Qualitative Research in Medicine and Healthcare 2019-02-22T17:21:24+01:00 Francesca Baccino Open Journal Systems <p><strong>Qualitative Research in Medicine and Healthcare</strong> represents an interdisciplinary and international forum for qualitative research in healthcare settings.&nbsp;The journal is conceived as a site for the emergence of dialogue between researchers and academics and healthcare practitioners; it allows an exchange between multiple parties in the health and social service professions, patients and clients as well as graduate students and researchers who practice qualitative methods. Qualitative research approaches healthcare in a completely different way from quantitative research, providing important insights into health-related phenomena, generating new avenues for empirical questions. Qualitative research examines lived experience and relational processes as the basis of social phenomena, including those related to health. Therefore, it can answer to questions that quantitative research cannot, such as why people do not adhere to a life-saving treatment regimen or why a certain healthcare intervention is so successful, or fails. It uses many methods of data collection and numerous approaches to data analysis that range from systematic coding to phenomelogical and inductive approaches. Each issue of <strong>Qualitative Research in Medicine and Healthcare</strong> provides readers with a varied array of material and commentaries on important people and issues in healthcare as well as peer-reviewed articles that address and examine: the illness experience from multiple and varied perspectives; constructions of health, illness and healthcare that highlight relational and cultural contexts; healthcare policies in various organizational and institutional settings; attention to the communicative dynamics of the patient-provider relationship; narrative approaches to health.</p> Editor's Introduction 2019-02-22T17:21:21+01:00 Mariaelena Bartesaghi <p>Not available.</p> 2018-12-20T11:58:00+01:00 ##submission.copyrightStatement## Constructing responsibility in social interaction: an analysis of responsibility talk in hospital administrative groups 2019-02-22T17:21:24+01:00 Eveliina Pennanen Leena Mikkola <p>The role of responsibility in hospitals is undeniable. Although administrative groups are essential to organizational performance, previous group and team studies of responsibility in hospital organizations have concentrated mainly on healthcare teams. This study aims to describe and understand responsibility construction in the social interaction in hospital administrative group meetings, based on observation and analysis of seven administrative group meetings in a Finnish hospital. Categories generated by thematic content analysis were compared with responsibility types. The findings show that responsibility is constructed by creating co-responsibility, taking individual responsibility, and constructing non-responsibility. Action and role and task responsibilities emerged as types from the interaction. To support employee involvement in responsibility processes, they must also be provided with sufficient resources to deal with that responsibility and to manage its different dimensions. These insights can be utilized to improve administrative groups.</p> 2018-12-17T15:30:16+01:00 ##submission.copyrightStatement## Not a duty but an opportunity: exploring the lived experiences of community health workers in Indiana through photovoice 2019-02-22T17:21:23+01:00 Ryan I. Logan <p>Few studies have conducted photovoice projects to explore themes related to the lived experiences of community health workers (CHWs). As a relatively unknown segment of the health care workforce in the United States, CHWs are typically members of the communities they work within and fulfill unique and complementary roles through health education, health prevention, community outreach, and advocacy. This article documents a photovoice project that assessed the strengths, challenges, impacts, and what it means to be a CHW in Indiana. In this project, CHWs participated in the method of photovoice in two formal meetings – one to introduce the method and another to analyze the photographs. Participants displayed photographs, interpreted these images, and co-constructed their lived experiences. Several key themes emerged from discussion of the photographs including: participant descriptions of building individual and character traits, conceptualizations of this position, and how participants connect disparate resources for their clients. Themes and findings from this research can be utilized to reach out to potential employers and policy makers regarding the integration of CHWs into the workforce. Overall, this project documents the lived experiences of CHWs and highlights their voices as they become an accepted member within the broader workforce.</p> 2018-12-17T15:35:59+01:00 ##submission.copyrightStatement## The dialogic construction of patient involvement in patient-centred neurorehabilitation 2019-02-22T17:21:20+01:00 Jannie Uhre <p>This paper explores how the practice of patient involvement in neurorehabilitation is constructed in tension-riddled professional narratives. I adopt dialogic communication theory to focus on how involvement is constructed across different roles and voices. My analysis is based on an action research project that uses a dialogical communication perspective and participatory methods to explore patient-centred care through the eyes of healthcare professionals. I argue that patient involvement is constructed as a demanding process that requires memory, presence, communicative abilities and temporal understanding of personal needs. These requirements are not explicit in the situated institutionalized practices. As well, I show how the available involvement strategies are laced with taken for granted characteristics, which fall short in the situation that arises when patients do not have the ability to participate or play the role of an active patient. The findings in this paper contribute to the growing literature on patient-centred healthcare by empirically investigating how the discursive configuration of patient, health professional and institutional practices intertwine in producing certain inherent expectations, habits and taken for granted perspectives in care delivery. I also suggest that the findings can usefully be incorporated into patient-centred care design and organizational strategies in order to take into account both the patient, relatives and healthcare professionals as vital for creating a patient-centred practice, organization and professional environment.</p> 2018-12-20T15:44:13+01:00 ##submission.copyrightStatement## Waging a professional turf war: an examination of professionalization as a strategic communication practice used by registered dietitians 2019-02-22T17:21:23+01:00 Sarah N. Heiss Kristin K. Smith Heather J. Carmack <p>In 2012, the American Dietetic Association changed its name to the Academy of Nutrition and Dietetics. The following year, the association allowed their members to select between two titles: registered dietitian (RD) or registered dietitian nutritionist. Based on interviews with dietitians, we argue that these semantic changes added fuel to a pre-existing discursive struggle for professional legitimacy. As of June 2017, there were over 100,000 registered dietetic practitioners, globally. Approximately 74% of RDs are members of the Academy, a notably high percent of representation, suggesting the influence of this professional organization on the occupation. Academy members work in a variety of occupational settings and fields, including hospitals, nonprofit organizations, and the food industry, and as such make significant contributions to patient health and public health outcomes.The Academy and its members have established a discursive turf war to strategically establish and defend boundaries within the field of nutrition and dietetics. Their discursive turf war has implications on the day-to-day work life of registered dietitians and other nutritional professionals as well as perceptions of professionalism made by audiences outside the field.</p> 2018-12-17T16:38:49+01:00 ##submission.copyrightStatement## Meeting complexity with collaboration: a proposed conceptual framework for participatory community-based music therapy research in end of life-care 2019-02-22T17:21:22+01:00 Wolfgang Schmid <p>Research in end-of-life care is complex with specific ethical and practical challenges related to epistemology, methodology and recruitment of people approaching the end of life. However, to ensure the provision of high-quality care research efforts need to be aligned with the priorities of patients, their families, and interdisciplinary team members. A more systematic engagement of all three groups in research is needed to promote tailored and appropriate end-of-life care. In this methodological article I propose a conceptual framework for community-based participatory music therapy research in end-of-life care scenarios as one promising strategy to respond to ethical and practical challenges, to handle complexity and advance integration of perspectives. The conceptual framework consists of two thematic clusters i) Participlinarity across contexts, and ii) Community-based participatory music therapy research in end-of-life care scenarios. Though in the early stages of development, the framework addresses issues of educational strategies and continuity of care, and aims to contribute to innovative music therapy research in the future.</p> 2018-12-17T16:46:48+01:00 ##submission.copyrightStatement##