Suchergebnisse

Key debates in the field of rapid ethnographies -- A brief history of the work prior to rapid ethnographies -- Rapid ethnographies as a lone researcher -- Team-based rapid ethnographies -- Ethics, practical considerations and the emotional labour of ethnographic fieldwork -- Dissemination and the use of findings -- The future of rapid ethnographies.

Intro; Healthcare in Motion; Copyright Page; Contents; List of Figures and Tables; Introduction; Part I. Healthcare and Differential Mobility Empowerments; Chapter 1. "Stuck in Motion"; Chapter 2. "It's Too Risky to Leave the House"; Chapter 3. (Im)mobile Populations and Health Rights; Part II. The Effect of Imagination on Mobility as a Resource in the Search for Care and Caring; Chapter 4. Fluid and Mobile Identities; Chapter 5. Egg Donor Social Mobility and Expansion of Czech Reproductive Medicine; Chapter 6. Governing Mobility of Health Workers across Borders

Argentina's universal model of healthcare and open immigration policies make it a popular destination for people from neighbouring countries requiring free medical treatments. These medical tourists come from Bolivia, Peru, and Paraguay. They are often from low-income households and rural areas, and travel to Argentina seeking medical attention in public hospitals because they are unable to pay for services in their own countries. In addition to these patients, current governmental-private sector agreements are being put in place to attract patients from the US and Europe. This new initiative – called Medicina Argentina (Argentina Healthcare) – hopes to raise the number of foreign patients from 6000 per year to 100,000. In theory, this change in government policy seeks to: provide services to patients who might not be able to access them in their own countries (due to high cost, unavailability, or long waiting lists), increase Argentine tourism income, and improve the quality of the medical services available for local populations. However, in practice, it will mean that an already overburdened healthcare system will have to adapt to suit the needs of short-term, medical tourists. The flow of foreign patients will interact with local migrating patients to create a tiered system of medical tourism, posing ethical and legal challenges in the distribution of scarce resources and regulation of medical care. In this article, I explore the ethical and practical impact of this 'new' medical tourism industry on the care provided to the local population.

Most of the literature on paediatric oncology treatment has provided descriptions of children's everyday lives that are circumscribed to periods of hospitalisation. In this paper, I argue that the political and economic context where children receive oncology treatment as well as the particular trajectories of their families influence their experiences. The narratives from children receiving treatment in three public hospitals in Buenos Aires, Argentina, were collected. Their stories indicate that issues such as the interruption of school, the separation of family members, the expenses incurred during treatment, and barriers to care influence the everyday lives of children and should be included in paediatric oncology research. © 2011 The Author(s). Children & Society © 2011 National Children's Bureau and Blackwell Publishing Limited

Intro -- Contents -- Notes on Contributors -- List of Figures -- List of Tables -- Chapter 1: Caring on the Frontline: An Introduction -- Working During an Infectious Epidemic: A Global Look -- COVID-19 Mirror Studies -- Challenges and Benefits of Carrying Out Rapid Qualitative Studies During a Pandemic -- The Chapters in This Book -- References -- Chapter 2: Reflecting and Learning from the Experiences of Researchers on Gaining Ethics Approval During the COVID-19 Pandemic -- Introduction -- Principles of RECs -- Ethics Review Challenges Faced by Qualitative Researchers -- Guidelines for RECs in Health Emergencies to Facilitate Rapid Research -- The Contribution of Rapid Qualitative Research Is Often Overlooked -- Contextualising the Experiences of the RREAL COVID-19 Global Network -- Methods -- Results -- Delays Encountered Due to Complex Review Systems -- Overcoming Barriers and Suggesting Solutions -- Discussion and Recommendations -- Learning Outcomes -- Embedding Reflexive Practice Throughout the Ethical Approval Process -- Conclusion -- References -- Chapter 3: Policies and Politics: An Analysis of Public Policies Aimed at the Reorganisation of Healthcare Delivery During the COVID-19 Pandemic -- Introduction -- The Studies -- Case Study 1: Italy and Spain -- Policy Context and COVID-19 Response -- Findings -- Case Study 2: UK and Switzerland -- Policy Context and COVID-19 Response -- Findings -- Case Study 3: Mexico and South Africa -- Policy Context and COVID-19 Response -- Findings -- Responding to the Crisis -- Reactionary Policy -- Preparedness -- Conclusion -- Recommendations -- Strength and Weakness -- Future Implications -- References -- Chapter 4: Protecting and Feeling Protected: HCWs' Experiences with Personal Protective Equipment During the COVID-19 Pandemic (PPE) -- Introduction -- The Power and Protection of Face Masks.

Research on the impact of caring for patients with an acoustic neuroma is scarce. Findings from 12 interviews with primary carers of this patient population highlight six key themes: life disruption, support, well-being, the carer role, lessons learned and the impact of COVID-19. Carers need more practical information and emotional support, starting from the diagnosis stage through to recovery. Recommendations include routine carer assessments, early signposting to auxiliary services and information materials about recovery. This study contributes to the UK literature gap of this under-studied population and demonstrates the importance of carer assessments, as set out in the Carers Act 2014.

ch. 1. Introduction -- ch. 2. Global health and behavior change interventions -- ch. 3. A global health model : the community-participatory involvement approach -- ch. 4. The disease : the cholera epidemic in Ecuador -- ch. 5. Case study : the CPI model in Ecuador : the cholera project -- ch. 6. Outcomes and discussions -- ch. 7. Lessons learned.

