• Title/Summary/Keyword: qualitative health research

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Breast Cancer Screening Barriers from the Womans Perspective: a Meta-synthesis

  • Azami-Aghdash, Saber;Ghojazadeh, Morteza;Sheyklo, Sepideh Gareh;Daemi, Amin;Kolahdouzan, Kasra;Mohseni, Mohammad;Moosavi, Ahmad
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.8
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    • pp.3463-3471
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    • 2015
  • Background: The principal aim of health service providers in the field of breast cancer is to detect and treat lesions at an appropriate time. Therefore, identification of barriers to screening can be very helpful. The present study aimed to systematically review the qualitative studies for extracting and reporting the barriers of screening for breast cancer from the womans perspective. Materials and Methods: In this systematic review; Pubmed, Google Scholar, Ovid Scopus, Cochrane Library, Iranmedex, and SID were searched using the keywords: screening barriers, cancer, qualitative studies, breast and their Persian equivalents, and the needed data were extracted and analyzed using an extraction table. To assess the quality of the studies, the Critical Appraisal Skills Programme (CASP) tool was used. Results: From 2,134 related articles that were found, 21 articles were eventually included in the study. The most important barriers from the point of view of 1,084 women were lack of knowledge, access barriers (financial, geographical, cultural), fear (of results and pain), performance of service providers, women's beliefs, procrastination of screening, embarrassment, long wait for getting an appointment, language problems, and previous negative experiences. Articles' assessment score was 68.9. Conclusions: Increasing women's knowledge, reducing the costs of screening services, cultural promotion for screening, presenting less painful methods, changing beliefs of health service providers, provision of privacy for giving service, decreasing the waiting time, and providing high quality services in a respectful manner can be effective ways to increase breast cancer screening.

An Analytical Study of the Development, Improvement, and Direction of the Korean Society of School Health (한국학교보건학회의 발전과정과 전망에 관한 논고)

  • Kim, Young Im
    • Journal of the Korean Society of School Health
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    • v.11 no.1
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    • pp.123-130
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    • 1998
  • The Korean society of School Health was opened to research school health, publish a Journal, survey activities, educate members, and exchange information etc This society has operated these services actively since 1987. The objectives of this study are (1) To review the quantitative development process of the society of school health (2) To review the qualitative development process of the society. (3) To suggest improvement and new directions of the society The quantitative aspects include number of members, number of conferences, and number of journals published; the qualitative aspects deal with comprehension and sufficiency of these activities A literature review method was used for this study The results are as follows. (1) The number of members increased to 987 from 200 (2) The number of conferences total led 15 at an average of 1 5 per year since 1987 (3) The journal of the Korean society of school health was published a total of 20 times at an average of 2 per year. (4) Many health behavior and student-oriented articles were published (5) There are few activities that exchange international information, suply data to members, and investigate the opinions of society concerning school health Consequently, positive activities concerning major school health themes, research concerning the health rights of teachers in a school environment, and a more systematic management of members should be developed. Also, it is necessary to develope an in-service education program for those same members.

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Current Status and Challenges of Research Methology for Health Promotion Research: Focusing on Research Funded by the Korea Health Promotion Foundation, 2005-2011 (건강증진 연구방법의 현황과 과제 : 한국건강증진재단 연구과제(2005-2011년)를 중심으로)

  • An, Ji-Young;Kim, Kwang Kee;JeKarl, Jung;Moon, Hyunjung;Cha, Sun Kyung;Jeong, Eunha
    • Korean Journal of Health Education and Promotion
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    • v.30 no.5
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    • pp.47-59
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    • 2013
  • Objectives: To investigate the current status and challenges of research methodology for health promotion research (HPR), this study analyzed HPR funded by the Korea Health Promotion Foundation (KHPF) from 2005 to 2011. Methods: All of the research reports funded by the KHPF for the period were included in this study. From the literature reviewed, a framework of this study was developed. Results: Quantitative research was 67.7%. The most common quantitative research design was cross-sectional survey (46.6%). Only 7.3% of quantitative research employed theoretical frameworks, and more than a half (53.4%) used primary data. For qualitative research (2.8%), most cases were conducted together with quantitative research. No qualitative research employed a philosophical underpinning. Only 7.0% of research received consent form, and 2.1% was approved by institutional review board. The results of this study indicate that there is a need to employ various research methods to study key concepts of HPR more in-depth. Efforts should be made to reduce statistical errors and also employ newly introduced statistical methods. Conclusions: Overall, a lack of scientific evidence from the HPR reports analyzed in this study was observed. Therefore, the KHPF and the academia should work together to solve the problems indicated from this study.

