer (PCa) is the second most common cancer among men. Despite advancements in clinical interventions and improvements in public health outreach, a multi-dimensional lack of understanding of the lived experiences of men diagnosed with PCa continues. Improving the quantity and quality of knowledge about this subject could guide clinical decisions and interventions for this group.

Methods: This paper reviews qualitative studies focusing on PCa patients using the Critical Appraisal Skills Programme tool (CASP), synthesizes the data, and maps the overarching themes through a systematic meta-synthesis.

Results: The authors identified 3546 manuscripts, of which 103 met the inclusion criteria. Six themes were identified that addressed: support needs, diagnosis, and treatment experiences, lived experiences, information accessibility, care, and threats to masculinity.

Conclusion: Treatment side-effects caused a re-configuration and re-evaluation of masculine ideologies. Men mainly relied on close family and support groups to cope with their feelings of stigma, uncertainty, and recovery. Professional healthcare and consultation quality eased their anxiety concerning long-term treatment and other factors associated with their condition. The studies were socio-demographically heterogeneous. Thus, researchers could use qualitative research to explore knowledge gaps in the following interconnected themes: masculinity care, masculinity support, masculinity information, and incorporating a more diverse socio-demographical sample.

This study explores the role of spiritual motivation in shaping the personal values of modern college students in China. Spiritual motivation, an intrinsic psychological drive rooted in ideological, ethical, and cultural beliefs, significantly influences value formation and behavioral choices. Unlike spiritual intelligence, which focuses on cognitive abilities related to existential understanding, spiritual motivation serves as a guiding force in moral and ethical decision-making. This research examines the current state of personal values among college students and investigates how spiritual motivation impacts their development. Through both theoretical analysis and practical investigation, the study identifies key strategies for fostering positive value formation influenced by spiritual motivation. The findings reveal that spiritual motivation plays a pivotal role in students' intellectual and personal growth, emphasizing the need for support from society, family, and educational systems. By nurturing strong spiritual motivation, educators and policymakers can enhance students' moral and personal development, equipping them to contribute meaningfully to China's future. The study highlights the importance of integrating spiritual motivation into educational frameworks to foster well-rounded individuals capable of navigating modern societal challenges with resilience and purpose.

Purpose: Intimate partner violence is a global health issue with physical, mental, and existential impacts. It affects women throughout their lives, including the breastfeeding period. Gaining an understanding of existential dimensions could potentially inspire individualized, health-oriented care. This study aims to explain and understand women's lived experience of intimate partner violence during the breastfeeding period.

Methods: A lifeworld hermeneutic approach guided the interpretative analysis of nine lifeworld interviews and forty-nine written lifeworld stories of women exposed to intimate partner violence during breastfeeding.

Results: The interpretations show that intimate partner violence during the breastfeeding period means to breastfeed under attack in an objectified and provocative female body while feeling abandoned and entrapped in an incomprehensible reality. The interpretations are abstracted into a main interpretation: being forced into an existential exile that entails an ambiguous passive-active resistance.

Conclusions: Exposure to intimate partner violence during breastfeeding is a forced existential exile in a vulnerable situation. Women are forced into unauthentic lives, where their whole being is questioned, and active resistance is inhibited by limited freedom. Awareness of the lived experience of IPV during breastfeeding is essential for healthcare professionals to help reduce the suffering and enhance the health and well-being of women exposed to IPV.

Background and purpose: Rape is one of the most common human violations, with devastating consequences for the victims and their families. Although this scourge affects everyone, regardless of gender, studies on rape victimization have largely focused on women and children as the victims. Studies on rape victimization of men are therefore limited and little is known about the consequences of rape victimization for men. Accordingly, this study sought to fill this gap by exploring the consequences of rape victimization for men in the City of Tshwane Metropolitan Municipality, Gauteng Province, South Africa.

Method: A qualitative research approach underpinned by interpretative phenomenological analysis (IPA) was used to collect data from a purposive sample of eleven participants. Data was collected using semi-structured face-to-face individual interviews and analysed using the IPA framework. Trustworthiness and validity of study findings was ensured by following Lincoln and Guba criteria, and the study followed ethical principles outlined in the Declaration of Helsinki on conducting research with human participants.

Results: Six superordinate themes emerged from the data as consequences of rape victimization for men, namely physical, psychological, emotional, social, spiritual and financial consequences.

Conclusion: The study provides a comprehensive description of the effects of rape on the overall well-being of men. The findings underscore the need for the development of holistic clinical care management guidelines and psychosocial interventions that are specifically tailored for men post-rape. Furthermore, longitudinal studies on the long-term impact of rape on men should be conducted.

Purpose: From an active ageing perspective, investigating how adults use apps and wearables for health purposes might improve well-being strategies supported by widely adopted technologies. This study investigated adults' perceptions of using apps and wearables for health purposes.

Methods: A qualitative interview study was conducted. Adults (+18) using an app/wearable to monitor at least one health variable (e.g. physical activity and diet) were eligible. Transcriptions were analysed using the Reflexive Thematic Analysis.

Results: Nineteen participants (34.3 ± 14.5 years; men/women: 8/11) joined the study and from their transcriptions 5 themes were created: 1) Easy and accurate monitoring of health: balancing users' needs and technological challenges; 2) Self-improvement and motivation: usefulness of rewarding behaviours and gamification towards achievements; 3) Requiring personalized apps and wearables: aesthetics and wearability; 4) Beyond simple monitoring: prevention and care throughout daily life; 5) Awareness of potentially dangerous digital data world: from distress to fixation.

Conclusions: Apps and wearables were highly valued by our participants for effectively managing and enhancing their health and sports performance while ensuring education, motivation, ease of use, safety, and prevention. However, issues such as privacy concerns, wearability, and lack of integration need to be addressed to improve adoption, enhance usability and support active ageing initiatives.