Iranian nurses’ experience of “being a wrongdoer”: A phenomenological study

2016 ◽  
Vol 25 (5) ◽  
pp. 653-664 ◽  
Author(s):  
Mohaddeseh Mohsenpour ◽  
MohammadAli Hosseini ◽  
Abbas Abbaszadeh ◽  
Farahnaz Mohammadi Shahboulaghi ◽  
HamidReza Khankeh

Background: Patient safety, which is a patient’s right, can be threatened by nursing errors. Furthermore, nurses’ feeling of “being a wrongdoer” in response to nursing errors can influence the quality of care they deliver. Research objectives: To explore the meaning of Iranian nurses’ experience of “being a wrongdoer.” Research design: A phenomenological approach was used to explore nurses’ lived experiences. Nurses were recruited purposively to take part in semistructured interviews, and the data collected from these interviews were analyzed using Van Manen’s thematic analysis. Participants and research context: Eight nurses working in three private or governmental hospitals in Tehran, Iran. Ethical consideration: The research design was approved in each participating hospital, and all interviews were carried out at a predetermined time in a private place. Findings: Five themes were extracted from the data: “wandering in unpleasant feelings” (with two subthemes: “unpleasant physical feelings” and “unpleasant emotions”), “wandering in the conscience court” (with three subthemes: “being the accused,” “being the victim,” and “being the judge”), “being arrested in time,” “time for change” (with three subthemes: “promoting accountability,” “promoting learning,” and “strengthening supportive relationships”), and “spiritual exercise.” Discussion: Some of our results are supported by the model of self-reconciliation and the recovery trajectory of “second victims” theory. Conclusion: The meaning of “being a wrongdoer” has positive and negative aspects. Feelings of wandering provide nurses the opportunity to reflect on and re-embrace the professional and moral responsibility of nursing. Nursing managers can convert their “defeats” into a prelude to learning, increase their accountability, and improve the quality of nursing care.

2018 ◽  
Author(s):  
Peter Gisbey

The purpose of this qualitative study concerned developing an inductive and comprehensive understanding of the lived experiences of Malaysian homeowners and tenants of affordable housing. This was with respect to the variegated nature of the relationship between housing affordability and property values in the Malaysian housing market, the phenomenon under consideration. A descriptive phenomenological approach, involving both purposive and snowball sampling, was used to achieve the goal of this study: describing the relevant lived experiences in connection with the housing affordability issue in question. Through in-depth interviews, research participants described the experiences that stood out for them, in response to pre-prepared stimulus questions. Verbatim transcriptions of interviews were used as the primary source of data. However, triangulation was achieved through the use of interviews, corroborating field notes and reflective journals. Phenomenological analysis revealed ten emergent themes, namely financing, availability, race/ethnicity, socio-economic status, motives, property values, quality of life, stigma, quality of affordable housing and fairness. One clear implication arising from the findings was that if the Malaysian Government is seen to be doing more in an equitable fashion, this might lead to more positive perceptions in general of the issue of housing affordability. Another clear implication stemming from the findings was that the issue of housing affordability vis-à-vis property values, viewed at from a phenomenological perspective, is clearly a structural problem. Such contentions tend to significantly increase the desirability of the relevant decision-makers employing suitably multi-layered, multi-agency, systems thinking. In terms of practical measures, two key preliminary measures and one fundamental recommendation were made, pinpointing the desirability of improvements in property financing and increased perceptions of fairness.


Sarcoma ◽  
2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Lotta Våde ◽  
Ivar Hompland ◽  
Lena Fauske

Backgrounds. To investigate whether a formal mentoring program involving mentors from the business community could improve the quality of life (QoL) of sarcoma survivors struggling with the late effects of treatment. Methods. Seven former sarcoma patients participated in an eight-month formal mentoring program. The program was assessed through a qualitative study involving a phenomenological approach that utilized a hermeneutical design. In-depth, semistructured interviews were conducted with the mentees after the intervention and six months later. The mentors were interviewed after the program was over. The gathered data were interpreted using a thematic analysis. Results. The program facilitated dialogue between the mentors and mentees as well as between the mentees. Afterwards, the mentees were more willing to accept the challenges they faced following cancer treatment. During the program, the mentees were pushed out of their comfort zone, which led to mastery and personal growth in them all. However, the program also revealed some additional challenges, including unfulfilled expectations in two mentor-mentee relationships. Conclusions. The mentoring program facilitated the mentees’ reorientation and enhanced their QoL. Its eight-month duration appeared important in terms of allowing the mentees to go through a long-lasting process with continued support. The program could serve as the basis for larger studies involving other cancer survivors.


