scholarly journals Exploration of rural physicians’ lived experience of practising outside their usual scope of practice to provide access to essential medical care (clinical courage): an international phenomenological study

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e037705
Author(s):  
Jill Konkin ◽  
Laura Grave ◽  
Ella Cockburn ◽  
Ian Couper ◽  
Ruth Alison Stewart ◽  
...  
Keyword(s):  
Medical Care ◽  
Lived Experience ◽  
Phenomenological Study ◽  
Primary Outcome Measure ◽  
Read Aloud ◽  
Scope Of Practice ◽  
Structured Interviews ◽  
Rural Medicine ◽  
Hermeneutic Phenomenological ◽  
Standing Up

ObjectivesRural doctors describe consistent pressure to provide extended care beyond the limits of their formal training in order to meet the needs of the patients and communities they serve. This study explored the lived experience of rural doctors when they practise outside their usual scope of practice to provide medical care for people who would otherwise not have access to essential clinical services.DesignA hermeneutic phenomenological study.SettingAn international rural medicine conference.ParticipantsAll doctors attending the conference who practised medicine in rural/remote areas in a predominantly English-speaking community were eligible to participate; 27 doctors were recruited.InterventionsSemi-structured interviews were conducted. The transcripts were initially read and analysed by individual researchers before they were read aloud to the group to explore meanings more fully. Two researchers then reviewed the transcripts to develop the results section which was then rechecked by the broader group.Primary outcome measureAn understanding of the lived experiences of clinical courage.ResultsParticipants provided in-depth descriptions of experiences we have termed clinical courage. This phenomenon included the following features: Standing up to serve anybody and everybody in the community; Accepting uncertainty and persistently seeking to prepare; Deliberately understanding and marshalling resources in the context; Humbly seeking to know one’s own limits; Clearing the cognitive hurdle when something needs to be done for your patient; Collegial support to stand up again.ConclusionThis study elucidated six features of the phenomenon of clinical courage through the narratives of the lived experience of rural generalist doctors.

scholarly journals FAMILY DEMENTIA CAREGIVERS’ EPIPHANIES AND CHANGES IN THEIR APPROACH TO CARING FOLLOWING THE VIRTUAL DEMENTIA TOUR

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S554-S554
Author(s):  
Candace C Harrington ◽  
Candace C Harrington
Keyword(s):  
Lived Experience ◽  
Family Caregiving ◽  
Phenomenological Study ◽  
Structured Interviews ◽  
Dementia Caregivers ◽  
Term Care ◽  
Health Indices ◽  
Person Perspective ◽  
Eye Opening

Abstract Previous interventional studies have failed to show long-term improvements in caregiver stress, health indices, burden, or delay in long-term care placement. The Virtual Dementia Tour® (VDT) provides a vicarious first-person perspective of symptoms related to dementia. This interpretative phenomenological study revealed family dementia caregivers’ perceptions of the VDT® and its impact on their perception of a person living with dementia. In-depth open semi-structured interviews were conducted with ten VDT® participants following a community event. Participants’ statements described a life-changing process with eye-opening epiphanies about the lived experience of dementia and served as a “call to action” to change their approach to caring. Innovative advances in family caregiving research are critical to support this valuable geriatric workforce. This original study provided new knowledge about the value of the VDT® to inform interventions that harness the unrecognized power of vicarious experiences like the VDT® for family dementia caregivers to improve long-term outcomes.

Using the Flipped Classroom Instructional Approach to Foster a Mathematics-Anxious-Friendly Learning Environment

2015 ◽  
pp. 1259-1282
Author(s):  
Chris L. Yuen
Keyword(s):  
Adult Learners ◽  
Learning Environment ◽  
Lived Experience ◽  
Mathematics Anxiety ◽  
Flipped Classroom ◽  
Phenomenological Study ◽  
Linear Equations ◽  
Integral Model ◽  
Hermeneutic Phenomenological ◽  
Hermeneutic Phenomenological Study

This chapter examines the nature and characteristics of mathematics anxiety learning and provides instructional implications for highly mathematics-anxious learners, which are informed by lived experience. The discussion comes from research on the Mathematics Anxiety Learning Phenomenon (MALP), a hermeneutic phenomenological study using Wilber's Integral Model as the underpinning framework. Based on the lived experience data, hermeneutic themes were developed, and it is shown that those themes are capitalized upon in the flipped approach to foster a mathematics-anxious-friendly learning environment. Using the themes from the study, the chapter argues that the flipped approach could be beneficial to students who are highly mathematics-anxious. The system of linear equations with two variables, a common mathematics topic, is used to illustrate how the flipped approach to instructional design could recognize mathematics-anxious adult learners.

