scholarly journals Developing and sustaining nurses' service improvement capability: a phenomenological study

2020 ◽  
Vol 29 (11) ◽  
pp. 618-626
Author(s):  
Lynn Craig ◽  
Alison Machin
Keyword(s):  
Nursing Students ◽  
Nursing Practice ◽  
Phenomenological Study ◽  
Care Quality ◽  
Service Improvement ◽  
Structured Interviews ◽  
Hermeneutic Circle ◽  
Adaptive Behaviours ◽  
Power And Powerlessness ◽  
Study Participants

Background: Service improvement to enhance care quality is a key nursing responsibility and developing sustainable skills and knowledge to become confident, capable service improvement practitioners is important for nurses in order to continually improve practice. How this happens is an under-researched area. Aim: A hermeneutic, longitudinal study in Northern England aimed to better understand the service improvement lived experiences of participants as they progressed from undergraduate adult nursing students to registrants. Method: Twenty year 3 student adult nurses were purposively selected to participate in individual semi-structured interviews just prior to graduation and up to 12 months post-registration. Hermeneutic circle data analysis were used. Findings: Themes identified were service improvement learning in nursing; socialisation in nursing practice; power and powerlessness in the clinical setting; and overcoming service improvement challenges. At the end of the study, participants developed seven positive adaptive behaviours to support their service improvement practice and the ‘model of self-efficacy in service improvement enablement’ was developed. Conclusion: This study provides a model to enable student and registered nurses to develop and sustain service improvement capability.

scholarly journals Korean Nursing Students’ First Experiences of Clinical Practice in Psychiatric Nursing: A Phenomenological Study

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 215
Author(s):  
Sunkyung Cha ◽  
Hyunjung Moon ◽  
Eunyoung Park
Keyword(s):  
Clinical Practice ◽  
Nursing Students ◽  
Phenomenological Study ◽  
Negative Attitude ◽  
Psychiatric Nursing ◽  
Mental Illnesses ◽  
Structured Interviews ◽  
Students First ◽  
Site Staff ◽  
Fear And Anxiety

Nursing students have a more negative attitude toward psychiatric practice than other practices. In particular, Korean nursing students experience increased pressure during clinical practice in psychiatric nursing due to sociocultural and institutional influences, such as prejudices, fear, and anxiety towards mental illnesses. This study aimed to conduct an investigation on students’ first experiences of clinical practice in psychiatric nursing. Participants were 12 fourth year nursing students in South Korea. The data were collected through semi-structured interviews, and data analysis was done using Colaizzi’s phenomenological method. The students’ experiences of clinical practice in psychiatric nursing could be categorized into emotional fluctuation, burnout, transformation, and growth. The results of this study show that nursing students experienced emotional fluctuation and burnout at the beginning of their clinical practice in psychiatric nursing. At the end of the clinical practice, they experienced transformation and growth. The study suggests that nursing instructors and on-site staff need to interact with nursing students to understand the nature of these first experiences and support them through teaching and field guidance.

scholarly journals Preceptorship and Affirmation in the Intergenerational World of Nursing Practice

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Vicki Foley ◽  
Florence Myrick ◽  
Olive Yonge
Keyword(s):  
Nursing Students ◽  
Generational Differences ◽  
Nursing Practice ◽  
Phenomenological Study ◽  
Nursing Program ◽  
Eastern Canada ◽  
Learning Space ◽  
Undergraduate Nursing ◽  
Clinical Nursing

Research has shown that while preceptorship offers a reality-oriented learning environment and facilitates competence of students, there are inherent rewards and stressors associated with the experience. Students and preceptors can be from different generations, and as such, they may often come to the learning space with differing values and expectations. The nature of the preceptorship experience in this intergenerational context was explored in a recent phenomenological study with seven preceptors and seven nursing students in an undergraduate nursing program in Eastern Canada. Overall the experience was found to be inclusive of three main themes:being affirmed, being challenged, andbeing on a pedagogical journey. In this paper we explore the first of these themes,being affirmed. Highlighting the positive aspects of the preceptorship experience in the intergenerational context is necessary to promote a culture of openness and respect for generational differences within clinical nursing practice settings and to improving the overall quality of the educational experience.

scholarly journals Women's Experiences of Rectovaginal Fistula: An Ethno- Religious Experience

2020 ◽  
Author(s):  
Fatemeh Touhidi Nezhad ◽  
Rostam Jalali ◽  
Fozieh Karimi
Keyword(s):  
Rectovaginal Fistula ◽  
Phenomenological Study ◽  
Healthcare Personnel ◽  
Structured Interviews ◽  
Negative Attitudes ◽  
Sexual Dissatisfaction ◽  
Physical Suffering ◽  
Colaizzi's Method ◽  
Study Participants ◽  
Experiences Of Women

