scholarly journals Ethics of Finitude: Nursing and the Palliative Approach in Geriatric and Forensic Psychiatry

2020 ◽  
Vol 7 ◽  
pp. 233339362091326
Author(s):  
Elise Skinner ◽  
Jean Daniel Jacob ◽  
Brandi Vanderspank-Wright ◽  
David Kenneth Wright
Keyword(s):  
Mental Health ◽  
Palliative Care ◽  
Forensic Psychiatry ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Palliative Approach ◽  
Care Approach ◽  
Care Practices ◽  
Accumulated Losses ◽  
Equity Perspective

There is a called-for shift to an upstream provision of palliative care as an overall care approach within a health equity perspective. Our research explored how nurses in psychiatry engage with aging patients and mortality to discern enactment of ethical dimensions of care. Drawing from tenets of interpretative phenomenological analysis, forensic and geriatric psychiatry registered nurses working at a mental health facility in eastern Ontario completed interviews for analysis. Nurses engaged with mortality through a process of recognition and through the affirmation of their values. The affirmed values are aligned with the palliative care approach and within an ethics of finitude lens in that their enactment is partly premised on the recognition of patients’ accumulated losses related to human facticities (social, temporal, mortal). This research underscores preliminary insights on a process identifying care practices aligned with the palliative approach and possibilities for expanding upon an ethics of finitude lens.

scholarly journals Delivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: a qualitative analysis of the experiences of young people, their parents and clinicians-in-training

2021 ◽  
pp. 1-15
Author(s):  
Lucy Taylor ◽  
Cathy Creswell ◽  
Samantha Pearcey ◽  
Emma Brooks ◽  
Eleanor Leigh ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Young People ◽  
Health Services ◽  
Qualitative Analysis ◽  
Social Anxiety Disorder ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Qualitative Exploration

Abstract Background: Social anxiety disorder (SAD) is common. It usually starts in adolescence, and without treatment can disrupt key developmental milestones. Existing generic treatments are less effective for young people with SAD than with other anxiety disorders, but an adaptation of an effective adult therapy (CT-SAD-A) has shown promising results for adolescents. Aims: The aim of this study was to conduct a qualitative exploration to contribute towards the evaluation of CT-SAD-A for adoption into Child and Adolescent Mental Health Services (CAMHS). Method: We used interpretative phenomenological analysis (IPA) to analyse the transcripts of interviews with a sample of six young people, six parents and seven clinicians who were learning the treatment. Results: Three cross-cutting themes were identified: (i) endorsing the treatment; (ii) finding therapy to be collaborative and active; challenging but helpful; and (iii) navigating change in a complex setting. Young people and parents found the treatment to be useful and acceptable, although simultaneously challenging. This was echoed by the clinicians, with particular reference to integrating CT-SAD-A within community CAMHS settings. Conclusions: The acceptability of the treatment with young people, their parents and clinicians suggests further work is warranted in order to support its development and implementation within CAMHS settings.

scholarly journals Experiences Learning Interpersonal Neurobiology: An Interpretative Phenomenological Analysis

2016 ◽  
Vol 38 (1) ◽  
pp. 47-61 ◽  
Author(s):  
Raissa M. Miller ◽  
Casey A. Barrio Minton
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Interpretative Phenomenological Analysis ◽  
Professional Growth ◽  
Phenomenological Analysis ◽  
Future Research ◽  
Health Practice ◽  
Interpersonal Neurobiology ◽  
Therapeutic Practice

Neuroscience is increasingly part of the national dialogue regarding mental health and yet little is known about the experiences of mental health professionals learning and integrating neuroscience into their work. In this study, the authors explored mental health professionals' experiences learning Interpersonal Neurobiology (IPNB). Four super-ordinate themes emerged from an interpretative phenomenological analysis: (1) learning process as dynamic and engaging, (2) deepening knowledge and understanding of self and others, (3) personal and professional growth, and (4) impact on therapeutic practice. Three higher-order constructs appeared embedded within and across themes: learning as ongoing, person of the participant, and person of the instructor. These findings suggest learning IPNB through experiential-based means had a profound impact on participants' personal and professional development, specifically in areas related to characteristics of effective counselors. Implications for future research and mental health practice are discussed.

scholarly journals Understanding the lived experiences of Healthcare Professionals during the COVID-19 Pandemic: An Interpretative phenomenological analysis

2020 ◽  
Author(s):  
Emily McGlinchey ◽  
Catherine Hitch ◽  
Sarah Butter ◽  
Laura Mccaughey ◽  
Emma Berry ◽  
...  
Keyword(s):  
Mental Health ◽  
Northern Ireland ◽  
Lived Experiences ◽  
Interpretative Phenomenological Analysis ◽  
Healthcare Professionals ◽  
Well Being ◽  
Phenomenological Analysis ◽  
Snowball Sampling ◽  
The Uk ◽  
Qualitative Methodologies

Background: Little research has examined mental health and well-being in the context of healthcare professionals (HCP) working during the COVID-19 pandemic within the UK. To our knowledge, no research has employed qualitative methodologies in order to examine this. We therefore aim to address this gap in research by qualitatively examining the lived experiences of HCPs in Northern Ireland, working during the early stages of the pandemic and lockdown period (14.04.20 and 29.04.20).Method: Interpretative phenomenological analysis (IPA) was used to qualitatively examine the lived experiences of healthcare professionals, who were working during the COVID-19 outbreak. Ten HCPs were recruited via a social media campaign and snowball sampling. All interviews were conducted via telephone and transcribed verbatim. Results: Three superordinate themes with subordinate themes were elicited through the analysis. Theme one broadly captured present and future challenges of HCPs working during the pandemic. Theme two captured the mental health and wellbeing of HCPs and theme three captured HCPs’ perceptions of the attitudes of the general public towards HCPs. Conclusions: To the authors’ knowledge this is the first study to explore in depth, the unique experiences of frontline HCPs in Northern Ireland, offering a detailed account of the challenges confronted in these unprecedented circumstances and highlighting support needs within this cohort.

scholarly journals Realizing the problem wasn’t necessarily me": An interpretative phenomenological analysis of the meaning of childhood adversity and resilience in the lives of autistic adults

2021 ◽  
Author(s):  
Gabrielle Heselton ◽  
Gwen R. Rempel ◽  
David B Nicholas
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Young Adulthood ◽  
Interpretative Phenomenological Analysis ◽  
Childhood Adversity ◽  
Well Being ◽  
Autism Spectrum ◽  
Phenomenological Analysis ◽  
Online Chat ◽  
Ample Evidence

Interview Data<p>There is ample evidence that childhood adversity correlates negatively with physical and mental health outcomes across the lifespan. Resilience results when internal and external protective factors in childhood mitigate the effects of adversity and mental and physical health outcomes are improved. However, the phenomena of childhood adversity and resilience among autistic children are understudied and not well understood. In this study, we engaged members of the autism community to advise on the research question, research design, and analysis. Following the engagement phase, three autistic young women and one nonbinary young adult, aged 19-27, participated in semi-structured interviews via phone, video conference, and online chat;. credibility checking interviews followed data analysis. Through interpretative phenomenological analysis we identified themes related to negative effects of adversity, including <i>social disconnection</i>, <i>mental and emotional well-being</i>, <i>sense of self</i>, and <i>development into young adulthood</i>. Resilience was developed in <i>places of refuge</i> and <i>identity</i>, and was evident in their <i>transitions into young adulthood</i>. These findings provide direction for fostering resilience in children and adolescents on the autism spectrum and planning and implementing mental health supports to autistic individuals across the lifespan. </p>

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