Recovery From Substance Abuse Among Zimbabwean Men: An Occupational Transition

2017 ◽  
Vol 39 (1) ◽  
pp. 14-22 ◽  
Author(s):  
Clement Nhunzvi ◽  
Roshan Galvaan ◽  
Liesl Peters
Keyword(s):  
Substance Abuse ◽  
Young Adult ◽  
Narrative Inquiry ◽  
Narrative Analysis ◽  
Recovery Process ◽  
Well Being ◽  
Occupational Identity ◽  
Key Factor ◽  
Spiritual Problems ◽  
Health And Well Being

Substance abuse is a rising global problem, associated with medical, psychiatric, family, occupational, legal, political, financial, and spiritual problems. Recovery is an important area of consideration in occupational therapy’s quest to promoting health and well-being. This narrative inquiry explored the journey of recovery from substance abuse among young adult Zimbabwean men. Three men were purposively selected to participate in in-depth narrative interviews about their occupations during recovery. Data were analyzed using a narrative analysis. Explanatory stories and three superordinate themes illustrated how substance abuse was associated with both positive and negative outcomes. The recovery process emerged as an ongoing occupational transition, influenced by occupational identity and involving changes in occupational participation. Recovery from substance abuse can be conceptualized as an occupational transition. Ongoing participation in “healthy” and meaningful occupations is key factor in this process. Construction of a positive occupational identity is also central.

scholarly journals Symbiotic relationships in patients' engagements with practice nurses

2021 ◽  
Author(s):  
◽  
Elsa Lally
Keyword(s):  
General Practice ◽  
Narrative Inquiry ◽  
General Practitioners ◽  
Professional Education ◽  
Well Being ◽  
Original Research ◽  
Practice Nurses ◽  
Symbiotic Relationships ◽  
Primary Health ◽  
Health And Well Being

<p>Practice nurses engaging with patients is a daily activity in general practice. However, there is little research to assess these relationships from a primary health care, general practice standpoint. The purpose of this new and original research was to explore from patients' perspectives what occurs in general practice, and to establish how the engagements patients have with practice nurses influences patients' health and well-being. The conceptualisation of symbiotic relationships between practice nurses, general practitioners receptionists and patients described in this study, shows how these relationships work in practice, and how they shaped patients' perspectives of their engagements in the general practice setting. Although each person’s role was independent and capable of existing without the other, a mutually beneficial close association was developed.  From the experiences of 15 patients from seven rural and urban general practices in New Zealand, using Narrative Inquiry methodology informed by life course theory and White’s (2010) dimensions of well-being, the co-constructed stories gathered from the participants were analysed applying a modification of McCormack’s (2001) multiple lens model. Findings from the individual participant stories revealed three major themes – general practice activity, health focused practice, and professional comforting. Each of these themes described aspects of the participants' relationships and engagements with practice nurses that contributed to their health and well-being. The co-constructed stories described participants' relationships and engagements, not only with practice nurses but also with general practitioners and receptionists. The presence of the (often unseen) overarching doctor and of practice nurses filling the gap in patients' care was evident. Patients described practice nurses as both support for the doctor and as autonomous practitioners. Ease of access to practice nurses significantly contributed to patients obtaining competent health promoting care. Particularly cogent were the findings that practice nurses directly contributed to patients' health and well-being through nurses' skilled compassion and skilled companionship. Nurses actively listened to patients' concerns, suggesting strategies to move patients forward, while at the same time, providing space for them to move at their own pace. Receptionists were viewed as the 'fronts people' of the practice who triaged patients' health concerns, making decisions relating to whom the patient consulted, the doctor or the nurse.  By building on existing theories in Narrative Inquiry methodology, data collection and analysis, this research makes an important contribution to nursing knowledge. It provides new perspectives about nurse-patient relationships, as well as other relationships within general practice. The research also demonstrates that while there has been a significant increase in collaboration between nurses and general practitioners over time, this collaboration is distinct from the symbiotic relationships described. The findings have implications for health professionals' everyday practice, and for Primary Health Organisations and District Health Boards when undertaking health professional education and funding reviews. Future research into patients' relationships with practice nurses, doctors and receptionists, and how these relationships contribute to patients' health and well-being is necessary.</p>