2021 ◽  
pp. 095935432110022
Author(s):  
Sarah Feige ◽  
Jeffery Yen

While public commentators herald the arrival of the Canadian “student debt crisis,” psychological research into postsecondary student debt proliferates. This study explored the ways in which indebted students themselves understand the meanings and implications of student debt in their own lives, by means of semistructured interviews with nine indebted university students. A hermeneutic phenomenological approach to analysis yielded six themes: indebted by necessity; haunted by distressing thoughts and feelings about debts; living under the pressure to repay debts; living a constrained life; feeling alienated from others; and uncertainty about the meaning of university education. Findings suggest that student debt is characterized by the experience of feeling unable to “live one’s life,” and of looking toward a fragile future after university. By grounding the psychological experience of debt in the socially embedded, historical realities of students’ everyday lives, this work suggests implications for critical psychological understandings of financial subjectivation.


2016 ◽  
Vol 1 (1) ◽  

Background: Prevention of pressure ulceration is a key quality indicator throughout both acute and community settings however, good quality evidence and national guidance on how to prevent heel pressure is limited [1]. An alternative offloading device a soft heel cast has been introduced into Podiatric practise. This qualitative research study aims to seek the patient perspective of the soft heel cast. Methods: Patients who had been provided with the soft heel cast were purposively sampled via a recruitment letter. The aim was to recruit between six and eight participants. All participants opted in and provided their written consent to take part in the study. The data was collected using the exemplary method for an Interpretative phenomenological approach (IPA) [2]. All interviews were transcribed and the six stages of analysis appropriate to IPA followed meticulously. Results: The analysis identified three inter-related Superordinate themes. It revealed the intimate relationship between the most complex and powerful theme of pain alongside, ‘ergonomics of the optimal offloading device’ and the participant’s ‘ability to cope’. Five sub-themes were identified and discussed; suffering, comfort, size, identity and ulceration duration. Conclusion: Pain is a complex and subjective phenomenon which cannot be measured directly rather established by the person experiencing it [3]. Pain is unique and often difficult to describe, as a consequence it remains poorly understood and inadequately managed. Quality of life should be considered an equal factor alongside the wellknown triad of ‘how to heal a wound’. This research clearly highlights how patients often suffer in silence.


2018 ◽  
Vol 43 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Priscila Reyes ◽  
Fabia Puelle ◽  
René Mauricio Barría

We explored outpatient’s perceptions on the quality of physiotherapy care provided in three urban primary care centers of Valdivia, Chile, through a descriptive phenomenological study. We collected data from 21 participants through semistructured interviews which were analyzed using the Colaizzi approach. Two main themes emerged: quality related to the professional and structure of the care system. Perceptions about the care received from the physiotherapist are influenced by factors such as communication, the way they treat the patient, and the trust established between patient and professional. In addition, structural aspects such as allocation of spaces, technical equipment and rehabilitation devices, access to centers, and the availability of the physiotherapist affect satisfaction and the perception of the quality of the service received. As it occurs in other health services provided by different health-care professionals, the quality of physiotherapy care is related to subjective (relational) and objective (structural) perceptions.


2017 ◽  
Vol 5 (2) ◽  
pp. 18
Author(s):  
Shereen Mohamed Mohamed ◽  
Catherine O'Neill