Trend Analysis of Research Articles Published in the Korean Journal of Women Health Nursing from 2013 to 2017 (최근 4년간 여성건강간호학회지에 게재된 여성건강 관련 연구의 동향(2013~2017년))

  • Lee, Young Jin;Kim, Seo Yun;Kang, Saem Yi;Kang, Yoo Jeong;Jin, Lan;Jung, Hee Yoen;Kim, Hae Won
    • Women's Health Nursing
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    • v.24 no.1
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    • pp.90-103
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    • 2018
  • Purpose: To analyze articles published in the Korean Journal of Women Health Nursing from 2013 to 2017 to determine the latest research trends and understand how 2013 Korea Women's Health Statistics were reflected in journal articles. Methods: A total of 130 studies were analyzed. Research design, types of research, research framework, research subjects, characteristics of quantitative research, characteristics of qualitative research, and keywords were analyzed using a structured analysis format. Results: Quantitative and qualitative research accounted for 83.8% and 13% of these 130 studies analyzed, respectively. Non-experimental and experimental research accounted for 70.7% and 13.1% of these studies, respectively. The most frequent study subjects were childbearing women (62.8%), including college students, mothers, and adults. A total of 69.1% of non-experimental research and 88.2% of experimental research used convenience sampling. Questionnaires were most frequently used for data collection. The most frequent keyword domain involved health-related concepts (41%) among nine domains and the most frequently used keyword was "women." Conclusion: This study suggest that further experimental research should be conducted in the future. Also, adolescent and the elderly women should be focused on as subjects in future studies based on results of 2013 Korean Women's Health Statistics.

Health promoting behaviors in low-income overweight and obese women in Korea: an exploratory qualitative study

  • Nho, Ju-Hee;Kim, Eun Jin
    • Women's Health Nursing
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    • v.27 no.4
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    • pp.348-357
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    • 2021
  • Purpose: This study aimed to explore and understand the health promoting behaviors of low-income overweight and obese women in Korea. Methods: Data were collected from 10 low-income overweight and obese women working at a community self-sufficiency center through semi-structured in-depth interviews. Individual interviews were conducted and transcribed. Deductive content analysis was done, using the MAXQDA program. Results: The health promoting behaviors practiced by low-income overweight and obese women were affected by intrapersonal, interpersonal, and organizational/ community factors. Six categories were identified and two category clusters were derived that could best describe their health promoting experiences. As main category clusters, despite "feeling that the body and mind are not healthy" participants noted "difficulty maintaining a healthy lifestyle." Overall, the participants had poor nutritional status, lacked physical activity, experienced much stress in intrapersonal level, and faced intrapersonal-level barriers to health promoting behaviors. Moreover, participants had a lack of personal will, and lack of specific information to practice health promoting behaviors, a lack of time, and too many overall burdens to earn a living for their family while trying to maintain health promotion behaviors. Conclusion: Lifestyle interventions for nutrition management, encouragement of physical activity, and stress management are needed for overweight and obese low-income women. In addition, social support and policies are needed to improve their living environment.

An Exploratory Study of Healthcare Utilization Process among Patients with Multimorbidity (복합만성질환자의 의료이용 과정에 관한 근거이론적 탐색)

  • Yu, Soo-Young;You, Myoung Soon
    • Journal of muscle and joint health
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    • v.28 no.2
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    • pp.161-173
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    • 2021
  • Purpose: This study examined: 1) what it meant for patients to have multimorbidity 2) how they manage their illness using health care facilities, and 3) what contextual backgrounds exist regarding the health care system. Methods: This qualitative research obtained individual in-depth interviews from 22 patients. Participants were selected by purposive sampling among those who saw physicians more often than the national average from the 2013 medical-claim data. The transcribed data were analyzed using Ground theory. Results: Multimorbidity patients suffered from "chain-like serial symptoms" and "pain without a breakthrough". They expressed themselves as "indeed patients among patients", "my body is a general hospital", and "an incompletely normal person". There was a demand to resolve the anxiety arising from the situation in which the body keeps getting sicker without showing any signs of recovery. In a state of reduced social support and a lack of trust in the doctor, their desire to be healed led them to receive a temporary relief through dependence on medical institutions. Conclusion: This research recognized the desire of multimorbidity patients to seek temporary relief through dependence on medical institutions. A more patient-centered directed care plan, specific to the needs of the patients with multimorbidity is required.

