scholarly journals Posttraumatic Growth in Women With a Long-Standing Experience of Involuntary Childlessness in the Czech Republic

2022 ◽  
pp. 002216782110682
Author(s):  
Gabriela Ďurašková ◽  
Brennan Peterson

This qualitative research study aimed to examine aspects of posttraumatic growth (PTG) in women with a long-standing experience of involuntary childlessness. In-depth semi-structured interviews, lasting an average of 53 min, were conducted in the Czech Republic. Twenty-four women, averaging 38.8 years old with an average of 6.2 years of infertility experience, participated. They were asked how involuntary childlessness affected/changed their partnerships, sexual life, job, future plans, attitude to children/values/faith, and leisure time. Participants shared both positive and negative aspects of the infertility experience. Data were analyzed using thematic analysis. Five main themes of PTG were identified: strengthening of partnership, greater humility, deeper self-appreciation, reassessment of relationships, and changes in the philosophy of life. These findings could be useful to mental health providers to facilitate the PTG process in patients.

2021 ◽  
Vol 75 (1) ◽  
pp. 12-19
Author(s):  
Dana Ďuricová ◽  
Zuzana Krátka ◽  
Martin Bortlík ◽  
Lenka Slabá ◽  
Kristýna Strnadová ◽  
...  

Background: Several previous studies reported the negative impact of inflammatory bowel disease (IBD) on reproductive plans and fertility rate. The aim of our study was to investigate, for the first time, reproductive attitudes and fertility rate among Czech patients with IBD. Methods: Between March and August 2019, consecutive patients with IBD from 22 centres across the Czech Republic responded anonymously to a predefined questionnaire focused on the patients’ demographics, details of IBD and treatment, gynaecological/urological history, reproductive issues and patients’ knowledge on this topic. Results: The questionnaire was filled in by 798 patients (526 women; median age 34 years, 66% with Crohn’s disease). Of these, 58% of the females and 47.1% of the males already had ≥ 1 child (median 2 children). Women with IBD were significantly more worried about infertility (55.5% versus 22.4%), had more limitations in their sexual life (53.2% vs. 26.8%) and more frequently changed their earlier reproductive plans (27.6% versus 11.0%) than the males (p < 0.0001). The total fertility rate in female IBD patients was lower compared to the general population with 1.004 live births/IBD woman versus 1.69 live births/woman in the Czech population. The pattern of decreased fertility was observed in all age-specific categories. Of the childless patients, 14% of the women and 18.1% of the men were voluntarily childless. Approximately one-half of them indicated their IBD to be the primary cause. Conclusions: IBD seems to have a negative impact on patients’ reproductive plans and attitudes. The fertility rate in Czech IBD female patients was decreased compared to the general population in this study.


2021 ◽  
Vol 9 (1) ◽  
pp. 119-134
Author(s):  
Eva Gartnerová

The main objective of this study is to analyse the environment and the processes of university galleries and their exhibition spaces, primarily on the territory of the Czech Republic and Slovakia. The historical development of university galleries and their role in society are briefly introduced. An important part of this research paper deals with the definition and typology of university galleries, followed by an analysis of their role and a discussion on the aspect of audience and public engagement. The study draws on research conducted by the author in the years 2016–2020 predominantly in the Czech Republic and Slovakia, described in detail in her doctoral thesis. The methodology of the research is mainly based on semi-structured interviews and study visits of the various institutions in question. The research paper brings forth the subject of university galleries and their role in the advancement of the academic cultural environment.


2020 ◽  
Vol 14 (2) ◽  
pp. 39-49
Author(s):  
Vilém Kunz

The goal of this article is especially to provide information about the current situation as it pertains to the application of CSR principles within the Czech football environment, both on the part of the executive bodies in Czech football (the Football Association of the Czech Republic – FACR and the League Football Association – LFA) and all the clubs participating in the top football competition in the Czech Republic. This article combines the conclusions from secondary data analysis, content analysis of websites (top managing bodies of Czech football and all participating clubs of the highest Czech football league) and the author’s own empirical investigation based on a series of semi-structured interviews.


2015 ◽  
Vol 37 (2) ◽  
pp. 175-188 ◽  
Author(s):  
Bethany Glueck

As integrated primary care (IPC) evolves, so does the new role of the behavioral health clinician (BHC). At present, mental health providers from various specialties are working as BHCs and adapting their training and skills to work as part of the medical team. The purpose of this qualitative study is to explore the experiences of BHCs who work in IPC so as to better understand their roles, attitudes, and training needs. The themes that emerged from semi-structured interviews suggest that the roles of a BHC are multifaceted and rooted in a holistic mind-body approach. Participants supported the need for additional training in graduate programs and internships for integrated care. The results informed a conceptual model of BHCs working in IPC.