The fluid and changing nature of "family" the wide diversity of family arrangements, and families' movement across space (e.g., migration) and time (e.g., life‐course) demand constant reconfiguration of services. As the articles presented in this special issue demonstrate, the skills of anthropologists have resulted in reflection upon, and often restructuring of, family services. Anthropology is also involved in the design, implementation, and evaluation of programs within agencies tasked with providing these services. The authors featured in this special issue outline the contributions and limitations of anthropological practice, the ways in which anthropologists grapple with applied work, and future areas the discipline is well suited to address. The authors provide vivid examples of the application of anthropological perspectives and ethnographic methods for a wide range of purposes (from program design to evaluation), in a myriad of contexts (within health clinics, schools, public service agencies, community centers, homes, and nongovernmental organizations), and with a variety of outcomes (by informing policy, facilitating changes in practice, and improving the quality of life of participants). We hope this collection of articles inspires a critical examination of the concepts and discourses guiding the design of policies and the development of strategies for bringing together multiple stakeholders to make policies and services aimed at children and families multidimensional, inclusive, and evidence based.

Chapter 1: Immobility and Medicine: An Introduction -- Part 1 Immobile Infrastructures and Enforced Waiting -- Chapter 2: Lists in Flux, Lives on Hold? Technologies of Waiting in Liver Transplant Medicine -- Chapter 3: 'Being stuck': Refugees' Experiences of Enforced Waiting in Greece -- Chapter 4: 'An (Im)patient Population': Waiting Experiences of Transgender Patients Accessing Healthcare Services in Buenos Aires -- Chapter 5: Living in "Limbo": Immobility and Uncertainty in Childhood Cancer Medical Care in Argentina -- Part 2 Embodied Stillness and Fixity -- Chapter 6: Embodying Immobility: Dysphoric Geographies of Labour Migration and Their Transformations in the Therapeutic Context of ´Venda´ Ancestor Possession in Post-Apartheid South Africa -- Chapter 7: Liminality and the SCI Body: How Medicine Reproduces Stuckedness -- Chapter 8: Embodied Perceptions of Immobility after Stroke -- Chapter 9: "When You Do Nothing You Die a Little Bit": On Stillness and Honing Responsive Existence among Community-Dwelling People with Dementia -- Chapter 10: Stories of (Im)mobility: People Affected by Dementia on an Acute Medical Unit -- Part 3 Motility and (Im)mobile Possibilities -- Chapter 11: Migratory Labour and the Politics of Prevention: Motility and HPV Vaccination among Florida Farmworkers -- Chapter 12: Living Suspended: Anticipation and Resistance in Brain Cancer.

OBJECTIVES: To report frontline healthcare workers' (HCWs) experiences with personal protective equipment (PPE) during the COVID-19 pandemic in the UK. To understand HCWs' fears and concerns surrounding PPE, their experiences following its guidance and how these affected their perceived ability to deliver care during the COVID-19 pandemic. DESIGN: A rapid qualitative appraisal study combining three sources of data: semistructured in-depth telephone interviews with frontline HCWs (n=46), media reports (n=39 newspaper articles and 145 000 social media posts) and government PPE policies (n=25). PARTICIPANTS: Interview participants were HCWs purposively sampled from critical care, emergency and respiratory departments as well as redeployed HCWs from primary, secondary and tertiary care centres across the UK. RESULTS: A major concern was running out of PPE, putting HCWs and patients at risk of infection. Following national level guidance was often not feasible when there were shortages, leading to reuse and improvisation of PPE. Frequently changing guidelines generated confusion and distrust. PPE was reserved for high-risk secondary care settings and this translated into HCWs outside these settings feeling inadequately protected. Participants were concerned about differential access to adequate PPE, particularly for women and Black, Asian and Minority Ethnic HCWs. Participants continued delivering care despite the physical discomfort, practical problems and communication barriers associated with PPE use. CONCLUSION: This study found that frontline HCWs persisted in caring for their patients despite multiple challenges including inappropriate provision of PPE, inadequate training and inconsistent guidance. In order to effectively care for patients during the COVID-19 pandemic, frontline HCWs need appropriate provision of PPE, training in its use as well as comprehensive and consistent guidance. These needs must be addressed in order to protect the health and well-being of the most valuable healthcare resource in the ...

BACKGROUND: During infectious epidemics, healthcare workers are required to deliver traditional care while facing new pressures. Time and resource restrictions, a focus on saving lives and new safety measures can lead to traditional aspects of care delivery being neglected. AIM: Identify barriers to delivering end-of-life care, describe attempts to deliver care during the COVID-19 pandemic, and understand the impact this had on staff. DESIGN: A rapid appraisal was conducted incorporating a rapid review of policies from the United Kingdom, semi-structured telephone interviews with healthcare workers, and a review of mass print media news stories and social media posts describing healthcare worker's experiences of delivering care during the pandemic. Data were coded and analysed using framework analysis. SETTING/PARTICIPANTS: From a larger ongoing study, 22 interviews which mentioned death or caring for patients at end-of-life, eight government and National Health Service policies affecting end-of-life care delivery, eight international news media stories and 3440 publicly available social media posts were identified. The social media analysis centred around 274 original tweets with the highest reach, engagement and relevance. Incorporating multiple workstreams provided a broad perspective of end-of-life care during the COVID-19 pandemic in the United Kingdom. RESULTS: Three themes were developed: (1) restrictions to traditional care, (2) striving for new forms of care and (3) establishing identity and resilience. CONCLUSIONS: The COVID-19 pandemic prohibited the delivery of traditional care as practical barriers restricted human connections. Staff prioritised communication and comfort orientated tasks to re-establish compassion at end-of-life and displayed resilience by adjusting their goals.