BackgroundPhysical activity on prescription (PAP) is a successful intervention for increasing physical activity among patients with a sedentary lifestyle. The method seems to be sparsely used by general practitioners (GPs) and there is limited information about GPs’ attitudes to counselling using PAP as a tool. The aim of the study was to explore and understand the meaning of prescribing physical activity from the general practitioner’s perspective.MethodsThree focus group interviews were conducted with a purposive sample of 15 Swedish GPs in the south of Sweden. Participants were invited to talk about their experience of using PAP. The interviews were transcribed verbatim, analysed using qualitative content analysis.ResultsThe analysis resulted in four categories: The tradition makes it hard to change attitude, Shared responsibility is necessary, PAP has low status and is regarded with distrust and Lack of procedures and clear guidelines. Traditionally GPs talk with patients about the importance of an increased level of physical activity but they do not prescribe physical activity as a treatment. Physician’s education focuses on the use of pharmaceuticals. The responsibility for patients’ physical activity level is shared with other health professionals, the patient and society. The GPs express reservations about prescribing physical activity. A heavy workload is a source of frustration. PAP is regarded with distrust and considered to be a task of less value and status. Using a prescription to emphasize an increased level is considered to be redundant and the GPs think it should be administered by someone else in the health care system. Scepticism about the result of the method was also expressed.ConclusionsThere is uncertainty about using PAP as a treatment since physicians lack education in non-pharmaceutical methods. The GPs do not regard the written referral as a prioritized task and rather refer to other professionals in the health care system to prescribe PAP. GPs pointed out a need to create routines and arrangements for the method to gain credibility and become everyday practice among GPs.
BackgroundOlder patients generally have only poor knowledge about their medicines. Knowledge is important for good adherence and for participating in decisions about treatment. Patients are entitled to be informed on an individual and adequate level. The aim of the study was to explore frail elderly patients’ experiences of receiving information about their medications and their views on how the information should best be given.MethodsThe study was qualitative in design and was carried out in 2011. Twelve frail elderly (aged 68–88) participants taking cardiovascular medications participated in semi-structured interviews covering issues related to receiving information about prescribed medicines. The interviews were recorded, transcribed and subjected to content analysis, in which the text was analysed in five steps, inspired by Graneheim and Lundman.ResultsThe results revealed that the experiences which the elderly participants had regarding the receiving of medical information fell into two main categories: “Comfortable with information” or “Insecure with information”. The elderly felt comfortable when they trusted their physician or their medication, when they received enough information from the prescriber or when they knew how to find out sufficient information by themselves. They felt insecure if they were anxious, if the availability of medical care was poor or if they did not receive enough information.ConclusionsFactors that frequently caused insecurity about information and anxiety were too short consultations, lack of availability of someone to answer questions or of the opportunity to contact the physician if adverse effects are suspected. These factors could easily be dealt with and there must be improvements in the clinics if the patients´ feelings of security are to be increased.
PurposeIn workplace health promotion, enhancing resources are less explored than risk factors. The aim of this paper is to explore the usability of the sense of coherence (SOC) theory to identify considerable and positively perceived work‐related factors and processes.Design/methodology/approachThe study had a salutogenic approach to workplace health promotion. A total of 13 focus group interviews were conducted with hospital employees in Sweden. A deductive analysis was made with the SOC theory as a framework.FindingsWork‐related specific enhancing resources (SER) were identified and analysed into the three components of SOC: comprehensibility, manageability, and meaningfulness. SER's implication in daily performance is explained by employee expressions. Through increased understanding and awareness, SER could contribute to savoring positive experiences, and enhance SOC among employees. Antonovsky's concept Generalized Resistance Resources is suggested to be enlarged based on the expressed significance of concrete daily positive work occurrences to increase one's SOC.Research limitations/implicationsNot all hospital professions were represented in the study. Further studies are required to involve physicians, paramedics, managers, as well as other settings, to compare and complement with additional experiences of workplace resources.Practical implicationsThe study presents an opportunity to explore, understand, and foster workplace resources through assistance from the SOC theory. The SER presented in this study may serve as initial examples in workplace discussions about work‐related resources contributing to a sense of coherence.Originality/valueThis study contributes to public health research and workplace health promotion with a salutogenic focus on how to explore enhancing work‐related resources with the assistance of the practical SOC theory.
The study adds knowledge of GPs' thoughts about depressive disorder and their diagnostic and treatment preferences. Utilizing the concepts discussed herein, a quantitative study will be conducted to analyse how GPs' conceptions of depression are inter-related.
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