Physical health and well-being: Experiences and perspectives of young adult mental health consumers

2016 ◽  
Vol 25 (4) ◽  
pp. 299-307 ◽  
Author(s):  
Andrea McCloughen ◽  
Kim Foster ◽  
David Kerley ◽  
Cynthia Delgado ◽  
Adrienne Turnell
Keyword(s):  
Mental Health ◽  
Young Adult ◽  
Physical Health ◽  
Well Being ◽  
Adult Mental Health ◽  
Mental Health Consumers ◽  
Health Consumers ◽  
Health And Well Being

scholarly journals Whakaohonga nā Kahungatanga: Awakening from Addiction

2021 ◽  
Author(s):  
◽  
Hemaima Mariana Hughes
Keyword(s):  
Narrative Inquiry ◽  
Methodological Approach ◽  
Well Being ◽  
Research Process ◽  
Core Beliefs ◽  
Success Rates ◽  
Successful Recovery ◽  
The Two Cultures ◽  
Kaupapa Māori ◽  
Health And Well Being

<p>Alcohol and other drug (AOD) use, abuse and addiction are destructive to Māori and are an urgent problem; wairuatanga, cultural identity and tino rangatiratanga (self determination) are key to successful recovery ffom AODs for Maori. Kaupapa Māori AOD services have better success rates because they provide what is essential for Māori such as tikanga, core beliefs, values and practices of Maori re health, illness, wairua, tapu, noa and life. There are strategies for addressing the problem of AOD addiction for Māori such as positive stories of recovery. This thesis explores the shared experiential journeys of four Pūkōrero (participants) who successfully completed detoxification and recovery programmes from AOD addiction. Three questions were used to guide the research process to enable the Pūkōrero to identify positive aspects of their individual detoxification and recovery programmes, surface any barriers and issues they experienced, and clarify the support they received throughout the process. Kaupapa Maori and Narrative Inquiry was adapted to undertake this study to capture the essence of Maori thinking and reality regarding AOD. Through the use of thematic analysis the data findings of the study reflect the views from each Pūkōrero of Wairua, Whakapapa and Whānau as key to their successful recovery. This supports the notion that a pathway of detoxification, recovery and hope exists to enable Maori and others to take the journey to reclaim their own health and well-being, and the health and well-being of Whānau, Hapū, Iwi, and Māori community. In honour of these Pūkōrero, Kāumatua, Tipuna, Whānau, Hapū, Iwi, Māori katoa, and to celebrate Kaupapa Maori and Narrative Inquiry [as the preferred methodological approach], the use of our tino ataahua reo integrated with English throughout the thesis demonstrates the interwoven connections between the two cultures enshrined in Te Tiriti o Waitangi that comprise the nation of Aotearoa me Te Waipounamu of New Zealand.</p>

scholarly journals Effects of Birthing Room Design on Maternal and Neonate Outcomes: A Systematic Review

2020 ◽  
Vol 13 (3) ◽  
pp. 198-214
Author(s):  
Christina Nilsson ◽  
Helle Wijk ◽  
Lina Höglund ◽  
Helen Sjöblom ◽  
Eva Hessman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Narrative Analysis ◽  
A Priori ◽  
Well Being ◽  
Healthcare Environment ◽  
Emotional Outcomes ◽  
Room Design ◽  
Published Research ◽  
Health And Well Being

Aim: To summarize, categorize, and describe published research on how birthing room design influences maternal and neonate physical and emotional outcomes. Background: The physical healthcare environment has significant effects on health and well-being. Research indicates that birthing environments can impact women during labor and birth. However, summaries of the effects of different environments around birth are scarce. Methods: We conducted a systematic review, searching 10 databases in 2016 and 2017 for published research from their inception dates, on how birthing room design influences maternal and neonate physical and emotional outcomes, using a protocol agreed a priori. The quality of selected studies was assessed, and data were extracted independently by pairs of authors and described in a narrative analysis. Results: In total, 3,373 records were identified and screened by title and abstract; 2,063 were excluded and the full text of 278 assessed for analysis. Another 241 were excluded, leaving 15 articles presenting qualitative and quantitative data from six different countries on four continents. The results of the analysis reveal four prominent physical themes in birthing rooms that positively influence on maternal and neonate physical and emotional outcomes: (1) means of distraction, comfort, and relaxation; (2) raising the birthing room temperature; (3) features of familiarity; and (4) diminishing a technocratic environment. Conclusions: The evidence on how birthing environments affect outcomes of labor and birth is incomplete. There is a crucial need for more research in this field.

