Browsing by Author "Rapport, F."
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Item Metadata only Assisted Conception and South Asian communities in the UK: Public perceptions of the use of donor gametes in infertility treatment(Informa, 2013) Culley, Lorraine; Hudson, Nicky; Rapport, F.This paper explores ‘public’ attitudes to the use of donated gametes in infertility treatment amongst members of British South Asian communities in the UK. The study included 14 single-sex focus groups with a total of 100 participants of Indian, Pakistani and Bangladeshi origins in three English cities and 20 individual semi-structured interviews with key informants. It explores five themes from the data: childlessness and stigma; using sperm and using eggs; cultural connections; choosing gametes; religion and the use of donated gametes; and disclosure and the management of information. The paper demonstrates that the socio-cultural context of fertility treatment is highly relevant and those delivering services and those consulting the public need to be aware of cultural and gender differences. Third party assisted conception represents a challenge to received ideas of identity and has implications for social reproduction and kinship which go well beyond immediate conjugal relationships.Item Metadata only British South Asian communities and infertility services(Taylor and Francis, 2006) Culley, Lorraine; Hudson, Nicky; Rapport, F.; Katbamna, S.; Johnson, Mark, 1948 Mar. 16-Item Metadata only Consultation workshops with patients and professionals: developing a template of patient-centred professionalism in community nursing(Sage, 2013-06) Rapport, F.; Doel, Marcus; Hutchings, Hayley; Jones, Aled; Culley, Lorraine; Wright, SarahThe study aimed to clarify the notion of patient-centred professionalism through consultation with the public, stakeholders and professionals in order to develop a thematic template within nursing. The paper also examines innovative methodology informing eight template themes developed qualitatively. Patient-centred professionalism has had little coverage in nursing literature, whilst ‘patient-centredness’ is supporting patients through holistic care according to needs and expectations. The study took place in Wales, UK, between October 2009 and September 2010. Data collection entailed consultation workshops with newly qualifying nurses (13 participants), community nurses (nine participants), nursing stakeholders (six participants) and the public (six participants). Analysis involved summative and thematic approaches. Result were revealed through template themes, identified in rank order of significance: the patient, nursing ethos, community nurse as a person, knowledge and skills, working relationships, service delivery, training and information and environment. The patient comes first for nurses and was the major theme of the analysis. This almost goes without saying for nurses, whilst for patients this is a surprise, as they see themselves as marginalised. The patient in patient-centred professionalism has multiple identities, many of which contradict one another – recipient and object of care, a force of resistance and a focus of negotiation. In conclusion, a clearer understanding of the concept should play a central role in policy development for optimal care, informing education and training, and methodological strengths could be explored further by other researchers, across a wide range of contexts.Item Open Access Cross-border assisted reproduction: a qualitative account of UK travellers' experiences(Taylor and Francis, 2016-05-04) Hudson, Nicky; Culley, Lorraine; Blyth, E.; Norton, Wendy; Pacey, A.; Rapport, F.Surveys on patients’ experiences of cross-border fertility treatment have reported a range of positive and challenging features. However, the number of such studies is limited and there is no detailed qualitative account of the experiences of UK patients who travel overseas for fertility treatment. The present study used a cross-sectional, qualitative design and in-depth interviews. Fifty-one participants (41 women and 10 men, representing 41 treatment ‘cases’) participated in semi-structured interviews. The experiences reported were broadly positive with a large proportion of participants (39 cases, 95%) citing a favourable overall experience with only 2 cases (5%) reporting a more negative experience. Thematic analysis revealed six major categories and 20 sub-categories, which described the positive and challenging aspects of cross border fertility travel. The positive aspects were represented by the categories: ‘access’, ‘control’, ‘care and respect’. The more challenging aspects were categorised as ‘logistics and coordination of care’, ‘uncertainty’ and ‘cultural dissonance’. The study confirms findings from others that despite some challenges, there is a relatively high level of patient satisfaction with cross-border treatment with participants able to extend the boundaries of their fertility-seeking trajectories and in some cases, regain a sense of control over their treatment.Item Metadata only Cross-border reproductive care: A review of the literature.(Elsevier, 2011) Hudson, Nicky; Culley, Lorraine; Blyth, E.; Norton, Wendy; Rapport, F.; Pacey, A.Item Open Access Crossing borders for fertility treatment: motivations, destinations and outcomes of UK fertility travellers.(Oxford University Press, 2011) Culley, Lorraine; Hudson, Nicky; Rapport, F.; Blyth, E.; Norton, Wendy; Pacey, A.Item Metadata only I know about one treatment where they keep the egg somewhere’: British South Asian community understandings of infertility and its treatment(Radcliffe Publishing, 2007) Culley, Lorraine; Hudson, Nicky; Johnson, Mark, 1948 Mar. 16-; Rapport, F.; Katbamna, S.Item Metadata only Public perceptions of gamete donation: a research review(Sage, 2009) Hudson, Nicky; Culley, Lorraine; Rapport, F.; Johnson, Mark, 1948 Mar. 16-; Bharadwaj, A.Item Metadata only Travelling abroad for fertility treatment: an exploratory study of UK residents seeking cross-border care(Human Reproduction, 2010) Culley, Lorraine; Hudson, Nicky; Blyth, E.; Norton, Wendy; Pacey, A.; Rapport, F.Item Metadata only Using focus groups with minority ethnic communities: researching infertility in British South Asian communities(SAGE, 2007-01-01) Hudson, Nicky; Culley, Lorraine; Rapport, F.Item Metadata only 'What are you going to do, confiscate their passports?' Professional perspectives on cross-border reproductive travel(Taylor and Francis, 2013) Culley, Lorraine; Hudson, Nicky; Blyth, E.; Norton, Wendy; Pacey, A.; Rapport, F.Objective: This article reports findings from a UK-based study which explored the phenomenon of overseas travel for fertility treatment. The first phase of this project aimed to explore how infertility clinicians and others professionally involved in fertility treatment understand the nature and consequences of cross-border reproductive travel. Background: There are indications that, for a variety of reasons, people from the UK are increasingly travelling across national borders to access assisted reproductive technologies. While research with patients is growing, little is known about how ‘fertility tourism’ is perceived by health professionals and others with a close association with infertility patients. Methods: Using an interpretivist approach, this exploratory research included focussed discussions with 20 people professionally knowledgeable about patients who had either been abroad or were considering having treatment outside the UK. Semi-structured interviews were recorded, transcribed verbatim and subjected to a thematic analysis. Results: Three conceptual categories are developed from the data: ‘the autonomous patient’; ‘cross-border travel as risk’, and ‘professional responsibilities in harm minimisation’. Professionals construct nuanced, complex and sometimes contradictory narratives of the ‘fertility traveller’, as vulnerable and knowledgeable; as engaged in risky behaviour and in its active minimisation. Conclusions: There is little support for the suggestion that states should seek to prevent cross-border treatment. Rather, an argument is made for less direct strategies to safeguard patient interests. Further research is required to assess the impact of professional views and actions on patient choices and patient experiences of treatment, before, during and after travelling abroad.