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

Purpose: The aim was to describe and gain a more comprehensive understanding of the phenomenon anesthesia induction of a child based on the perspectives of children, parents, and anesthesia staff.

Methods: A general structure was created based on a secondary synthesis of three empirical studies. The analysis was based on a reflective lifeworld research approach.

Results: The induction of anesthesia in children is a complex emotional and existential experience. Children face a loss of control and bodily autonomy, provoking significant anxiety, while parents have a dual role, navigating tension between protecting their child and compliance with the situation. Anesthesia staff must balance technical proficiency with emotional sensitivity, fostering trust and empathy. Communication plays a key role in modulating anxiety, and power dynamics influence interactions: children may resist, parents negotiate advocacy and compliance, and staff rely on parental cooperation to manage emotional and procedural challenges.

Conclusions: Trust is a fundamental element in the child's anesthesia experience, enabling courage, security, and cooperation among children, parents, and anesthesia staff. Built through empathetic and consistent interactions, trust fosters collaboration and confidence in care. From a phenomenological perspective, anesthesia induction emerges as a deeply human encounter grounded in vulnerability, relationality, and the need for holistic, compassionate pediatric care.

Introduction: Demographic changes have increased the number of older adults with chronic diseases, leading to more emergency visits and poorer outcomes. In response, Sweden's "Close care" initiative promotes patient-centered care through models such as mobile care units, which provide hospital care in patients' homes during office hours. To support their integration, this study explored patients' experiences of receiving care from mobile care units in Sweden.

Method: A qualitative interview design was used. Data were collected through individual interviews with 17 patients receiving care from mobile care units in different regions of Sweden between June 2021 and May 2025. Interviews were transcribed verbatim and analyzed using manifest conventional content analysis.

Result: The findings emerged into two main categories with six subcategories: "The home as a care setting" and "Comprehensive patient-centered care". Patients valued mobile care for its comfort, reduced stress, and decreased need for hospital visits, preferring it for mild conditions while favoring hospital care for acute illness.

Conclusion: Patients appreciated the person-centered, home-based care, which reduced logistical challenges and supported daily routines and independence. However, some questioned its suitability for severe conditions, preferring hospital care for its advanced resources and 24/7 availability.

Purpose: The global shortage of healthcare professionals disproportionately affects low/middle income countries. Bangladesh is facing critical health workforce shortages, exacerbating workload and the risk of doctors' burnout. However, there is a lack of qualitative research into causes of occupational burnout in Bangladeshi doctors. This study investigated the factors contributing to burnout among Bangladeshi doctors.

Methods: An exploratory approach was employed using Reflexive Thematic Analysis with a Critical Realist approach. Fifteen semi-structured interviews were conducted with Bangladeshi doctors (general practitioners, cardiologists, surgeons, and paediatricians). Data were collected in English or Bangla and analysed using Atlas.ti version 24.

Results: Four themes were developed: (1) the postgraduate phase is a pressure pinch-point, (2) there is limited awareness of mental health issues and insufficient support, (3) high workload and competing demands, (4) unhelpful public attitudes and media narratives. Findings highlight structural, cultural, and organizational factors driving burnout.

Discussion: Addressing burnout in Bangladeshi doctors requires systemic and policy-level interventions. Mental health support, workload management strategies, and public awareness initiatives are critical to improving doctors' well-being and sustaining the healthcare workforce in Bangladesh. Overall, the study offers the first in-depth qualitative account of how intersecting structural and cultural pressures shape doctors' experiences of burnout in Bangladesh.

Purpose: This study synthesised qualitative findings from physical literacy (PL) interventions, focusing on participants' experiences and perceived outcomes. It also explored the key factors influencing these experiences and outcomes to inform future PL interventions.

Methods: A secondary data analysis was conducted using a meta-aggregative approach to review qualitative studies from a previously published systematic review (PROSPERO; registration number: CRD42020188926). Studies were included if they: (i) reported results from a PL intervention, (ii) reported participant perceptions, and (iii) were published in English. Studies that reported only quantitative outcomes were excluded, and mixed-methods studies were eligible only if they contained extractable qualitative findings. The data were extracted, synthesised, and categorised using the Joanna Briggs Institute System for the Unified Management, Assessment, and Review of Information.