scholarly journals New roles and challenges within the healthcare workforce: a Heideggerian perspective

2015 ◽  
Vol 29 (1) ◽  
pp. 2-9 ◽  
Author(s):  
Anthea Wilson
Keyword(s):  
Lived Experience ◽  
Design Methodology ◽  
Phenomenological Study ◽  
Work Roles ◽  
Content Type ◽  
Authentic Self ◽  
Hermeneutic Phenomenological ◽  
Healthcare Workforce ◽  
Dynamic Relationships ◽  
Hermeneutic Phenomenological Study

Purpose – The purpose of this paper is to explore insights based on the phenomenology of Martin Heidegger, on the dynamic relationships between human experience and work roles. Design/methodology/approach – Drawing on the findings of a hermeneutic phenomenological study of nurse mentors, the topics of new roles and role challenges are explored, along with a consideration of their relevance to wider issues of workforce redesign. Heidegger’s philosophy of Dasein, in particular his concepts of inauthentic and authentic self, provided an interpretational lens. This paper applies these philosophical concepts to challenges associated with a changing workforce. Findings – Concepts elaborating human existence as proposed by Heidegger may offer analytic structures for understanding shifts in the lived experience of a changing workplace. In particular, the concepts could help managers to explore the implications of introducing novel work roles or extending roles. The understanding gained can also extend to situations where work practices may need to be challenged. Originality/value – As work roles and skill mix undergo rapid shifts, this paper offers an original way of understanding the experience of work roles.

Physical Activity Experiences of Women Aging with Disabilities

2004 ◽  
Vol 21 (2) ◽  
pp. 122-138 ◽  
Author(s):  
Donna L. Goodwin ◽  
Scott G. Compton
Keyword(s):  
Physical Activity ◽  
Phenomenological Study ◽  
Physical Disabilities ◽  
Medical Model ◽  
Acquired Brain Injury ◽  
Structured Interviews ◽  
Hermeneutic Phenomenological ◽  
Cord Injury ◽  
Experiences Of Women ◽  
Hermeneutic Phenomenological Study

This hermeneutic phenomenological study sought to understand the experiences of physical activity and aging with a disability. Six women with physical disabilities, including cerebral palsy (n = 2), acquired brain injury (n = 1), and spinal cord injury (n = 3), and between the ages of 22-37 years (mean age = 28 years) participated in the study. Their experiences were captured by way of semi-structured interviews. Each participant completed two interviews that were audiotaped and transcribed verbatim. The thematic analysis revealed three themes: experiencing something normal, loss of physical freedom, and maintaining function through physical activity. Implications of the findings were discussed within the context of health promotion and Verbrugge and Jette’s (1994) socio-medical model of disablement.

scholarly journals The Experiences of Nurses and Physicians Caring for COVID-19 Patients: Findings from an Exploratory Phenomenological Study in a High Case-Load Country

2021 ◽  
Vol 18 (17) ◽  
pp. 9002 ◽  
Author(s):  
Moawiah Khatatbeh ◽  
Fadwa Alhalaiqa ◽  
Aws Khasawneh ◽  
Ala’a B. Al-Tammemi ◽  
Haitham Khatatbeh ◽  
...  
Keyword(s):  
Lived Experience ◽  
Professional Training ◽  
Phenomenological Study ◽  
Work Conditions ◽  
Emotional Reactions ◽  
Working Environment ◽  
Mental Wellbeing ◽  
Structured Interviews ◽  
Services Delivery ◽  
Nurses And Physicians

Various changes have affected health services delivery in response to the repercussions of the COVID-19 pandemic, and this may exhibit unprecedented effects on healthcare workers (HCWs). This study aimed to explore the lived experience of physicians and nurses caring for patients with COVID-19 in Jordan. An interpretative phenomenology approach was used, and sampling was purposively performed. Data were collected through semi-structured interviews using an online meeting platform (Zoom®). Interviews were audio-recorded, transcribed verbatim, and analyzed. The data were obtained from 26 physicians and nurses caring for patients with COVID-19. The mean age of the participants was 29.41 years (SD = 2.72). Six main themes and 17 subthemes were identified: (i) emotional reactions; (ii) preparation; (iii) source of support; (iv) extreme workload; (v) occupational challenges, and (vi) work-related concerns. The results showed that nurses and physicians caring for COVID-19 patients in Jordan were experiencing mental and emotional distress and were practicing under inadequate work conditions. This distress could be multifactorial with personal, organizational, or cultural origins. Our findings may guide policymakers to consider the potential factors that significantly affect working environment in healthcare settings, the physical and mental wellbeing of HCWs, and the required professional training that can help in enhancing resilience and coping strategies amidst crises.