A qualitative research on the needs for oral care according to the subjective oral health status of the elderly (노인의 주관적인 구강건강상태에 따른 구강관리 요구도에 관한 질적연구)

  • Sang-Eun Moon;Sun-Hwa Hong;Bo-Ram Lee
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.4
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    • pp.311-321
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    • 2023
  • Objectives: The purpose of this study was conducted an in-depth analysis of the subjective oral status and oral care needs according and problems of the elderly. Methods: A phenomenological research method was from April 13 to 30, 2023, 15 elderly people aged 65 or older in Gwangju and Jeolla regions were surveyed. Results: He was experiencing oral changes such as difficulty chewing, dry mouth and indigestion, sensitive teeth, smell of fear and feeling sensitive when eating sweet or cold food. They were burdened by the financial difficulties of dental treatment costs, the inconvenience caused by frequent visits, and the pain experienced during treatment. Realized the need for necessity of oral care education, and their confidence was restored through dental treatment. It was necessary the image recovery of dentistry, and they wanted to maintain oral health through the expansion of treatment health insurance. Conclusions: Consequently, it is necessary to develop a practical oral health management program for the elderly based on social communication regarding of the elderly and to expand health insurance coverage.

Korean-American Women's Experience of Cancer Prevention in the U.S. (재미 한인 여성의 암 예방 경험)

  • Jun, Myunghee;Choi, Kyungsook;Kim, Hye-Kyung;Vipavee, Thongpriwan;Shin, Gyeyoung
    • Journal of muscle and joint health
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    • v.29 no.2
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    • pp.100-112
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    • 2022
  • Purpose: This study is a qualitative analysis of Korean-American (K-A) women's cancer prevention in the US. Methods: Qualitative research was conducted. Fifteen K-A women in four states were interviewed. Content theme analysis was used to analyze verbatim transcriptions of interviews. Results: Participants experienced difficulties in utilizing cancer screening programs. Factors include unfamiliarity with the US health care system, high health care costs or lack of health insurance, language barriers, and irregular and sporadic cancer screening participation. Participants also actively pursued non-institutional approaches to cancer prevention. They engaged in word-of-mouth informational exchanges in K-A communities, sought cancer screening in hospitals in Korea, conducted internet searches, autonomously decided on their health issues, and adopted healthy practices including better diets, physical exercise, and spiritual practices. Conclusion: It is necessary to implement measures to increase K-A women's utilization of the US cancer screening services and to encourage their active engagement in hands-on cancer prevention practices. K-A women should be empowered through increased familiarity with US cancer screening services and through the establishment of improved K-A community social services.

Barriers to Effective Communication about Advance Care Planning and Palliative Care: A Qualitative Study

  • Hyosin Kim;Signe Peterson Flieger
    • Journal of Hospice and Palliative Care
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    • v.26 no.2
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    • pp.42-50
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    • 2023
  • Purpose: The purpose of this study was to identify barriers to effective conversations about advance care planning (ACP) and palliative care reported by health care and community-based service providers in Massachusetts, USA. Methods: This qualitative research analyzed open-ended responses to two survey questions, inquiring about perceived barriers to having conversations about ACP and palliative care with patients and consumers. Data were collected between November 2017 and June 2019 from nine organizations in Massachusetts, including health care provider organizations, health insurers, community-based organizations, and a nursing education institution. Two researchers reviewed and coded the responses and identified common themes inductively. Results: Across 142 responses, primary barriers to ACP included hesitation and lack of understanding and knowledge, discomfort and resistance among service providers, lack of staff knowledge, difficulties with followup, and differences in ACP policies across regions. Common barriers to palliative care were misconceptions about palliative care and lack of knowledge, service providers' lack of preparedness, and limited policy support and availability. Challenges relevant to both ACP and palliative care were fear and discomfort around serious illness discussions, lack of knowledge and awareness, discussions that occur too late, and cultural and language barriers. Conclusion: Health care practitioners and community-based professionals reported consumer-, service provider-, and system-level barriers to facilitating conversations about ACP and palliative care with patients experiencing serious illness. There is a need for more tools and support to strengthen service providers' ACP and palliative care competencies and to promote a structured approach to health care planning conversations.

The lived experience of health-management in patients with Parkinson's disease (파킨슨병 환자의 건강관리 경험)

  • Son, Hye Gyeong;Park, Hyun-Joo;Kim, Sang Jin;Han, A-Leum
    • The Journal of Korean Academic Society of Nursing Education
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    • v.26 no.4
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    • pp.423-433
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    • 2020
  • Purpose: The purpose of this study was to describe the health care experiences among patients with Parkinson's disease. Methods: Of the qualitative research methods, Colaizzi's phenomenological method was used in this study. A total of nine patients, who were diagnosed with Parkinson's disease and receiving outpatient treatment, were selected as the subjects of this study. Subsequently, data were collected through individual in-depth interview. Results: The four categories obtained as a result were 'strenuous efforts to control my own body,' 'subject of health that no one can replace,' 'focus on the current while expecting a breakthrough in health management,' and 'human dignity that cannot be lost to the end.' Conclusion: The study results are expected to help health care providers deeply understand the experiences in health care among patients with Parkinson's disease and to provide source data for nursing intervention development that can be helpful in managing the health status of patients with Parkinson's disease.