Abstract Background: Obstetric fistulas are one of the most tragic injuries that occur after difficult, prolonged childbirth without timely intervention. These fistulas cause discomfort to patients and result in emotional, social, and even physical suffering. The aim of the present study was to explore the experiences of women with rectovaginal fistula in Kamyaran city, in Kurdestan province, west of Iran. Methods: In a phenomenological study, 16 patients, healthcare personnel and patients' families were investigated. Purposive sampling was performed and Study participants were interviewed in-depth semi-structured interviews. All interviews were audio-recorded, transcribed verbatim (word by word) and analyzed by Colaizzi's method. In order to determine the validity of the study, Lincoln and Guba’s criteria, which include credibility, dependability, transferability, and confirmability, were considered. Results: Five general themes and ten sub-themes emerged after investigating interviews. Themes include religious harassment the sub-theme of being defiled), fail (subthemes of loss and negative attitudes, disrupted sex (the subtheme of sexual dissatisfaction), consequence (three subthemes of sleep disturbance, mental crisis, and isolation), and ultimately panic (three subthemes of humiliation, secrecy, and fear). Conclusion: The rectovaginal fistula is a complex and multifaceted problem with social, individual, familial, religious, and ethnic-environmental dimensions, so there is no simple solution to interact with this problem and there is a need to find a solution, considering the dimensions of the problem and plan for help these patients cope with their disease, and take steps to fully treat it.

Exploring Nursing Students' Experiences of Blindness Simulation: A Phenomenological Study

2020 ◽  
Author(s):  
Alireza Nikbakht Nasrabadi ◽  
Masoomeh Malek ◽  
Mahbobeh Shali ◽  
Haleh Jafari
Keyword(s):  
Nursing Students ◽  
Phenomenological Study ◽  
Professional Services ◽  
Care Plan ◽  
Structured Interviews ◽  
Existing Problems ◽  
Purposeful Sampling ◽  
Simulation Based ◽  
Blind Patients

Abstract Background: Simulation-based teaching skill is important for nurses who care for blind patients. Nurses should be able to understand their clients in order to provide them with better care. Also, better understanding of blindness enables nurses to take a more appropriate approach in dealing with blind patients and solving their problems. The aim of this study was to explore the experiences of blindness simulation among a group of nursing students.Methods: This qualitative study was conducted using an interpretive phenomenological method. Using purposeful sampling method, 8 participants were selected to share their experiences regarding blindness simulation through individual in-depth and semi-structured interviews. The transcribed interviews were analyzed by Diekelmann’s approach.Results: The results of data analysis resulted in three main categories and nine subcategories, which were conceptually named based on their nature. The main categories included; abandoned in the labyrinth of life, seeing with the eyes of heart, and personality alienation.Conclusions: The findings of this study provide a clear picture of students' experiences of blindness simulation. Understanding students' descriptions and perceptions of visually impaired patients in different aspects can provide valuable data in reducing and removing existing problems and planning to improve the quality of care. Therefore, improving and modifying care plan can guarantee the quality of professional services provided to patients.

scholarly journals Lived Experiences of Palestinian Patients With COVID-19: A Multi-center Phenomenological Study of Recovery Journey

2021 ◽  
Author(s):  
Aidah Alkaissi ◽  
Fadi AlZiben ◽  
Mohammad Abu Rajab ◽  
Mahdia Alkony
Keyword(s):  
Mental Health ◽  
Lived Experiences ◽  
Phenomenological Study ◽  
Qualitative Interviews ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Sampling Technique ◽  
Care Plan ◽  
Structured Interviews ◽  
Study Participants

Abstract Background: Exploring lived experiences of recovered COVID-19 patients might have scientific, social, and policy relevance that apply to the healthcare infrastructure. This multi-center phenomenological study was conducted to explore lived experiences of Palestinian patients who recovered from COVID-19.  Methods: In this qualitative study, a phenomenological descriptive approach was used. A purposive sampling technique was employed to select the study participants. Semi-structured qualitative interviews were conducted with patients who recovered from COVID-19 (n = 20). The transcripts of the audio recorded interviews were analyzed by using Giorgio’s phenomenological analysis method. Results: Semi-structured interviews were conducted with 14 male and 6 female participants. The age of the participants ranged from 25-50 years. Nine themes and multiple subthemes emerged from the qualitative data. The themes were relevant to patient’s feelings about the experience, mental issues, social discriminations/stigma, symptoms, life in isolation, using supportive treatment, personal preventive measures, social support, and life after recovery.Conclusion: Survivors who were interviewed in this study recounted devastating experiences with regard to their mental health, social stigmatization, feeling guilt, shame, and hesitant to regain contact with others. Mental health issues should be addressed as a part of the care plan for patients with COVID-19. More studies are still needed to investigate if introducing mental healthcare providers to the care team of patients with COVID-19 can improve the experiences of the patients.

