The lived experience of help-seeking by South African women after sexual assault.

The purpose of this study was to explore the lived experience of help-seeking by South African women following sexual assault. Hermeneutic phenomenology guided the study. Interviews were conducted with six women who had experienced sexual assault at some point in their lives. Three venues were most significant to women's help-seeking experiences: the criminal justice system, health care facilities, and/or social service agencies. Essentially, the women's help-seeking experiences in these three venues are best described as fraught justice-seeking, pragmatic help-seeking, and desperate help-seeking. The study findings have implications for the provision of services for women who experience sexual assault in South Africa.

Development of the pediatric quality of life inventory neurofibromatosis type 1 module items for children, adolescents and young adults: qualitative methods.

Health-related quality of life (HRQOL) is arguably one of the most important measures in evaluating effectiveness of clinical treatments. At present, there is no disease-specific outcome measure to assess the HRQOL of children, adolescents and young adults with Neurofibromatosis Type 1 (NF1). This study aimed to develop the items and support the content validity for the Pediatric Quality of Life Inventory™ (PedsQL™) NF1 Module for children, adolescents and young adults. The iterative process included multiphase qualitative methods including a literature review, survey of expert opinions, semi-structured interviews, cognitive interviews and pilot testing. Fifteen domains were derived from the qualitative methods, with content saturation achieved, resulting in 115 items. The domains include skin, pain, pain impact, pain management, cognitive functioning, speech, fine motor, balance, vision, perceived physical appearance, communication, worry, treatment, medicines and gastrointestinal symptoms. This study is limited because all participants are recruited from a single-site. Qualitative methods support the content validity for the PedsQL™ NF1 Module for children, adolescents and young adults. The PedsQL™ NF1 Module is now undergoing national multisite field testing for the psychometric validation of the instrument development.

Concept analysis of community violence: using adolescent exposure to community violence as an exemplar.

The adverse impact of directly experiencing violence has been documented; however outcomes associated with more distal violence exposure have only recently received attention. This concept analysis uses adolescent exposure to community violence to exemplify the concept of community violence. For adolescents, community is a fluid and ever-changing concept. Research has shown that adolescents exposed to community violence may suffer from symptoms of posttraumatic stress, depression, aggression, decreased scholastic ability, and lower levels of success. Nursing interventions that address adolescent exposure to violence have the potential to decrease the detrimental effects of exposure to community violence.