자연주의적 탐구조사(Naturalistic Inquiry)

Doing Qualitative Research

Death is the new sex, last great taboo in Western society and Western medicine, as Richard Smith discusses in his editorial (p 129). In the trinity of births, marriages, and deaths, only death does not have glossy magazines devoted to stylish consumption at the attendant ceremonies. On the web, of course, …

Death and dying

Grief counseling and grief therapy: A handbook for the mental health practitioner

Approaches to learning

Background . Although standards for pregnancy-related health care in correctional facilities have been established, there is no mandatory accreditation that requires adherence to these standards. Furthermore, this information has been difficult to access from correctional facilities across the country. Methods . To examine the health care practices of pregnant women in state prisons, a survey with 62 multiple choice questions and four open-ended questions was developed. Wardens of 50 women's state correctional facilities were contacted to describe the study and request participation. Nineteen facilities completed the survey, for a 38% response rate. Results . The findings of this study provide further evidence of the substandard care that pregnant incarcerated women receive in correctional facilities. In many state prisons, nutritional recommendations for a healthy pregnancy are not met, adequate rest is compromised and lower bunks are not required. Psychosocial support and education are minimal at best. The use of restraints, which can compromise the health and safety of the woman and her baby, continues as a matter of procedure in many facilities even during labor and delivery. Conclusions . The providers of health care for pregnant women fail to use best practices and established standards in many women's state prisons. A concerted effort is urgently needed to address the unmet health care needs of this marginalized population and support legislation to limit the use of restraints with pregnant incarcerated women in all states.

Health Care of Pregnant Women in U.S. State Prisons

Research demonstrates that mainstream media negatively impacts women's body image; less is known about social media, specifically Instagram. The purpose of the study was to explore how female college students use Instagram, and if using Instagram impacts body image. Since little is known, a descriptive qualitative approach was used. Six face-to-face focus groups with a total of 27 participants, aged 18-22 years, were conducted. The data were analyzed using a thematic analysis. Three themes related to Instagram use emerged: effortful posting, promotion of self, and seeking engagement. Participants put substantial effort into what they were posting, were careful to select the best images of themselves, and placed a lot of importance on receiving likes and comments. Three themes surfaced pertaining to body image: responding to beauty ideals, comparing self with others, and display of self. Participants recognized and strove to adhere to a variety of beauty standards; some discussed experiencing appearance dissatisfaction when trying to measure up to these ideals. Moreover, participants frequently compared their looks or the number of likes/comments with others. Additionally, when posting photos of self, participants took an audience perspective, expressing concern with how others perceived their appearance.

A Qualitative Study Exploring Female College Students' Instagram Use and Body Image

Background: Relational agents (RAs) are electronic computational figures designed to engage participants in the change process A recent study, Project RAISE, tested the effectiveness of RAs, combined with existing computer-based interventions to increase regular exercise and sun protection behaviors Results showed these interventions can be effective but need further development Objective: The purpose of this study was to examine participants’ experiences using RAs to increase participant engagement and promote behavior change  Methods: A qualitative approach was primarily utilized A 25-question interview guide assessed different components of participants’ experiences with the intervention, including motivation, engagement, satisfaction or dissatisfaction, quality of their interaction with the RA, and behavior change Quantitative assessment of satisfaction was based on a scale of 1 to 10, with 1 representing least satisfied and 10 representing most satisfied A summative analytic approach was used to assess individuals’ qualitative responses A single analysis of variance (ANOVA) examined levels of satisfaction by gender Results: Of the original 1354 participants enrolled in Project RAISE, 490 of 1354 (36%) were assigned to the RA group A sample of 216 out of 490 (44%) participants assigned to the RA group completed the interventions, and follow-up assessments were contacted to participate in the semistructured interview A total of 34 out of 216 (16%) completed the interview Participants were motivated by, and satisfied with, the intervention Participants viewed the RA as supportive, informative, caring, and reported positive behavior change in both exercise and sun protection Some participants (15/34, 44%) noted the RA was less judgmental and less “overbearing” compared with a human counselor; other participants (12/34, 35%) said that the interaction was sometimes repetitive or overly general The majority of participants (22/34, 65%) viewed the RA as an important contributor to their behavior change for exercise, sun protection, or both Levels of satisfaction ranged between 7 and 10 There were no gender differences noted in levels of satisfaction (P=51) Conclusions: RAs provide an innovative and attractive platform to increase exercise and sun protection behaviors and potentially other health behaviors [J Med Internet Res 2018;20(2):e48]

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Using Relational Agents to Promote Exercise and Sun Protection: Assessment of Participants’ Experiences With Two Interventions

Although suicide assessment has been researched, nurses haven't been included in studies nor has this been explored from a phenomenographic perspective. Suicide assessment by nurses was investigate...

Suicide assessment by psychiatric nurses: a phenomenographic study.

Although the number of women entering prison has continued to soar over the last 2 decades, little attention has been paid to them in health care research. Research with incarcerated women who are grieving has received even less attention. This pilot study was based on the results of previous studies as well as the authors' combined clinical experience in the prison setting and with art therapy. Individual 1-hour art therapy sessions were offered to 8 incarcerated bereaved women for a period of 8 weeks. A variety of materials were used with a specific purpose. The women were interviewed before and after the art therapy was implemented. Seven of the women described positive outcomes following the art therapy intervention and recommended that the program be continued and increased in length.

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Ginette G. Ferszt

Papers

Health Care of Pregnant Women in U.S. State Prisons

A Qualitative Study Exploring Female College Students' Instagram Use and Body Image

Using Relational Agents to Promote Exercise and Sun Protection: Assessment of Participants’ Experiences With Two Interventions

Suicide assessment by psychiatric nurses: a phenomenographic study.

Art Therapy with Incarcerated Women Who Have Experienced the Death of a Loved One