IMPORTANCE Postoperative recovery is difficult to define or measure. Research addressing interventions aimed to improve recovery after abdominal surgery often focuses on measures such as duration of hospital stay and complication rates. Although these clinical parameters are relevant, understanding patients' perspectives regarding postoperative recovery is fundamental to guiding patient-centered care.OBJECTIVE To elucidate the meaning of recovery from the perspective of patients undergoing abdominal surgery. DESIGN, SETTING, AND PARTICIPANTSThis international qualitative study involved semistructured interviews with patients recovering from abdominal surgery from October 2016 to November 2018 in tertiary hospitals in 4 countries (Canada, Italy, Brazil, and Japan). A purposive maximal variation sampling method was used to ensure the recruitment of patients with varying demographic, clinical, and surgical characteristics. Data on race were not collected. Each interview lasted between 1 and 2 hours. Interviews were recorded and then transcribed verbatim. Transcripts were then analyzed using an inductive thematic analysis approach. Data analysis was conducted from July 2019 to September 2019. MAIN OUTCOMES AND MEASURESThe qualitative analysis revealed themes reflecting the meaning of recovery from the perspective of patients undergoing abdominal surgery.RESULTS Thirty patients recovering from abdominal surgery were interviewed (15 [50%] female; mean [SD] age, 57 [18] years; 10 [33%] underwent major surgery; 16 [53%] underwent laparoscopic surgery). The interviews revealed that for patients undergoing abdominal surgery, the meaning of recovery embodied 5 overarching themes: (1) returning to habits and routines, (2) resolution of symptoms, (3) overcoming mental strains, (4) regaining independence, and (5) enjoying life. Themes associating the meaning of recovery to traditional parameters, such as earlier hospital discharge or absence of complications, were not identified in the interviews.CONCLUSIONS AND RELEVANCE This qualitative study suggests that the meaning of recovery from the perspective of patients undergoing abdominal surgery goes beyond traditional clinical parameters. The elements of recovery identified in this study should be taken into account in patient-surgeon discussions about recovery and when developing patient-centered strategies to improve postoperative outcomes.
A driving force behind the design of increasingly large and high resolution displays (LHRDs) has been the need to support the explosion of data in the natural sciences such as physics, chemistry, and biology. However, our experience with an LHRD accessible to researchers across multiple disciplines has shown that they are useful for a wide range of research activities involving large images and data. We conducted in-context, semi-structured interviews with researchers from a variety of disciplines about their experiences using the LHRD with their own data. Notably, it became apparent that the size and resolution of the LHRD supported a multitude of activities related to observation, for which zooming or other enlargement methods on standard resolution screens were not sufficient. The interview findings lead to implications for further research into supporting a broader range of disciplines in using large, high-resolution displays.
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