Complementary Therapies for Cancer Patients: A Narrative Inquiry from the Perspective of Three Health Care Practitioners

2021 ◽  
Vol 5 (1) ◽  
pp. 104-126
Author(s):  
Stephanie Borg Spagnol
Keyword(s):  
Narrative Inquiry ◽  
Cancer Patients ◽  
Narrative Analysis ◽  
Cancer Care ◽  
Complementary Therapies ◽  
Well Being ◽  
Cross Sectional Study ◽  
Clinical Psychologist ◽  
Cross Sectional ◽  
The Impact

This paper explores the experiences of an oncologist, a clinical complementary therapist, and a clinical psychologist regarding the use of complementary therapies (CTs) by cancer patients. Additionally, it also investigates the efficacy of CTs and their contribution in alleviating the side-effects of cancer and its treatment when used simultaneously with conventional cancer medication. A qualitative research design using narrative inquiry was adopted to gain the in-depth experience of the three participants. It is a cross-sectional study, portraying a longitudinal perspective through the professional years of experience that these research participants have in the oncology domain. Purposive sampling was the method used to choose the participants, and data was collected through in-depth narrative interviewing. The interviews were transcribed and analysed using thematic narrative analysis. Four central themes emerged from this study that depict: (1) the impact of cancer on the patients’ well-being, (2) the role of complementary therapies from the practitioners’ perspective, (3) the need for reliable information that is easily accessible to both patients and healthcare practitioners, and (4) the imminent demand for therapists who are qualified in clinical complementary therapies. Conclusions drawn from this study indicate that more evidence-based research is required to support the use of CTs in cancer care as well as additional training on CTs to the healthcare professionals. It is advised that oncology doctors are informed about the versatility of CTs, their benefits and the possible harmful interactions with conventional cancer medication, and additionally, it is recommended that in order to increase patients’ awareness of the use of CTs within cancer care, information on their safety and efficacy should be made more readily available to the patients. Furthermore, the need for more complementary therapists who are specialised to work within the field of oncology was identified, hence it is recommended that local vocational institutions such as MCAST address this demand by providing accredited courses and training in clinical complementary therapies.

Extreme Sport, Identity, and Well-Being: A Case Study and Narrative Approach to Elite Skyrunning

2020 ◽  
Vol 4 (S1) ◽  
pp. S1-8-S1-16 ◽  
Author(s):  
Kerry R. McGannon ◽  
Lara Pomerleau-Fontaine ◽  
Jenny McMahon
Keyword(s):  
Narrative Analysis ◽  
Well Being ◽  
Documentary Films ◽  
Team Members ◽  
Life Project ◽  
Study Approach ◽  
Sport Athlete ◽  
Risk Takers ◽  
Health And Well Being

Although extreme-sport athletes’ experiences have been explored in sport psychology, more research is needed to understand the nuanced identity meanings for these athletes in the context of health and well-being. A case-study approach grounded in narrative inquiry was used to explore identity meanings of 1 elite extreme-sport athlete (i.e., skyrunner Kilian Jornet) in relation to well-being. Data gleaned from 4 documentary films and 10 autobiographical book chapters describing the Summits of My Life project were subjected to a thematic narrative analysis. Two intersecting narratives—discovery and relational—threaded the summits project and were used by Jornet to construct an “ecocentric” identity intertwined with nature in fluid ways, depending on 3 relationships related to well-being: the death of climbing partner Stéphane Brosse, team members’ shared values, and her relationship with partner Emelie Forsberg. An expansion of identity, health, and well-being research on extreme-sport athletes beyond simplistic portrayals of them as pathological risk takers and/or motivated by personality traits was gained from these findings.

