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

Background: Studies show that female immigrants tend to struggle to establish themselves in the working life in a new society. Since previous research has primarily focused on barriers to integration, there is a need for more studies that encompass aspects that make integration toward employment possible for women.

Purpose: This integrative literature review aimed to explore peer-reviewed research on facilitating aspects for immigrant women in their process of integrating into working life.

Methods: An integrative literature review yielded 15 peer-reviewed articles published between 2010 and 2024.

Results: The review revealed two categories of facilitators; the power of agency and social networks as prominent patterns in the reviewed articles. The agency appeared as an active endeavour to learn culture and language, supported by social networks from family, friends, and workplaces. However, there seems to be an imbalance between the discourse of integration as a two-way process and the idea of assimilating to dominant ideas of workplaces and society.

Discussion: The authors discuss the implications of these findings concerning the different meanings of integration, inclusion, assimilation, and health.

Purpose: This study aims to explore the multifaceted nature of women's body perception and the personal and social factors that influence it. The research investigates how societal expectations, health concerns, and self-perception intersect in shaping women's views of their own bodies.

Methods: Adopting a phenomenological approach, this qualitative study involved semi-structured interviews with 30 women aged 18-65 from diverse socioeconomic backgrounds. The data collection tool-a structured interview form-was developed through a literature review and expert consultation, and it was piloted for validity. Interviews were conducted both face-to-face and online, transcribed, and then analyzed using a phenomenologically informed thematic analysis. Three major themes were identified through high inter-rater agreement (over 90%): Physical Features and Health, Societal Pressures and Criticism, and Self-Perception and Emotions.

Results: Findings indicate that women's body perception is shaped by intersecting factors such as age, media portrayals, cultural norms, social surroundings, and lived experiences. Within the theme of Physical Features and Health, concerns around "Weight and Health" emerged most frequently, revealing the strong link between body perception and health consciousness.

Conclusions: The study underscores the need for social and educational interventions that promote body positivity and challenge restrictive beauty norms.

Purpose: The Bathysmed^® program combines scuba diving with mindfulness meditation and sophrology techniques. The effects of this program on emotional eating in adults with obesity was studied in a recent randomized controlled trial. Here, we aimed to understand the lived experiences of patients with obesity who participated in the program.

Methods: This qualitative phenomenological study interviewed volunteers from the BathysMed arm of the trial. Ten semi-structured individual interviews were analyzed using a semio-pragmatic analysis method with triangulation.

Results: Four categories emerged: 1) the protocol offered disconnection, awe of the underwater world, and transformation of sensory stimuli. This created a meditative experience that fostered mindfulness in daily life. 2) Combined with psychological and dietary support, it raised awareness of psychological disorders and had a therapeutic effect, promoting engagement in the care process. Overcoming difficulties during this experience increased self-esteem and reduced self-stigmatization. 3) Awareness of emotional eating and better management of emotions and stress was a catalyst for behavioral changes: reduced food compulsions, increased physical activity, and pursuit of change. 4) The conditions of the intervention influenced participants' unique experiences. The group had a distinct beneficial effect.

Conclusions: The combined diving and mindfulness program is a synergistic, innovative approach with multidimensional benefits for adults with obesity. The program could be integrated into comprehensive management of chronic conditions to promote lifestyle changes.

Purpose: Although eHealth can play a vital role in the lives of people affected by sexual violence, research indicates that eHealth applications often do not meet these users' needs.

Methods: This study used action research to develop a national website in Denmark for sexual assault support. This process involved collaboration between employees at a sexual assault center and university researchers, as well as meetings and interviews with representatives from website user groups (survivors and support providers).

Results: Formal interviews were analyzed using thematic analysis. Results indicate that websites are used to define sexual assault (Theme 1), that information to counter rape myths is essential (Theme 2), that all those affected by sexual violence must be addressed, not just survivors (Theme 3), that wording and labels matter (Theme 4), and that interactive materials are desired (Theme 5). A new sexual assault website was developed, resulting in a more contemporary, accessible, and inclusive website (e.g., by broadening and diversifying descriptions of sexual violence; by addressing the pain and suffering experienced by survivors' loved ones).

Discussion: This study illustrates that action research in this area is feasible and that survivors and support providers can contribute significantly to the creation of new interventions.

Purpose: Yulin, an agricultural region and one of Taiwan's the oldest counties, has older adults who may experience loneliness, social isolation, and detachment. This study investigates their attitudes and perspectives regarding social detachment and social connection.

Method: We purposively sampled thirty participants from the Social Detachment Questionnaire for the Older Population (SDQO) study in Yunlin and conducted in-depth interviews to explore perceived social detachment and connection, followed by qualitative thematic analysis.

Results: Five themes and twenty-two subthemes were identified, revealing interrelations among some subthemes. Participants, with a median age of 74, included 14 males and 16 females. Environmental gerontology is examined from social and psychological perspectives, highlighting that socially detached individuals often exhibit disinterest in social interactions, feelings of interiority, and negative personalities traits. Such individuals are harder to reach and are less common in non-urban areas due to strong community ties. Fostering residential attachment and neighbourhood trust, along with community course and activities, effectively mitigate loneliness and social isolation.

Conclusions: Targeted interventions that enhance the quantity and quality of interpersonal relationships are vital for addressing the specific causes of loneliness, social isolation, and detachment, thus improving social connectedness and overall well-being among older adults in Yunlin.

Introduction: This article aims to identify key challenges raised by fragmented healthcare systems by adopting the lens of patients. We analyzed how high fragmentation leads to the loss of humanity from healthcare providers as perceived by the parents of children born with disabilities.

Methods: Twenty-nine Lebanese families of children born with disability agreed to participate. Data was collected through semi-structured interviews, recorded and then coded using Nvivo 11. The coding followed an abductive approach.