Background: Heart failure (HF) is a worldwide chronic and progressive condition. HF symptoms affect an individual’s life perspectives, and create dramatic changes in their everyday living routines. Qualitative studies showed that HF symptoms were associated with reported low quality of life, reduced physical activities, and altered social interactions and relationships. The aim of this study was to explore the experiences of men under the age of 65 diagnosed with HF living in the Kingdom of Bahrain.Methods: An interpretive phenomenological approach was used. In-depth, semi-structured interviews were conducted with six men under the age of 65 who were diagnosed with HF for a period of not less than a year. The interviews were conducted in Arabic, and then translated and transcribed into English. Smith’s framework was drawn on for data analysis.Results: Three main themes emerged: the physical burden of the illness; the psychosocial aspects of the illness and living with HF. The findings showed that the physical symptoms shaped men’s everyday work activities and also their resting and sleeping patterns. Participants expressed feelings of frustration, anger, and sadness following the diagnosis and recounted how their masculinity roles changed at home and in society. Families played a major role giving support to the men, who utilized different coping strategies, as lifestyle and behavioral modifications were adopted. Keeping faith and a belief in God, coupled with social support was a thread that connected all participants coping strategies. The authors recommend that educational programs for men who are diagnosed with HF and their families would help them cope with this chronic illness.Conclusions: Heart failure patients experience dramatic changes in their life. An understanding of the challenges they are facing in their daily living enables them, and those who care for them, both families and nurses, to creatively assist them live with the difficulties encountered with HF.


2022 ◽  
Author(s):  
Feni Betriana ◽  
Waraporn Kongsuwan ◽  
Rina Mariyana

Background: While aesthetics in nursing practice brings out the beauty in nursing, studies regarding how aesthetics are implemented in practice are lacking. Objective: To describe the meanings of aesthetics in nursing practice experienced by nurses in Indonesia. Methods: This qualitative study employed a hermeneutic phenomenological approach based on Gadamerian philosophy. Thirteen nurses were asked to reflect on their experiences of providing aesthetics in their practice through drawing, followed by individual face-to-face interviews. Data were collected in a public hospital in West Sumatra, Indonesia. The interview transcripts and the pictures were analysed following van Manen’s approach. Results: Five thematic categories were revealed: 1) Engaging in caring for persons; 2) Full of compassion; 3) Sympathetic place of care; 4) A joyful time of care; and 5) Distracting the inconvenience in care. Conclusion: Aesthetics in nursing practice is understood and experienced by Indonesian nurses in various ways, not only limited to the visual beauty, cleanness or tidiness of nursing intervention, but are expressed in other ways within caring, including providing care with compassion, applying the art of communication, relieving the pain, and applying innovation in care. These findings can be used to inform nurses in practising aesthetic nursing for enhancing the quality of care. Funding: Faculty of Nursing Research Grant, Prince of Songkla University, Thailand.


2010 ◽  
Vol 90 (6) ◽  
pp. 905-920 ◽  
Author(s):  
Marc Campo ◽  
Amy R. Darragh

BackgroundPhysical therapists and occupational therapists experience high rates of work-related pain. Although most therapists continue to work through this pain, it interferes with work and alters therapists’ work habits. However, the effects on productivity, quality of patient care, and therapists’ quality of life and long-term career plans are unknown.ObjectivesThe purpose of this study was to determine the impact of working with work-related pain on physical therapists and occupational therapists.DesignMultiple methods were used in this study. It was primarily a phenomenological study.MethodsA phenomenological approach was used to explore the meaning of work-related pain in therapists. Focus group interviews were used as the method of data collection. A questionnaire was used to supplement the qualitative analysis.ResultsNineteen therapists participated in 4 focus groups ranging from 2 to 7 participants each. The participants noted substantial effects of work-related pain at work, at home, and in their career plans. All of the therapists were concerned about their potential clinical longevity. The professional culture complicated these effects by forcing therapists into a professional ideal.ConclusionsWork-related pain affects therapists in several personal and professional domains. It also may affect career plans. Strategies to reduce the risk of injury and physical loading of jobs are needed.


2019 ◽  
Vol 2 (1) ◽  
pp. 37-45
Author(s):  
Atikah Wati

Indriyani et al, (2013) stated that many students had dificulty in understanding the generic structure of analytical exposition text. Therefore, the present study tried to investigate the correlation between students understanding in writing generic structure of analytical exposition and the quality of students’ writing in second grade of senior hight school. Grounded in explanatory correlational research design by Creswell (2011), this study conducted over two weeks in one of senior high school in Indramayu. Close-ended questionnaire and writing test were instruments to collect the data and it was analyzed  by using SPSS 22. The statistical calculation from students understanding in writing generic stucture of the text and writing test indicated that the value of tcount was 3.23 and the value of ttable was 0.361. It can be concluded that the hypothesis was accepted because tcount 3.23 > ttable 0.361. The finding reveal that there was middle correlation or middle prediction in students understanding of generic structure of analytical exposition and students writing quality with the score 0,52.


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