Case stories in general practice: a focus group study

Abildsnes, Eirik; Flottorp, Signe; Stensland, Per

doi:10.1136/bmjopen-2012-001208

Cited by 11 publications

(13 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The participants were recruited from established continuing medical education groups, and they knew each other well. Because of peer pressure, they might have wanted to speak of success stories and speak less about cases where they did not contribute or failed [23]. This scenario might have been strengthened by the fact that first interviewer was a GP (FG), the other a child and adolescent psychiatrist (MH) and that the overall aim of the research project was to obtain knowledge on how to support the children of burdened parents [26].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Burdened parents sharing their concerns for their children with the doctor. The impact of trust in general practice: a qualitative study

Hafting

Gullbrå

Anderssen

et al. 2019

Scandinavian Journal of Primary Health Care

View full text Add to dashboard Cite

Objective: The aim of this study was to recognise the preconditions experienced by general practitioners (GPs) in addressing the children’s needs when ill and substance abusing parents consult for their own health problems. Design: Qualitative analysis of 38 case stories told by GPs in focus group interviews. Setting: Focus group interviews of four continuing medical education groups for GPs in western Norway. Subjects: 27 GPs (nine females) with at least 5 years’ experiences in general practice. Results: Different aspects of the GPs’ perceived mandate of trust from the parents was a precondition for the children’s situation to be addressed. In some case stories the participants took an open mandate from the parent for granted, while in others they assumed that the parent did not want to discuss their family situation. Sometimes the participants had faith that by continuing with their ordinary GP tasks, they might obtain a more open mandate of trust. Their evaluation of the mandate of trust seemed to impact on how the GP could adopt a mediating role between the parents and various support agencies, thus supporting children who were at risk. Discussion/conclusion: The children most at risk may remain invisible in GPs’ encounters with their parents, possibly because their parent’s health problems and overall situation overshadow the children’s situation. The mandate of trust from burdened parents to GPs can be a fruitful concept in understanding the interaction regarding the welfare of the parent’s children. Negotiating the mandate of trust with parents by explicitly addressing trust and having an ongoing discussion about the mandate and its limits might be an option to secure the children support if necessary. KEY POINTS Offering children of burdened parents information and support can be crucial for health promotion and illness prevention. A general practitioner’s (GP’s) evaluation of the trust parents have in them can determine the extent of support children receive. Depending on the parents’ level of trust, GPs may take a mediating role between support services and parents for the benefit of the children. A negotiation concerning the trust parents have in the GP may open up possibilities for GPs to offer children necessary support.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Four focus group interviews with five to nine participants were conducted. When GPs meet to discuss a clinical subject, they tend to tell case stories [23]. The GPs participating in the focus groups were encouraged to bring relevant stories from their practice to the table.…”

Section: Methodsmentioning

confidence: 99%

Burdened parents sharing their concerns for their children with the doctor. The impact of trust in general practice: a qualitative study

Hafting

Gullbrå

Anderssen

et al. 2019

Scandinavian Journal of Primary Health Care

View full text Add to dashboard Cite

show abstract

“…Communication in focus groups is often informal when the participants know each other [ 41 ]. Dialogues among peers in a safe environment may be described as back-stage communication, and probably exist in every trade when peers meet, share experiences, and have discussions not meant for outsiders [ 42 , 43 ]. Information based on dialogues among peers may support information from observational studies and questionnaires, and nuance the picture of professionals’ perceptions and attitudes.…”

Section: Discussionmentioning

confidence: 99%

Physical education Teachers’ and public health Nurses’ perception of Norwegian high school Students’ participation in physical education – a focus group study

et al. 2015

Self Cite

View full text Add to dashboard Cite

BackgroundHigh quality physical education programs in high schools may facilitate adoption of sustainable healthy living among adolescents. Public health nurses often meet students who avoid taking part in physical education programs. We aimed to explore physical education teachers’ and public health nurses’ perceptions of high school students’ attitudes towards physical education, and to explore physical education teachers’ thoughts about how to facilitate and promote students’ participation in class.MethodsPrior to an initiative from physical education teachers, introducing a new physical education model in two high schools in the South of Norway, we conducted focus groups with 6 physical education teachers and 8 public health nurses. After implementation of the new model, we conducted two additional focus group interviews with 10 physical education teachers. In analyses we used Systematic Text Condensation and an editing analysis style.ResultsIn general, the students were experienced as engaged and appreciating physical education lessons. Those who seldom attended often strived with other subjects in school as well, had mental health problems, or were characterized as outsiders in several arenas. Some students were reported to be reluctant to expose their bodies in showers after class, and students who seldom attended physical education class frequently visited the school health services. Although the majority of students were engaged in class, several of the students lacked knowledge about physical fitness and motoric skills to be able to master daily activities. The participants related the students’ competence and attitude towards participation in physical education class to previous experiences in junior high school, to the competence of physical education teachers, and to possibility for students to influence the content of physical education programs.ConclusionsThe participants suggested that high school students’ attitudes towards participation in physical education is heterogeneous, depends on the students’ previous experiences, and on their present health and quality of life. All participants recommended adolescents to take part in program development, and selecting activities that generate competence, fun and enjoyment.

show abstract

“…41 This assumption is essential in other studies which also use parts of the theoretical framework Goffman developed. [47][48][49] Goffman's FA adds to the paradigm of symbolical interactionism, the issue of potential problematic structures of the general understanding in communication. 41 'What is going on here?'…”

Section: Methods and Analysis Study Designmentioning

confidence: 99%

Nurses' decision-making in ethically relevant clinical situations using the example of breathlessness: study protocol of a reflexive grounded theory integrating Goffman's framework analysis

2017

View full text Add to dashboard Cite

IntroductionDecision-making (DM) in healthcare can be understood as an interactive process addressing decision makers' reasoning as well as their visible behaviour after the decision is made. Other key elements of DM are ethical aspects and the role as well as the treatment options of the examined professions. Nurses' DM to choose interventions in situations of severe breathlessness is such interactions. They are also ethically relevant regarding the vulnerability of affected patients and possible restrictions or treatment options. The study aims to explore which factors influence nurses' DM to use nursing interventions in situations where patients suffer from severe breathlessness.Methods and analysisQualitative study including nurses in German hospital wards and hospices. A triangulation of different methods of data collection—participant observation and qualitative expert interviews—and analysis merge in a reflexive grounded theory approach which integrates Goffman's framework analysis. It allows an analysis of nurses' self-statements about DM, their behaviour in relevant clinical situations and its influences. Data collection and analysis will be examined simultaneously.Ethics and disseminationInformed consent will be gained from all participants and the institutional stakeholders. Ongoing consent has to be ensured since observations will take place in healthcare institutions and many patients will be highly vulnerable. The study has been evaluated and approved by the Witten/Herdecke University Ethics Committee, Witten, Germany. Results of the study will be published at congresses and in journal papers.

show abstract

Case stories in general practice: a focus group study

Cited by 11 publications

References 33 publications

Burdened parents sharing their concerns for their children with the doctor. The impact of trust in general practice: a qualitative study

Burdened parents sharing their concerns for their children with the doctor. The impact of trust in general practice: a qualitative study

Physical education Teachers’ and public health Nurses’ perception of Norwegian high school Students’ participation in physical education – a focus group study

Nurses' decision-making in ethically relevant clinical situations using the example of breathlessness: study protocol of a reflexive grounded theory integrating Goffman's framework analysis

Contact Info

Product

Resources

About