Results and contribution: The study revealed the financial and bureaucratic burdens, the reification and relational challenges of fragmented healthcare systems. We identified how parents became an expert patient and a care path manager. Our contribution is by addressing the fragmentation issue from the parents' point of view. In this way, we further contribute to documenting the impact of fragmentation, on the lives of patients and their families and the intensity of the violence generated by the institutional system that amplifies the trauma inherent to the clinical case which refers to the chronic emotional and psychological distress that parents endure as they repeatedly confront care discontinuities, administrative barriers, and the need to compensate for the system's failures.

Purpose: To increase knowledge about organizations' OHSM, a specific focus should be placed on how managers, HR practitioners, and OHS representatives conduct OHSM.

Methods: A content analysis was carried out based on semi-structured interviews with 18 managers, 6 HR practitioners, and 5 OHS representatives in different industries and occupations.

Results: All three roles had several OHS assignments. Managers initiate, lead, and check activities; HR practitioners develop routines and guidelines (strategic approach), while OHS representatives often initiate regular safety rounds and inspections (practical approach). The organizational conditions for fulfilling their assignments varied among the three roles. In general, managers and HR practitioners had more favourable conditions, while OHS representatives were dependent on others. Collaboration took place mostly between roles involved in strategic OHSM, i.e., top management and HR practitioners, while cooperation took place between roles involved in operational OHSM, i.e., (first-line) managers and OHS representatives. Regulation-based coordination occurred in a top-down manner through HR practitioners, while reactive coordination occurred in a bottom-up manner through OHS representatives.

Conclusions: For more effective and successful OHSM, more developed interprofessional collaboration is needed between all involved roles. Such collaboration needs to be promoted through improved organizational conditions, regardless of role or organizational level.

Background: Children with autism spectrum disorder (ASD) often experience challenges in social communication, behavioral regulation, and daily life adaptation. Equine-assisted activities and therapies (EAATs) have been implemented as complementary approaches to support psychosocial development. However, little is known about the experiences of parents in Japan whose children participate in EAATs.

Aim: The study aims to qualitatively explore how parents in Japan perceive the psychosocial outcomes of EAATs for their children with ASD. By focusing on parental perspectives, this study seeks to clarify how EAATs may contribute to the well-being of both children and their families, and to inform the development of supportive therapeutic environments.

Methods: This qualitative study employed a phenomenological approach. Semi-structured interviews were conducted with ten parents whose children with ASD had participated in EAATs for a minimum of six months. Thematic analysis was guided by Colaizzi's method.

Results: Four primary developmental stages emerged from the analysis of children's experiences: (1) Learning physical and mental harmony, (2) Exploring interests and strengthening bonds with oneself and others, (3) Inspiring independence and interaction, and (4) Building resilience and communication skills. Furthermore, parents reported three overarching outcomes from their own involvement: (1) Parental well-being and engagement through horseback riding, (2) Parental joy and recognition of their child's growth, and (3) Fostering Family Connection and parent-to-parent interaction. Participant narratives illustrated these themes vividly, highlighting specific examples of behavioral and emotional change.

Conclusions: EAATs were perceived by parents as fostering not only the psychosocial growth of children with ASD but also enhancing parental well-being and family cohesion. To support children's psychosocial development and promote the health and well-being of their parents, nurses could play a distinctive role by observing both psychological and physical changes, monitoring how these influence daily functioning and interpersonal relationships, and supporting parents in interpreting their child's developmental progress.

Purpose: The purpose of this study was to investigate the health benefits associated with nature-based walking among older Korean immigrants living in the United States.

Method: Semi-structured, in-depth interviews were conducted with sixteen older Korean immigrant participants. Interviews explored participant motivations for joining nature walking groups and the specific health benefits that were derived from participation in such groups. Thematic analysis was used to identify major themes in collected data.

Results: Analysis revealed three primary themes: (a) improvement of psychological wellbeing that was characterized by stress reduction, emotional resilience, ad alleviation of loneliness; (b) development of cultural bonding that was demonstrated by the building of enhanced interpersonal relationships and cultural exchanges among participants; and (c) increased physical health that was indicated by improved mobility, endurance, and physical strength.

Conclusions: Our findings underscore the importance of culturally sensitive leisure activities such as nature walking that significantly enhance the psychological, social, and physical health of older Korean immigrants. These insights are valuable for designing targeted health promotion interventions whose goal is to improve the quality of life and facilitate the healthy aging of this population.

Purpose: This study explores the lived experiences of Ukrainian refugee mothers who have resettled in Norway under the temporary collective protection scheme. In particular, the research investigates how structural integration mechanisms, psychosocial well-being, and individual aspirations intersect in shaping adaptation processes.

Methods: A qualitative design was adopted, using semi-structured interviews with ten Ukrainian refugee mothers residing across different Norwegian municipalities. Analysis was conducted within a critical-realist and contextualist stance using reflexive thematic analysis, with attention to both systemic constraints and agentic responses.

Results: Three overarching themes were identified. First, Introduction Programme (IP) Misalignment captures participants' frustrations with the one-size-fits-all integration model, with particular emphasis on language barriers and the non-recognition of pre-migration professional qualifications. Second, the State of Limbo reflects the psychological distress associated with temporary protection status, ongoing uncertainty, and dependency on welfare mechanisms. Third, Commitment to Staying highlights a future-oriented stance marked by resilience, maternal responsibility, and appreciation for Norwegian safety and values.

Discussion: The findings demonstrate that while Ukrainian refugee mothers in Norway face significant institutional and psychological challenges, they also exhibit high levels of motivation and adaptive resilience. Structural barriers compound feelings of liminality and hinder full participation in Norwegian society.