Jarelys Hernandez, Barbara Lubrano di Ciccone, Sarah Thirlwell, Margaret Booth-Jones, Sadaf Aslam, John Greene
The COVID-19 pandemic presented myriad of unprecedented and daunting ethical dilemmas to healthcare workers, patients, their families, and the public health. Here we present a case of a 42-years-old Hispanic female with underlying hematological malignancy that developed severe SARS-COV-2 infection amidst the pandemic. This case illustrates some remarkable ethical dilemmas during pandemic times, including the lack of advanced directive planning, the repercussions of restricting family visits, and what ethics in crisis and moral injury entails. Identifying the ethical challenges emerging from the pandemic will assist physicians and other providers in making proper decisions and maintaining the best standard of care.
{"title":"COVID-19 pandemic causing medical and public health ethical dilemmas: A case report and review of literature.","authors":"Jarelys Hernandez, Barbara Lubrano di Ciccone, Sarah Thirlwell, Margaret Booth-Jones, Sadaf Aslam, John Greene","doi":"10.4081/qrmh.2021.9690","DOIUrl":"https://doi.org/10.4081/qrmh.2021.9690","url":null,"abstract":"<p><p>The COVID-19 pandemic presented myriad of unprecedented and daunting ethical dilemmas to healthcare workers, patients, their families, and the public health. Here we present a case of a 42-years-old Hispanic female with underlying hematological malignancy that developed severe SARS-COV-2 infection amidst the pandemic. This case illustrates some remarkable ethical dilemmas during pandemic times, including the lack of advanced directive planning, the repercussions of restricting family visits, and what ethics in crisis and moral injury entails. Identifying the ethical challenges emerging from the pandemic will assist physicians and other providers in making proper decisions and maintaining the best standard of care.</p>","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"5 1","pages":"9690"},"PeriodicalIF":0.0,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/5d/qrmh-5-1-9690.PMC10336877.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9816600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A hospital physician from Northern Italy describes his own experience as caregiver of COVID-19 patients and as a patient himself who required treatment in urgent care. From this experience he learned that an untapped reserve of human solidarity exists in a team of caregivers in the midst of a crisis where they find an unsuspected shared energy. He never would have believed to be able to work long hours patiently and without sleep until he was challenged by the demands of the COVID crisis. As such, he discovers that to be effective the team leader should lead by example rather than by commandments! His experience as a patient allowed him to face his own mortality, to learn that healing rather than cure is the ultimate goal of caregiving.
{"title":"COVID-19: A learning moment for patients and health professionals.","authors":"Stefano Leccardi","doi":"10.4081/qrmh.2021.9688","DOIUrl":"https://doi.org/10.4081/qrmh.2021.9688","url":null,"abstract":"<p><p>A hospital physician from Northern Italy describes his own experience as caregiver of COVID-19 patients and as a patient himself who required treatment in urgent care. From this experience he learned that an untapped reserve of human solidarity exists in a team of caregivers in the midst of a crisis where they find an unsuspected shared energy. He never would have believed to be able to work long hours patiently and without sleep until he was challenged by the demands of the COVID crisis. As such, he discovers that to be effective the team leader should lead by example rather than by commandments! His experience as a patient allowed him to face his own mortality, to learn that healing rather than cure is the ultimate goal of caregiving.</p>","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"5 1","pages":"9688"},"PeriodicalIF":0.0,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/56/16/qrmh-5-1-9688.PMC10336879.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9814046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-24eCollection Date: 2021-03-25DOI: 10.4081/qrmh.2021.9686
Lodovico Balducci
