scholarly journals Emergency medicine response to the COVID-19 pandemic in England: a phenomenological study

2020 ◽  
pp. emermed-2020-210220
Author(s):  
Henry Walton ◽  
Annakan Victor Navaratnam ◽  
Martyn Ormond ◽  
Vanita Gandhi ◽  
Clifford Mann
Keyword(s):  
Phenomenological Study ◽  
Clinical Pathways ◽  
Phenomenological Approach ◽  
Operational Experience ◽  
Telephone Interviews ◽  
Purposeful Sampling ◽  
Wide Range ◽  
Data Saturation ◽  
Thematic Review

BackgroundThe COVID-19 pandemic has stretched EDs globally, with many regions in England challenged by the number of COVID-19 presentations. In order to rapidly share learning to inform future practice, we undertook a thematic review of ED operational experience within England during the pandemic thus far.MethodsA rapid phenomenological approach using semistructured telephone interviews with ED clinical leads from across England was undertaken between 16 and 22 April 2020. Participants were recruited through purposeful sampling with sample size determined by data saturation. Departments from a wide range of geographic distribution and COVID-19 experience were included. Themes were identified and included if they met one of three criteria: demonstrating a consistency of experience between EDs, demonstrating a conflict of approach between emergency departments or encapsulating a unique solution to a common barrier.ResultsSeven clinical leads from type 1 EDs were interviewed. Thematic redundancy was achieved by the sixth interview, and one further interview was performed to confirm. Themes emerged in five categories: departmental reconfiguration, clinical pathways, governance and communication, workforce and personal protective equipment.ConclusionThis paper summarises learning and innovation from a cross-section of EDs during the first UK wave of the COVID-19 pandemic. Common themes centred around the importance of flexibility when reacting to an ever-changing clinical challenge, clear leadership and robust methods of communication. Additionally, experience in managing winter pressures helped inform operational decisions, and ED staff demonstrated incredible resilience in demanding working conditions. Subsequent surges of COVID-19 infections may occur within a more challenging context with no guarantee that there will be an associated reduction in A&E attendance or cessation of elective activity. Future operational planning must therefore take this into consideration.

scholarly journals The meaning of coping for kidney transplant recipients: a phenomenological study

2018 ◽  
Vol 23 (7) ◽  
pp. 584-595 ◽  
Author(s):  
Najmeh Valizadeh Zare ◽  
Eesa Mohammadi ◽  
Kourosh Zarea ◽  
Nasrin Elahi ◽  
Zahra Manzari
Keyword(s):  
Kidney Transplant ◽  
Phenomenological Study ◽  
Transplant Recipients ◽  
Social Dimensions ◽  
Kidney Transplant Recipients ◽  
Hermeneutic Phenomenological ◽  
Purposeful Sampling ◽  
Cognitive Behavioural ◽  
Wide Range ◽  
Study Participants

Background The meaning of coping, which can be affected by the nature and type of stress and by individuals’ background and culture, has not been studied in the context of specific stress conditions, such as kidney transplant. Aims The present study aims to explore the meaning of coping for kidney transplant recipients. Methods Purposeful sampling was employed for this hermeneutic phenomenological study. Participants were nine kidney transplant recipients who had received treatment at specialised hospital centres in Mashhad and Ahwaz, Iran, in 2013. Data were collected from unstructured interviews and analysed using Van Manen’s approach. Results From 10 sub-themes emerged 4 major themes characterising the meaning of coping with renal transplantation: intelligent acceptance of changes, understanding the necessity of self-care, enduring, and understanding supportive encouragement. Conclusions The meaning of coping for kidney transplant recipients in Iran encompasses a wide range of cognitive, behavioural, psychological, spiritual and social dimensions. Relying on God’s eternal power and on imams emerged as major dimensions of the meaning of coping.

scholarly journals Lived experiences of Overseas Filipino Worker (OFW) nurses working in COVID-19 intensive care units

2021 ◽  
Author(s):  
Jane Marnel Pogoy ◽  
Jezyl Cempron Cutamora
Keyword(s):  
Intensive Care ◽  
Patient Care ◽  
Cultural Differences ◽  
United Arab Emirates ◽  
Lived Experiences ◽  
Phenomenological Study ◽  
Phenomenological Approach ◽  
Filipino Nurses ◽  
Data Saturation ◽  
New Challenges