scholarly journals More Than Meets the Eye: Explicating the Essence of Gerontology Nursing

2021 ◽  
Author(s):  
◽  
Anne Therese Schumacher
Keyword(s):  
Lived Experience ◽  
Nursing Practice ◽  
Phenomenological Study ◽  
Final Analysis ◽  
The Body ◽  
Lived Body ◽  
Negative Image ◽  
Recruitment And Retention ◽  
Hermeneutic Phenomenological ◽  
Personal Knowing

<p><b>The purpose of this hermeneutic phenomenological study was to explore the essence of gerontology nursing. This project sought to look beyond the practical tasks and skills of gerontology nursing to reveal what is more than meets the eye and thereby explicate the essence of gerontological nursing practice.</b></p> <p>Gerontology nursing is troubled by its unpopular status and negative image that in turn has serious implications for the recruitment and retention of nurses who are both willing and able to work in this field of nursing. The purpose for doing this study was to unveil a deeper meaning and understanding of gerontology nursing, thus contributing to its value and worth as a speciality area of nursing.</p> <p>Conversations with four gerontology nurses were taped, transcribed and then analysed using van Manen’s (1990) approach to researching lived experience. From the analysis, four cardinal elements emerged: true acceptance, personal knowing, being present, and being alive. Those four cardinal elements were reworked and further analysed to reveal three central aspects or essences of gerontology nursing. These essences were the centrality of temporality, the interconnectedness of human relationships, and the significance of the lived body. Temporality is demonstrated by nursing application of objective, or clock time, as well as subjectively in regards to the lived time of the clients. Interconnectedness is the lived human relationship between nurse and client and is represented by commitment, presencing/giving of self, connecting, and knowing the client holistically. The third essence is corporeality, which is portrayed by the gerontology nurses’ distinguishing characteristics and their perception of the lived body of the nursed. The final analysis unveiled caring for the body, the act of seeing, and the joy of care as emergent essences of gerontology nursing. Language of nursing in relationship to ‘basic nursing care’ is critiqued for its potential to devalue gerontology nursing and, by association, old people.</p> <p>The significance of these findings is that there is more than meets the eye in gerontology nursing, however, it is not widely known. To balance the abundance of literature about the science of gerontology nursing practice more research needs to be focused on the art. Establishing and disseminating a clearer, complete picture of gerontology nursing would go toward not only changing its negative image, but may also address recruitment and retention issues. Furthermore, this study has highlighted the need to recruit nurses who possess the necessary personal attributes to ensure they ‘fit’ into gerontology nursing.</p>

scholarly journals Opportunity, support and understanding: the experience of four early trainee nursing associates

2021 ◽  
Vol 15 (6) ◽  
pp. 284-291
Author(s):  
Andrew David Dainty ◽  
Donna Barnes ◽  
Erica Bellamy ◽  
Nicola Kyte ◽  
Katie Berry
Keyword(s):  
Lived Experience ◽  
Phenomenological Study ◽  
Phenomenological Analysis ◽  
Interpretive Phenomenological Analysis ◽  
Structured Interviews ◽  
Participant Experience ◽  
Convenience Sampling ◽  
The University ◽  
Sampling Approach

Aims: This study aimed to capture the lived experience of some of the first trainee nursing associates (TNAs) during the pilot of the role in the January 2017 cohort of TNAs, based at the University of Derby. Methods: A convenience sampling approach was used to recruit participants to this phenomenological study. In-depth, semi-structured interviews were carried out with four participants to capture the experience, as lived by the first cohort of TNAs. Transcripts were transcribed verbatim and were analysed using interpretive phenomenological analysis. Results: Analysis suggests that the participant experience was characterised by six themes, namely: challenges relating to NA training; developing new skills; opportunity; the importance of support; impact of the NA role; and understanding the NA role. Conclusion: This study adds to our understanding relating to the lived experience of some of the first TNAs taking up training for this role within healthcare, and highlights some of the factors that were most pertinent, according to the lived experience of the trainees themselves. The authors hope that the findings of this study will prove useful for those considering taking up training for the role, or indeed establishments considering implementing the role with their settings.

Sign in / Sign up

Export Citation Format

Share Document