2020 ◽  
Author(s):  
Callie Walsh-Bailey ◽  
Lorella G. Palazzo ◽  
Salene M. W. Jones ◽  
Kayne D. Mettert ◽  
Byron J. Powell ◽  
...  

Abstract Background Tailoring implementation strategies and adapting treatments to better fit the local context may improve their effectiveness. However, there is a dearth of valid, reliable, pragmatic measures that allow for the prospective tracking of strategies and adaptations according to reporting recommendations. This study describes the development and pilot testing of three tools to designed to serve this purpose. Methods Measure development was informed by two systematic reviews of the literature (implementation strategies, treatment adaptation). The three resulting tools vary with respect to the degree of structure (Brainstorming Log = low, Activity Log = moderate, Detailed Tracking Log = high). To prospectively track treatment adaptations and implementation strategies, three stakeholder groups (treatment developer, implementation practitioners, mental health providers) were randomly assigned one tool per week via an anonymous web-based survey for nine weeks and incentivized to participate. Three established implementation outcome measures, the Acceptability of Intervention Measure, Intervention Appropriateness Measure, and Feasibility of Intervention Measure were used to assess the tools. Semi-structured interviews were conducted to gather more nuanced information from stakeholders regarding their perceptions of the tools and the tracking process. Results The three tracking tools demonstrated moderate to good acceptability, appropriateness, and feasibility; the Activity Log was deemed the most feasible of the three tools. Implementation practitioners rated the tools the highest of the three stakeholder groups. The tools took an average of 15 minutes or less to complete. Conclusion This study sought to fill methodological gaps that prevent stakeholders and researchers from discerning which strategies are most important to deploy for promoting implementation and sustainment of evidence-based practices. These tools would allow researchers and practitioners to track whether activities were treatment adaptations or implementation strategies and what barrier(s) each target. These tools could inform prospective tailoring of implementation strategies and treatment adaptations, which would promote scale out and spread.


2016 ◽  
Vol 2 (1,2) ◽  
Author(s):  
Ivana Mazalová ◽  
Jiří Richter

The article presents the partial conclusions of the research Solving Unstructured Decision-Making Problems in the Ministry of Defence of the Czech Republic. The research was conducted in the Ministry of Defence of the Czech Republic in the form of a questionnaire survey and semi-structured interviews. The respondents were employees of the ministry working at all managerial levels. The subject of research was the issue of effective problem-solving in the Ministry of Defence. The aim of this article is to identify the key barriers to effective decision- making and to propose general principles to eliminate these barriers.


Author(s):  
Martina Smahelova ◽  
Dana Juhová ◽  
Ivo Cermak ◽  
David Smahel

The present-day reality that young children use digital media has forced parents to balance the risks and opportunities of the content that their children may encounter online. Current studies have mostly been quantitative. They have mainly focused on children aged 9 and older, and have addressed the types of mediation that parents use. However, they have not considered their relation to specific risks and opportunities. In the present study, we have sought to address this discrepancy and to understand the mediation strategies that parents use to shape the online experiences of their children. We focused on the factors that play a role in these mediations of specific risks and opportunities. In-depth semi-structured interviews with the parents of children aged 7–8 and their siblings in the Czech Republic (N=10 families) were conducted in 2014. A thematic analysis identified three main themes: (1) Mediation strategies of technology usage in relation to the mediation of online opportunities and online risks; (2) Time and place management of mediation strategies; and (3) The child as a co-creator of mediation strategies. Our results indicated that parental mediation is a dynamic process that is co-constructed by the parents and children according to context.


2021 ◽  
Vol 115 ◽  
pp. 02003
Author(s):  
Vojtěch Koráb

This research study is based on the elaboration of nineteen case studies of family wineries from all over the world and one case study from the Czech Republic. All family wineries were visited by the author and semi-structured interviews were conducted with selected representatives of family wineries. The aim of the research was to look at the family winery through the lens of two systems: the family system and the business system, in order to find out the involvement of family members in a winery and the most important factors affecting a winery. Websites of family wineries were examined through contextual analysis. Based on the analysis of all case studies, four key groups of family wineries in the world were compiled. The research study identifies key family factors, i.e. familiness and the generation of the family which owns a winery. On the business side, the study identifies two key factors important for the sustainability of a family winery, namely corporate innovation and the degree of internationalization. The results of the analysis of world family wineries were compared with one winery selected from the Czech Republic.