Results: Following the ConQual approach, the overall quality, dependability, and credibility of the 12 included studies were scored as high. A total of 336 findings were aggregated into 95 sub-themes (i.e., categories), which were then categorised into 19 themes. As a result, three overarching themes (i.e., synthesised findings) were identified: program outcomes, factors influencing outcomes, and challenges with implementation.

Conclusions: Our synthesis highlights the holistic, context-sensitive nature of successful PL interventions, filling a notable gap in the predominantly quantitative PL literature. Tailoring programs to participant needs, proactively addressing logistical barriers, and continuing to foreground participant perspectives remain crucial for enhancing effectiveness and refining future intervention strategies.

Purpose: This study explores expert consensus on the benefits and future potential of generative artificial intelligence (GAI) in mental health care, using the Technology Acceptance Model (TAM) to interpret these perceptions.

Methods: A two-round Delphi study using a mixed-methods design was conducted with 15 purposively selected experts in psychiatry, clinical psychology, counselling, and digital mental health. Round 1 gathered open-ended responses that were thematically analysed to identify benefit and future-potential dimensions. In Round 2, experts ranked these dimensions, and consensus was assessed using Kendall's coefficient of concordance.

Results: Twenty-eight themes were identified across eight benefit dimensions, and 29 themes across eight future-potential dimensions. Statistically significant consensus was achieved for both benefits (W = 0.145, p = 0.034) and future potential (W = 0.152, p = 0.025). Accessibility and availability ranked as the most important current benefit, while AI as a collaborative and informative tool was prioritised for future application.

Discussion: Experts perceived GAI as a transformative adjunct to mental health practice, particularly in expanding access, supporting personalised care, and augmenting professional capacity. Adoption is contingent on usability, transparency, trust, and robust ethical governance to ensure equitable and human-centred integration.

Background: Previous research shows that early childhood care has a significant impact on lifelong health. Supportive and nurturing parenting promotes resilience, while adverse childhood experiences (ACEs) increase the risk of health and developmental challenges. Studies also indicate that the foundation of the parental role is shaped by one's own upbringing. In Norwegian antenatal care and child health clinic (CHC) services, healthcare professionals are expected to discuss parenting with parents. However, we have limited knowledge about how parental guidance is delivered and experienced during CHC consultations.

Objective: To explore how parents and public health nurses (PHNs) experience the integration of parental guidance in routine CHC consultations, particularly in relation to challenges in early parenthood, and how these services can best support families through existing contact.

Methods: We conducted a qualitative interview-based study consisting of in-depth interviews with eight mothers and one father, as well as two focus group interviews with eight PHNs from two medium-sized municipalities in Norway.

Results: Based on an analysis of interviews with both parents and PHNs, four themes were developed: 1) challenges in parenthood: from time constraints to taboo emotions; 2) experiences from their own upbringing: continuation and change; 3) encountering the child health clinic: safe and accessible - primarily for mother and child; and 4) parental guidance: unnoticeably present.

Conclusion: Parents and PHNs described CHCs as safe and accessible but noted that parental guidance was often subtle or unclear. PHNs emphasized joint reflection around parenthood but faced time constraints. Parents valued reflecting on their own upbringing and called for extended follow-up and greater inclusion of fathers. Tailoring guidance to family needs - combining reflective and direct approaches - may strengthen support and promote family relationships.

Background: Chronic obstructive pulmonary disease (COPD) is a chronic condition with a debilitating symptom profile that significantly impacts quality of life (QoL). While its physiological burden is well-documented, innovative qualitative approaches can offer valuable insights into the lived experience, and its broader impact on wellbeing.

Methods: Eight participants contributed 67 photographs using a photovoice methodology. Participants were invited via social media platforms and patient support networks (Breathe Easy Networks). Each participant provided up to ten photographs illustrating the impact of COPD and completed a follow-up interview for contextual understanding.

