METHODS: This systematic review focused on synthesizing qualitative data and was registered with PROSPERO under the protocol registration number xxx. Searched 7 databases for qualitative studies on MBIs & cancer patients (17 studies, 365 patients). Analyzed data using themes & assessed confidence in findings.
RESULTS: Thematic analysis using NVivo software revealed four significant themes: (1) benefits and positive outcomes (e.g., symptom improvement, team support, positive experiences), (2) challenges and difficulties (e.g., practice challenges, negative experiences), (3) the journey of change and acceptance (e.g., shifts in perception, personal growth, and acceptance), and (4) adaptations and recommendations (e.g., program modification and flexibility).
CONCLUSION: Mindfulness-based interventions have the potential to offer cancer patients positive emotional experiences, increased team support, and opportunities for personal growth, self-discovery, and acceptance. This, in turn, can help them manage the psychological distress associated with cancer. Customizing programs to align with individual patients' needs and preferences can enhance engagement and effectiveness.
PRACTICE IMPLICATIONS: Integrating MBIs into Patient Education and Counseling, tailored to individual needs and with ongoing support, can enhance cancer care. Group interventions foster peer support and effectiveness. Training providers and ensuring accessibility are crucial. Research and customization to patients' journeys optimize outcomes and satisfaction. A patient-centered approach is essential for positive experiences and improved clinical outcomes.
OBJECTIVES: To explore factors affecting adherence to behaviours appropriate for the prevention of pressure injuries (PIs) in people with spinal cord injury (SCI) in Malaysia.
SETTING: University Hospital, Malaysia METHODS: Four sets of focus group interviews were conducted, each with 5-10 participants, totalling 30 people with SCI. A trained interviewer used structured interviews designed to explore participants' experiences of complying with recommended behaviours for the prevention of PIs. All interviews were digitally recorded, transcribed, and analysed utilising thematic analysis.
RESULTS: The factors that affected participants' adherence are classified into four main themes: (a) educational aspects, (b) internal drive, (c) social and environmental factors, and (d) post-SCI physiological changes.
CONCLUSIONS: This qualitative study provides initial exploratory evidence regarding the thoughts, experience, and opinions pertaining to PI preventive behaviours within the Malaysian SCI population. The emerging themes contribute to an in-depth understanding of the competency of the Malaysian healthcare system in PI prevention, personal and societal factors influenced by the socio-demographic backgrounds, and disease-related factors that influence the adherence to such preventive interventions.
AIM: To explore and synthesize qualitative literature related to patient experience of dental behaviour support.
METHODS: A PROSPERO-registered systematic review of qualitative articles was undertaken. Studies were identified through MEDLINE, Embase and PsycINFO. Abstracts were screened by two reviewers and data were extracted to summarize the qualitative findings included within them. A thematic summary approach was used to synthesize the qualitative data identified.
RESULTS: Twenty-three studies were included. Studies primarily explored experiences of dental care of children by speaking to their parents (n = 16), particularly regarding paediatric dental general anaesthesia (DGA) (n = 8). Studies of adults' experiences of DBS (n = 7) covered a range of techniques. Nine studies explored broader dental care experiences and did not study specific DBS approaches. A thematic synthesis identified five themes applicable across the studies identified: Trust and the therapeutic alliance supporting effective care delivery; considered information sharing often alleviated anticipatory anxiety; control and autonomy-reduced anxieties; variations in the perceived treatment successes and failures of DBS techniques; and DBS techniques produced longer positive and negative impacts on patients beyond direct care provision.
CONCLUSION: Qualitative research has been under-utilized in research on DBS techniques. Care experiences of most DBS techniques outside of paediatric DGA are poorly understood. Building trust with patients and enabling autonomy appear to support positive patient-reported experiences of care.
METHODS: Sixteen women who underwent an EmCS in the past year and experienced traumatic childbirth in a tertiary hospital in Luoyang, Henan Province had participated in semi-structured, in-depth interviews between February and May 2023. Thematic analysis was used to analyze the data.
RESULTS: Four themes and ten sub-themes were extracted from the data: Theme 1: Journey from crisis to renewal: the psychological recovery process of women experienced traumatic childbirth after EmCS (stress phase, reaction phase, emotional processing and adjustment phase, and stabilization and reconstruction phase); Theme 2: Empowering mothers and families: addressing the multifaceted needs of comprehensive perinatal health education (insufficient individualized care: diversity and challenges of maternal needs, the gap in spousal involvement in perinatal health education); Theme 3: The barriers between patient-professional communication in healthcare (breaking the silence: needs to address the ineffective communication, beyond the diagnosis: needs for empathy in healthcare); and Theme 4: Limited family support (the forgotten mothers, husbands' emotional absence).
CONCLUSIONS: This study contributed to our understanding of the childbirth process for women undergoing EmCS. Women in this period experienced a range of negative emotions, they were lacking in sufficient health education, good communication between healthcare professionals and adequate family support. The research findings are valuable for us to identify their difficulties and needs, enabling us to provide assistance.
OBJECTIVES: This study was conducted to investigate the perception and understanding of pre-clinical and clinical educators on what clinical reasoning entails, their experience, and educational strategies in teaching clinical reasoning.
METHOD: A semi-structured interview was conducted with fifteen educators encompassing pre-clinical (basic science, laboratory-based) and clinical (surgical-based, medical-based, community-based and emergency medicine) educators. The transcribed interview data was then analysed thematically.
RESULTS: Eight main themes were identified. Knowledge and experience were seen as important components in developing clinical reasoning. It was possible to teach clinical reasoning although there were some difficulties thus the need to have a train-the-trainer programme. Early introduction of clinical reasoning with its incorporation in various teaching and learning method; and the involvement of technological advances were also mentioned by the participants. However, pre-clinical educators did not perceive the importance of these technological advances. Role of educators; cognitive and non-cognitive attributes were also important in developing clinical reasoning.
CONCLUSION: The perception and understanding of pre-clinical and clinical educators on clinical reasoning did not really differ. They believed that clinical reasoning can be taught, and a train-the-trainer program may be of immeasurable benefit.
METHODS: This qualitative study examined the experiences of cancer patients with the CCTI program in Malaysia. Semi-structured interviews were conducted with 23 respondents, both CCTI recipients and non-applicants, from eight public hospitals. Data were anlaysed using the RE-AIM framework, focusing on the dimensions of reach, adoption, and implementation.
RESULTS: Patients' awareness of the CCTI varied, with recipients mostly informed through acquaintances, media, or healthcare providers. Non-recipients lacked awareness, with limited information provided by healthcare personnel. While the CCTI was perceived as valuable for alleviating financial burdens, particularly transportation costs, it did not appear to significantly influence treatment-seeking behaviours, as most patients expressed willingness to continue treatment even without financial aid. Implementation challenges included a burdensome application process requiring mandatory health screening, lack of clarity regarding procedures, and inadequate communication about claim approvals. Patients frequently encountered delays and confusion, exacerbated by insufficient support from healthcare providers. Additionally, many were unaware that transport incentives could be claimed for every hospital visit, further limiting the program's usefulness.
CONCLUSIONS: The study highlights critical gaps in the CCTI program's design and delivery, including inadequate communication strategies, complex administrative processes, and a lack of transparency. Addressing these challenges are essential to improve program reach and ensuring equitable access to CCTI. Policymakers should prioritise streamlining application process, enhancing information dissemination, and leveraging digital tools to improve patient experiences. Future studies should assess the program's long-term sustainability and impact on treatment adherence and outcomes. The findings underscore the importance of adopting patient-centred approaches in designing financial aid programs to enhance healthcare equity and access.