Background: Limited studies focus on the effects of the pandemic on the nurses' overall risks and wellbeing. At present, no single study has been published on Filipino nurses’ experiences outside the country during the COVID-19 pandemic.Objective: This descriptive phenomenological study explored the Overseas Filipino Worker (OFW) nurses’ experiences working in COVID Intensive Care Units.Methods: The study was conducted in Dubai, United Arab Emirates, where there is a high number of COVID cases. This study utilized a qualitative Husserlian phenomenological approach to describe and explore the lived experiences of the OFW nurses’ caring for COVID-19 critically ill patients. The research key interview informants were eight ICU nurses who cared for COVID 19 patients in Dubai hospitals. Data saturation was reached. Data collection was done in 2020, and Collaizi’s method of data analysis was utilized.Results: A total of 135 significant statements were extracted from the interview transcripts. There were 36 formulated meanings generated, and four themes emerged from this study. The first theme is Challenges During the Pandemic with the following subthemes: Away from Home, Caring for the VOID-19 Patients, and Fear of the Unknown. The second theme is Patient Care during COVID-19 with the following subthemes: COVID ICU Patient Care and The Nursing Profession. Third, Adapting to Change with the subthemes: Living the New Normal and Protecting One’s Self from COVID. Lastly, Resilience Amidst the Pandemic with the following subthemes:  Being with Others and Seeing Oneself.Conclusion: Despite the existing challenges like cultural differences and homesickness faced by these OFW nurses and the new challenges they are faced with the pandemic today, they were still able to continue living and do what is expected of them. From the hassle of wearing the PPEs, shortage of PPE, and being transferred from one unit in the hospital to another, the OFW nurses were able to adapt to these changes. The nurses already got used to the routine, but the fear of getting infected by the virus is still there.

Healing experience for family caregivers after an intensive care unit death

2019 ◽  
pp. bmjspcare-2018-001561 ◽  
Author(s):  
Susan DeSanto-Madeya ◽  
Dan Willis ◽  
Julie McLaughlin ◽  
Aristotle Boslet
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Caregivers ◽  
Phenomenological Study ◽  
Healthcare Providers ◽  
Loved One ◽  
Hermeneutic Phenomenological ◽  
Telephone Interviews ◽  
Hermeneutic Phenomenological Study ◽  
Purposive Sample

ObjectivesFamily caregivers suffer a high burden of emotional and psychological distress following the death of a loved one in the intensive care unit and often struggle to heal in the weeks following their loss. The purpose of this hermeneutic phenomenological study was to describe and interpret the experience of healing for family caregivers six weeks following the death of a loved one in the ICU.MethodsSemi-structured telephone interviews were conducted with a purposive sample of twenty-four family caregivers six weeks following the death of their loved ones in the ICU. Qualitative analysis techniques were used to identify common themes central to the experience of healing across all interviews.ResultsSeven themes were interpreted from the data: searching for clarity from a time of uncertainty; riding an emotional rollercoaster; seeking peace in one’s decisions; moving forward with each new day; taking comfort in the memories; valuing layers of support; and discovering life on one’s own.ConclusionBy identifying and gaining an understanding of healing following the death of a loved one in the ICU, nursing and other healthcare providers have an opportunity to promote healing and positively impact family caregiver’s bereavement.

scholarly journals ‘Somebody stuck me in a bag of sand’: Lived experiences of the altered and uncomfortable body after stroke

2021 ◽  
pp. 026921552110007
Author(s):  
Hannah Stott ◽  
Mary Cramp ◽  
Stuart McClean ◽  
Ailie Turton
Keyword(s):  
Support Groups ◽  
Phenomenological Study ◽  
Community Support ◽  
Phenomenological Approach ◽  
The Body ◽  
Stroke Survivors ◽  
Post Stroke ◽  
Personal Perceptions ◽  
Psychological Sense ◽  
Qualitative Phenomenological

Objective: This study explored stroke survivors’ experiences of altered body perception, whether these perceptions cause discomfort, and the need for clinical interventions to improve comfort. Design: A qualitative phenomenological study. Setting: Participants’ homes. Participants: A purposive sample of 16 stroke survivors were recruited from community support groups. Participants (median: age 59; time post stroke >2 years), were at least six-months post-stroke, experiencing motor or sensory impairments and able to communicate verbally. Interventions: Semi-structured, face-to-face interviews were analysed using an interpretive phenomenological approach and presented thematically. Results: Four themes or experiences were identified: Participants described (1) a body that did not exist; (2) a body hindered by strange sensations and distorted perceptions; (3) an uncontrollable body; and (4) a body isolated from social and clinical support. Discomfort was apparent in a physical and psychological sense and body experiences were difficult to comprehend and communicate to healthcare staff. Participants wished for interventions to improve their comfort but were doubtful that such treatments existed. Conclusion: Indications are that altered body perceptions cause multifaceted physical and psychosocial discomfort for stroke survivors. Discussions with patients about their personal perceptions and experiences of the body may facilitate better understanding and management to improve comfort after stroke.

scholarly journals Analysis of the early mother-child relationship in schizophrenic patients

2021 ◽  
pp. 002076402199118
Author(s):  
Marziyeh Khoshgoftar ◽  
Anahita Khodabakhshi-Koolaee ◽  
Mohammad Reza Sheikhi
Keyword(s):  
Cultural Context ◽  
Phenomenological Approach ◽  
Sampling Procedure ◽  
Structured Interviews ◽  
Step Method ◽  
Child Relationship ◽  
New Information ◽  
Data Saturation ◽  
Schizophrenic Patients ◽  
Mother Child Relationship