Experiences of Intergenerational Trauma in Second-Generation Refugees: Healing Through Occupation

2020 ◽  
Vol 87 (5) ◽  
pp. 412-422
Author(s):  
Janany Jeyasundaram ◽  
Luisa Yao Dan Cao ◽  
Barry Trentham
Keyword(s):  
Narrative Inquiry ◽  
Life Skills ◽  
Second Generation ◽  
Sense Of Self ◽  
Well Being ◽  
Intergenerational Trauma ◽  
Structured Interviews ◽  
Vietnamese Refugees ◽  
Greater Toronto Area ◽  
Health And Well Being

Background. Trauma experienced in one generation can affect the health and well-being of subsequent generations, such as impairing life skills, personal contentment, behaviour patterns and sense of self. This phenomenon has predominantly been explored with descendants of European refugees and is not fully understood from an occupational perspective. Purpose. This research explores how intergenerational trauma manifests in the occupational lives of second-generation Ilankai Tamil and Vietnamese refugees. Methods. Using qualitative narrative inquiry, 12 adult children of Tamil and Vietnamese refugees residing in the Greater Toronto Area participated in semi-structured interviews. Narratives were thematically analysed. Findings. Findings illustrate how sociohistorical, cultural and familial contexts influence the way second-generation refugees view what they can and should do. Many healing responses to intergenerational trauma include occupations focused on communal care. Implications. Findings from this study reveal the unique struggles and needs of two understudied populations and the possibilities for healing through occupation.

scholarly journals Symbiotic relationships in patients' engagements with practice nurses

2021 ◽  
Author(s):  
◽  
Elsa Lally
Keyword(s):  
General Practice ◽  
Narrative Inquiry ◽  
General Practitioners ◽  
Professional Education ◽  
Well Being ◽  
Original Research ◽  
Practice Nurses ◽  
Symbiotic Relationships ◽  
Primary Health ◽  
Health And Well Being

<p>Practice nurses engaging with patients is a daily activity in general practice. However, there is little research to assess these relationships from a primary health care, general practice standpoint. The purpose of this new and original research was to explore from patients' perspectives what occurs in general practice, and to establish how the engagements patients have with practice nurses influences patients' health and well-being. The conceptualisation of symbiotic relationships between practice nurses, general practitioners receptionists and patients described in this study, shows how these relationships work in practice, and how they shaped patients' perspectives of their engagements in the general practice setting. Although each person’s role was independent and capable of existing without the other, a mutually beneficial close association was developed.  From the experiences of 15 patients from seven rural and urban general practices in New Zealand, using Narrative Inquiry methodology informed by life course theory and White’s (2010) dimensions of well-being, the co-constructed stories gathered from the participants were analysed applying a modification of McCormack’s (2001) multiple lens model. Findings from the individual participant stories revealed three major themes – general practice activity, health focused practice, and professional comforting. Each of these themes described aspects of the participants' relationships and engagements with practice nurses that contributed to their health and well-being. The co-constructed stories described participants' relationships and engagements, not only with practice nurses but also with general practitioners and receptionists. The presence of the (often unseen) overarching doctor and of practice nurses filling the gap in patients' care was evident. Patients described practice nurses as both support for the doctor and as autonomous practitioners. Ease of access to practice nurses significantly contributed to patients obtaining competent health promoting care. Particularly cogent were the findings that practice nurses directly contributed to patients' health and well-being through nurses' skilled compassion and skilled companionship. Nurses actively listened to patients' concerns, suggesting strategies to move patients forward, while at the same time, providing space for them to move at their own pace. Receptionists were viewed as the 'fronts people' of the practice who triaged patients' health concerns, making decisions relating to whom the patient consulted, the doctor or the nurse.  By building on existing theories in Narrative Inquiry methodology, data collection and analysis, this research makes an important contribution to nursing knowledge. It provides new perspectives about nurse-patient relationships, as well as other relationships within general practice. The research also demonstrates that while there has been a significant increase in collaboration between nurses and general practitioners over time, this collaboration is distinct from the symbiotic relationships described. The findings have implications for health professionals' everyday practice, and for Primary Health Organisations and District Health Boards when undertaking health professional education and funding reviews. Future research into patients' relationships with practice nurses, doctors and receptionists, and how these relationships contribute to patients' health and well-being is necessary.</p>

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