2020 ◽  
Author(s):  
Callie Walsh-Bailey ◽  
Lorella G. Palazzo ◽  
Salene M. W. Jones ◽  
Kayne D. Mettert ◽  
Byron J. Powell ◽  
...  

Abstract Background Tailoring implementation strategies and adapting treatments to better fit the local context may improve their effectiveness. However, there is a dearth of valid, reliable, pragmatic measures that allow for the prospective tracking of strategies and adaptations according to reporting recommendations. This study describes the development and pilot testing of three tools to designed to serve this purpose.Methods Measure development was informed by two systematic reviews of the literature (implementation strategies, treatment adaptation). The three resulting tools vary with respect to the degree of structure (Brainstorming Log = low, Activity Log = moderate, Detailed Tracking Log = high). To prospectively track treatment adaptations and implementation strategies, three stakeholder groups (treatment developer, implementation practitioners, mental health providers) were randomly assigned one tool per week via an anonymous web-based survey for nine weeks and incentivized to participate. Three established implementation outcome measures, the Acceptability of Intervention Measure, Intervention Appropriateness Measure, and Feasibility of Intervention Measure were used to assess the tools. Semi-structured interviews were conducted to gather more nuanced information from stakeholders regarding their perceptions of the tools and the tracking process.Results The three tracking tools demonstrated moderate to good acceptability, appropriateness, and feasibility; the Activity Log was deemed the most feasible of the three tools. Implementation practitioners rated the tools the highest of the three stakeholder groups. The tools took an average of 15 minutes or less to complete.Conclusion This study sought to fill methodological gaps that prevent stakeholders and researchers from discerning which strategies are most important to deploy for promoting implementation and sustainment of evidence-based practices. These tools would allow researchers and practitioners to track whether activities were treatment adaptations or implementation strategies and what barrier(s) each targets. These tools could inform prospective tailoring of implementation strategies and treatment adaptations, which would promote scale out and spread.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
H Konecna ◽  
K Nováková

Abstract Study question What is the real accessibility of fertility preservation techniques and its perception by patients in the Czech Republic? Summary answer Fertility preservation options are not offered on a routine basis and often are not part of a treatment plan. Patients wish to be adequately informed. What is known already Every year, more than 82.000 people in the Czech Republic develop cancer. The incidence of newly diagnosed cancers in individuals in their reproductive age represents 4.4% of all newly diagnosed oncological diseases. Because the prognosis of treatment in this group of patients is very favourable, the priority in treatment is the emphasis on quality of life after surviving. One of the important parameters of quality of life for many people is the ability to reproduce and the possibility of having a genetic bond to their children. Study design, size, duration This qualitative study was conducted in 2019 and relied on explorative in-depth semi-structured interviews. Participants were chosen through occasional sampling. Participants/materials, setting, methods We interviewed 13 cancer patients/survivors in their reproductive age (aged 21 to 36; 7 females and 6 males); 4 close family members of young cancer patients; and 8 experts from relevant professional fields. Data gathered from semi-structured interviews were analysed by interpretative phenomenological analysis. Main results and the role of chance Cancer was perceived as a threat to life and one’s safety. It causes uncertainty and a feeling of loss of control. It also has a negative impact on a self-concept. Loss of fertility was perceived as a “injury of personality”. The possibility of maintaining fertility has increased the subjectively experienced quality of life. They make decisions under great time pressure, in a mentally demanding situation. They are usually in the early stages of coping with the diagnosis. The main factors that influenced the respondents’ decision were the amount and quality of information, psychological stress and time pressure. Patients and their families are interested in being informed about the risks that the disease and its treatment pose to their reproductive health. They want to be able to decide whether to undergo any of the fertility protection techniques. They want to keep their future open. It is therefore desirable that, within oncofertility, we focus on the process of passing on information and supporting decision-making on issues of fertility and its protection. A tool that could be a good informational platform may be so-called decision aid – a tool used to inform patients about available treatments, along with potential benefits, risks and costs. Limitations, reasons for caution As all qualitative data, our findings cannot be generalized. Selection bias could have occurred because it is likely that those interested and open to sharing participated. Wider implications of the findings: Oncofertility treatment is highly relevant and should be offered and discussed with all patients in their reproductive age. Addressing fertility preservation options should be a part of cancer treatment plan of all these patients. Trial registration number 0


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