Background and Aim: The mother as the first caregiver plays a significant role in the formation of the child’s behavior, growth, and communication. The present study aimed to analyze the early mother-child relationship in schizophrenic patients. Materials and Methods: This qualitative study employed a descriptive phenomenological approach. The participants were male patients with schizophrenia who were hospitalized in Qazvin Bahman Psychiatric Hospital from March to September 2020 with an age range of over 18 years. Given the objective of the study, the data were collected using semi-structured interviews. The participants were selected using purposive sampling and the sampling procedure continued until data saturation as the point when no new information is observed in the data. Accordingly, the data were saturated after interviewing 15 participants. The data were analyzed using Colaizzi’s seven-step method. Results: The analysis of the data revealed four main themes including ambivalent attachment to the mother, feelings of constant fear and worry, a sense of constant care for the mother, and a cold and emotionless relationship with the child. Conclusion: The present study suggested that schizophrenia is a disorder that affects the mother-child relationship, and does the term “schizophrenic mothers” need to be reconsidered? However, the result of this research has been done according to the nature and cultural context of Iranian society.

Understanding the Experiences of Elderly Bereaved Men and the Bond With Their Pets

2021 ◽  
pp. 003022282110048
Author(s):  
Monique C. Thompson, PsyD ◽  
Angela B. Kim, PhD
Keyword(s):  
Sampling Method ◽  
Phenomenological Study ◽  
Companion Animals ◽  
Companion Animal ◽  
Social Connection ◽  
New Normal ◽  
Purposeful Sampling ◽  
Older Males

The purpose of this transcendental phenomenological study was to understand the bereaved Older males’ experiences with the interaction and ownership of a companion animal after the death of their partner. The primary researcher recruited 13 participants via a criterion-based purposeful sampling method to assure the quality of the information collected. Results revealed six themes: (a) bonds with their pets grew stronger and closer after the loss of their wife; (b) men were able to express their grief to their pets; (c) companion animals helped the men psychologically during grief; (d) pets were influential during times when the wife’s presence would have been valuable; (e) companion animals helped men with loneliness and social connection; and (f) companion animals helped men find a new normal by providing a purpose and routine during bereavement. The pets proved to be a source of support for these widowed men.

AGN1 vs AGN2 dichotomy as seen from the point of view of ionized outflows

2019 ◽  
Vol 15 (S356) ◽  
pp. 96-96
Author(s):  
Eleonora Sani
Keyword(s):  
Accretion Rate ◽  
Point Of View ◽  
Emission Lines ◽  
Black Hole Mass ◽  
X Ray ◽  
Bolometric Luminosity ◽  
Wide Range ◽  
Strong Contrast

AbstractI present a detailed study of ionized outflows in a large sample of 650 hard X-ray detected AGN. Taking advantage of the legacy value of the BAT AGN Spectroscopic Survey (BASS, DR1), we are able to reveal the faintest wings of the [OIII] emission lines associated with outflows. The sample allows us to derive the incidence of outflows covering a wide range of AGN bolometric luminosity and test how the outflow parameters are related with various AGN power tracers, such as black hole mass, Eddington ratio, luminosity. I’ll show how ionized outflows are more frequently found in type 1.9 and type 1 AGN (50% and 40%) with respect to the low fraction in type 2 AGN (20%). Within such a framework, I’ll demonstrate how type 2 AGN outflows are almost evenly balanced between blue- and red-shifted winds. This, in strong contrast with type 1 and type 1.9 AGN outflows which are almost exclusively blue-shifted. Finally, I’ll prove how the outflow occurrence is driven by the accretion rate, whereas the dependence of outflow properties with respect to the other AGN power tracers happens to be quite mild.

scholarly journals A Resilient Care of the Patient With COVID-19: A Phenomenological Study

2021 ◽  
pp. 0272684X2110334
Author(s):  
Parvaneh Asgari ◽  
Alun C. Jackson ◽  
Ali Khanipour-Kencha ◽  
Fatemeh Bahramnezhad
Keyword(s):  
Problem Solving ◽  
Family Caregivers ◽  
Spiritual Care ◽  
Phenomenological Study ◽  
Psychiatric Nurses ◽  
Religious Practices ◽  
Iranian Family ◽  
Data Saturation ◽  
Multiple Media ◽  
Media Channels

This study a utilized phenomenological hermeneutic design. Fourteen Iranian family caregivers of patients with COVID-19 who were isolated at home were included in the study using purposive sampling. In-depth unstructured interviews were conducted via WhatsApp. Sampling continued until data saturation. Interviews were transcribed and analyzed using Van Manen’s approach. Three primary themes and eight subthemes emerged. The primary themes included: “captured in a whirlpool of time”, “resilient care’ and “feeling helpless”. It seems that the families of patients with COVID-19 attempt to resist the pressures of this disease with religious practices and problem solving. However, due to the nature of the disease and its severity, they sometimes feel ashamed or lonely and are afraid of losing their loved ones. It is recommended that psychiatric nurses should develop programs in the form of comprehensive spiritual care packages or psychological support and utilize multiple media channels to deliver these.

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