Results: Thematic analysis of interviews and images identified three key themes: (1) self-criticism, shame and emotional responses to COPD, (2) interactions and relationships with others and (3) strategies and methods to help with well-being and managing the impact of COPD. Breathlessness emerged as a pervasive experience underpinning emotional responses, shaping perceptions of loss, change and experience of others.

Conclusion: COPD's impact extends beyond physical symptoms, encompassing psychological and social dimensions. Photovoice offered a novel lens to explore these complexities highlighting the importance of addressing self-criticism, shame, emotional responses and interactions with others in patient care. Interventions should consider both individual coping strategies and systemic factors influencing daily life.

Purpose: Many COVID-19 studies treat the student population as homogenous, concealing the experiences of vulnerable groups. This study conceptualised vulnerability during the pandemic as an intersection of being a first-year student with a history of poor mental health and being from a low-income background. The aim of this study was to understand how these students' profiles shape their university and educational experience over 1 year of the pandemic.

Methods: Longitudinal, semi-structured interviews with 20 first-year students from UK universities were conducted during the 2020-2021 academic year. The interview data were analysed using Interpretative Phenomenological Analysis (IPA).

Results: Themes were (i) (Not) managing mental health impacts, where participants expressed a sense of barely surviving; (ii) little choice, more risk, and more isolation, where low-income students reported struggling to balance the risk of illness with employment; and (iii) Past mental health experiences: Feeling more isolated and forgotten, where previous experiences of poor mental health left students vulnerable to a spiralling state of poor mental well-being.

Discussion: This study identified how vulnerabilities intersect and interact with challenging circumstances to reveal how those inequalities were experienced by students. Recommendations were made to support students by improving visibility and access to mental health services.

Introduction: Severe mental illness affects bodily experiences, often leading to detachment and dysregulation. While exercise is recognized as a resource in personal recovery, excisting research has mainly focused on psychological and social dimensions, with limited attention to embodied experiences. This study explores the role of the body in personal recovery as it unfolds within community-based exercise for young adults with severe mental illness.

Methods: This qualitative interview study was embedded within a multicenter pragmatic randomized controlled trial. Sixteen participants aged 25-35 were purposively sampled based on study site, attendance, and personal recovery scores. Semi-structured interviews explored participants' bodily experiences of exercise in relation to personal recovery. Data were analyzed using Reflexive Thematic Analysis.

Results: The analysis generated the overarching theme Embodied Recovery and three interrelated themes: Bodily Identity, Bodily Regulation, and Bodily Sociality. Exercise supported bodily ownership, regulation, and social connection, while also involving challegens related to bodily unpredictability and social comparison.

Conclusion: The findings highlight the body as an active agent in personal recovery among young adults with severe mental illness engaging in community-based exercise. Conceptualizing personal recovery as embodied emphasizes the importance of embedding strctured exercise and movement-based pratices as integral components of recovery-oriented mental health services.

Background: In Bangladesh, households experience high out-of-pocket healthcare expenditure, with below-poverty-line population being disproportionately affected. To reduce financial hardship, the government piloted a social health protection scheme targeting poor households in selected sub-districts. This study examined the implementation barriers of the scheme.

Method: A mixed-methods design was applied. Quantitative data were collected through survey of enrolled households (n = 806). The qualitative component comprised KIIs (n = 10) with scheme implementers and healthcare providers, and FGDs (n = 5) with beneficiaries.

Results: Household survey indicated low service utilization (16.1%) among cardholders. Awareness of specific benefits was also limited, with only 19.1 percent aware of free diagnostics and 9.4 percent aware of free referrals. Qualitative findings confirmed these demand-side barriers, highlighting inadequate knowledge of beneficiaries, dissatisfaction with care quality, and negligence in service delivery. Key supply-side challenges included staff shortages, low provider motivation, and delays in claim settlement. The absence of outpatient coverage emerged as a common concern across stakeholders. At the ecosystem level, weak local-level coordination and rigid public financial rules further hindered implementation.

Conclusion: Implementation challenges were largely systemic, reflecting misalignment between program design and operational realities. Addressing these challenges is essential to ensure the success of future initiatives in Bangladesh and comparable settings.