ABSTRACT
If researchers are to understand the impacts of lockdown on children and young people, then the experiences of lockdown need to be explored from the perspective of the child. Young people participate in leisure for a multitude of reasons, yet, within the UK, children were largely unable to access their regular leisure activities for a six-month period during the first national lockdown. Within the context of this paper, leisure includes outdoor sports and physical activities within blue spaces. Following interviews with parents and young people (aged 11–16) focused on experiences of leisure during the Covid-19 pandemic, this qualitative study identified that children felt an intense sense of missing out on opportunities and found day-to-day life without leisure monotonous. However, there were some positive impacts of reduced leisure, such as a greater appreciation for what was once a regular activity. This research empowered the voice of children, so their distinct experiences were made visible to those who aim to support their wellbeing. Findings suggest that the promotion of leisure activities in the current climate could mitigate poor wellbeing among children associated with the Covid-19 pandemic. [ FROM AUTHOR]
ABSTRACT
If researchers are to understand the impacts of lockdown on children and young people, then the experiences of lockdown need to be explored from the perspective of the child. Young people participate in leisure for a multitude of reasons, yet, within the UK, children were largely unable to access their regular leisure activities for a six-month period during the first national lockdown. Within the context of this paper, leisure includes outdoor sports and physical activities within blue spaces. Following interviews with parents and young people (aged 11–16) focused on experiences of leisure during the Covid-19 pandemic, this qualitative study identified that children felt an intense sense of missing out on opportunities and found day-to-day life without leisure monotonous. However, there were some positive impacts of reduced leisure, such as a greater appreciation for what was once a regular activity. This research empowered the voice of children, so their distinct experiences were made visible to those who aim to support their wellbeing. Findings suggest that the promotion of leisure activities in the current climate could mitigate poor wellbeing among children associated with the Covid-19 pandemic. [ FROM AUTHOR] Copyright of Leisure Studies is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
ABSTRACT
OBJECTIVES: To conduct a qualitative investigation on a subset of participants from a previously completed Discrete Choice Experiment (DCE) to understand why factors identified from the DCE are important, how they influenced preference for virtual consultations (VC) and how COVID-19 has influenced preference for VC. METHODS: A quota sample was recruited from participants who participated in our DCE. We specifically targeted participants who were strongly in favour of face-to-face consultations (F2F - defined as choosing all or mostly F2F in the DCE) or strongly in favour of virtual consultations (VC - defined as choosing all or mostly VC consultations in the DCE) to elicit a range of views. Interviews were conducted via telephone or videoconference, audio recorded, transcribed verbatim and uploaded into NVIVO software. A directed content analysis of transcripts was undertaken in accordance with a coding framework based on the results of the DCE and the impact of COVID-19 on preference. RESULTS: Eight F2F and 5 VC participants were included. Shorter appointments were less 'worth' travelling in for than a longer appointment and rush hour travel had an effect on whether travelling was acceptable, particularly when patients experienced pain as a result of extended journeys. Socioeconomic factors such as cost of travel, paid time off work, access to equipment and support in its use was important. Physical examinations were preferable in the clinic whereas talking therapies were acceptable over VC. Several participants commented on how VC interferes with the patient-clinician relationship. VC during COVID-19 has provided patients with the opportunity to access their care virtually without the need for travel. For some, this was extremely positive. CONCLUSIONS: This study investigated the results of a previously completed DCE and the impact of COVID-19 on patient preferences for VC. Theoretically informative insights were gained to explain the results of the DCE. The use of VC during the COVID-19 pandemic provided opportunities to access care without the need for face-to-face social interactions. Many felt that VC would become more commonplace after the pandemic, whereas others were keen to return to F2F consultations as much as possible. This qualitative study provides additional context to the results of a previously completed DCE.
ABSTRACT
INTRODUCTION: Prone positioning is deployed as a critical treatment for improving oxygenation in patients with Acute Respiratory Distress Syndrome. This regimen is currently highly prevalent in the COVID-19 pandemic. The pandemic has brought about increased concern about how best to safely avoid brachial plexus injuries when caring for unconscious proned patients. METHODS: A review of the published literature on brachial plexus injuries secondary to proning ventilated patients was performed. This was combined with a review of available international critical care guidelines in order to produce a succinct set of guidelines to aid critical care departments in reducing brachial plexus injuries during these challenging times. DISCUSSION: There is no one manner in which prone positioning an unconscious patient can be made universally safe. This paper provides 6 key steps to reducing the incidence of brachial plexus injuries while proning and suggests a safe and sensible management and referral pathway for the conscious patient in which a brachial plexus injury is identified. CONCLUSION: There is in truth no completely safe position for every patient and certainly there will be anomalies in anatomy that will predispose certain individuals to nerve injury. Thus the injury rate cannot be reduced to zero but an understanding of the principles of protection will inform those undertaking positioning.