{"title":"Editor's introduction: Qualitative research in the course of a pandemic.","authors":"Lodovico Balducci","doi":"10.4081/qrmh.2021.9686","DOIUrl":"10.4081/qrmh.2021.9686","url":null,"abstract":"","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"5 1","pages":"9686"},"PeriodicalIF":0.0,"publicationDate":"2021-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5e/3c/qrmh-5-1-9686.PMC10336977.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10180922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kelli Stidham Hall, Abubakar Manu, Emmanuel Morhe, Vanessa K Dalton, Sneha Challa, Dana Loll, Jessica L Dozier, Melissa K Zochowski, Andrew Boakye, Lisa H Harris
Adolescent pregnancy contributes to high maternal mortality rates in Sub-Saharan Africa. We explored stigma surrounding adolescent sexual and reproductive health (SRH) and its impact on young Ghanaian women's family planning (FP) outcomes. We conducted in-depth, semi-structured interviews with 63 women ages 15-24 recruited from health facilities and schools in Accra and Kumasi, Ghana. Purposive sampling provided diversity in reproductive/relationship/socioeconomic/religious characteristics. Using both deductive and inductive approaches, our thematic analysis applied principles of grounded theory. Participants described adolescent SRH experiences as cutting across five stigma domains. First, community norms identified non-marital sex and its consequences (pregnancy, childbearing, abortion, sexually transmitted infections) as immoral, disrespectful, and disobedient, resulting in bad girl labeling. Second, enacted stigma entailed gossip, marginalization, and mistreatment from all community members, especially healthcare workers. Third, young sexually active, pregnant, and childbearing women experienced internalized stigma as disgrace, shame and shyness. Fourth, non-disclosure and secret-keeping were used to avoid/reduce stigma. Fifth, stigma resilience was achieved through social support. Collectively, SRH stigma precluded adolescents' use of FP methods and services. Our resulting conceptual model of adolescent SRH stigma can guide health service, public health, and policy efforts to address unmet FP need and de-stigmatize SRH for young women worldwide.
{"title":"<i>Bad girl</i> and unmet family planning need among Sub-Saharan African adolescents: the role of sexual and reproductive health stigma.","authors":"Kelli Stidham Hall, Abubakar Manu, Emmanuel Morhe, Vanessa K Dalton, Sneha Challa, Dana Loll, Jessica L Dozier, Melissa K Zochowski, Andrew Boakye, Lisa H Harris","doi":"10.4081/qrmh.2018.7062","DOIUrl":"10.4081/qrmh.2018.7062","url":null,"abstract":"<p><p>Adolescent pregnancy contributes to high maternal mortality rates in Sub-Saharan Africa. We explored stigma surrounding adolescent sexual and reproductive health (SRH) and its impact on young Ghanaian women's family planning (FP) outcomes. We conducted in-depth, semi-structured interviews with 63 women ages 15-24 recruited from health facilities and schools in Accra and Kumasi, Ghana. Purposive sampling provided diversity in reproductive/relationship/socioeconomic/religious characteristics. Using both deductive and inductive approaches, our thematic analysis applied principles of grounded theory. Participants described adolescent SRH experiences as cutting across five stigma domains. First, <i>community norms</i> identified non-marital sex and its consequences (pregnancy, childbearing, abortion, sexually transmitted infections) as <i>immoral</i>, <i>disrespectful</i>, and <i>disobedient</i>, resulting in <i>bad girl</i> labeling. Second, <i>enacted stigma</i> entailed gossip, marginalization, and mistreatment from all community members, especially healthcare workers. Third, young sexually active, pregnant, and childbearing women experienced <i>internalized stigma</i> as <i>disgrace</i>, <i>shame</i> and <i>shyness</i>. Fourth, <i>non-disclosure and secret-keeping</i> were used to avoid/reduce stigma. Fifth, <i>stigma resilience</i> was achieved through social support. Collectively, SRH stigma precluded adolescents' use of FP methods and services. Our resulting conceptual model of adolescent SRH stigma can guide health service, public health, and policy efforts to address unmet FP need and de-stigmatize SRH for young women worldwide.</p>","PeriodicalId":74623,"journal":{"name":"Qualitative research in medicine & healthcare","volume":"2 1","pages":"55-64"},"PeriodicalIF":0.0,"publicationDate":"2018-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292434/pdf/nihms975603.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36789744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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