Distress morale e cure futili: indagine conoscitiva sulla percezione degli studenti infermieri

2016 ◽  
Vol 65 (5) ◽  
Author(s):  
Simone Conoci ◽  
Elena Cristofori ◽  
Caterina Galletti
Keyword(s):  
Nursing Students ◽  
Professional Practice ◽  
Moral Distress ◽  
New Technologies ◽  
Phenomenological Study ◽  
Sono State ◽  
Clinical Settings ◽  
Structured Interviews ◽  
The Right ◽  
Strong Situation

Gli operatori sanitari, nell’esercizio professionale quotidiano, si avvalgono di un insieme di regole deontologiche che giustificano la moralità e irreprensibilità dell’atto assistenziale di cui sono garanti. Tuttavia l’iper-specializzazione del sapere e lo sviluppo di nuove tecnologie sottopongono costantemente i professionisti della salute all’impossibilità di conciliare sempre ciò che “è possibile fare” con ciò che “è doveroso” ed “eticamente lecito” fare per il paziente, condizione che potenzialmente genera nell’operatore distress morale. Gli infermieri che sperimentano Moral distress vivono una situazione di forte disagio, poiché riconoscono il comportamento da intraprendere più adeguato alla situazione clinica ma, per svariati motivi, non possono metterlo in pratica trovandosi quindi ad agire in modo contrario ai propri valori professionali. Le ricerche sul distress morale sono state condotte prevalentemente su infermieri. Nel presente studio sono state esaminate le situazioni che provocano conflitto morale nel vissuto degli studenti infermieri, in relazione a tutte quelle situazioni d’assistenza che si collocano al limite di una medicina etica e coscienziosa in termini di proporzionalità dei mezzi impiegati e di gravosità o beneficità dei trattamenti per il paziente. È stato svolto uno studio fenomenologico con interviste scritte semi-strutturate su un campione propositivo di studenti infermieri di una università romana. I testi delle interviste sono stati analizzati con il metodo Giorgi. I risultati hanno evidenziato che il Moral distress si manifesta nel vissuto esperienziale dello studente che è già in grado di delineare situazioni spiacevoli, cause, effetti e, in limitati casi, possibili strategie per rispondere al disagio vissuto nei setting clinici.During the professional practice of every day, caregivers use a set of ethical rules that warrant morality and irreproachability of welfare deed they are guarantors to. Nevertheless, hyperspecialization of knowledge and the development of new technologies, steadily submit professionals of wealth to inability to reconcile many times what “it is possible to do” to what “it is right to do” and “ethically correct” for patients, and that’s what potentially creates moral distress to the caregiver. Nurses who experience this moral distress, live a strong situation of discomfort, because they recognize the right behavior to have in a certain clinic situation but, due to several reasons, they can’t execute as they should, and they are incline to practice against their professional values. The most of surveys about moral distress are all conducted on nurses. This analysis inquires all situations that produce moral conflict in lived of nursing students, related to all those situations that lie on the border between an ethic and conscientious Medicine, about the proportionality in the use of means used and burdensomeness or beneficence of treatments for patients. It was carried out a phenomenological study by written semi-structured interviews on a purposeful sample of nursing students of a roman Campus. The texts of the interviews were analyzed with Giorgi’s method. The results showed that moral distress occurs in experiential lived of a student who is already able to outline unpleasant situations, causes, effects, and in few cases, possible strategies to respond to the distress experienced in clinical settings.

‘I could have made those changes years earlier’: experiences and characteristics associated with receiving a prediabetes diagnosis among individuals recently diagnosed with type 2 diabetes

2019 ◽  
Vol 37 (3) ◽  
pp. 382-389 ◽  
Author(s):  
Mari Somerville ◽  
Emily Burch ◽  
Lauren Ball ◽  
Lauren T Williams
Keyword(s):  
Type 2 Diabetes ◽  
Diet Quality ◽  
Service Improvement ◽  
Structured Interviews ◽  
Current Management ◽  
Telephone Interviews ◽  
Nutrition Care ◽  
Study Participants ◽  
Health Service Improvement

Abstract Background Prediabetes increases the risk of developing type 2 diabetes (T2D). Improving diet quality is key in preventing this progression, yet little is known about the characteristics of individuals with prediabetes or the nutrition care they receive. Objectives This study aims to identify characteristics and experiences associated with receiving a prediabetes diagnosis prior to developing T2D. Methods A mixed methods study encompassed a quantitative subanalysis of participants with newly diagnosed T2D from The 3D Study, and semi-structured telephone interviews with a subsample of participants who were previously diagnosed with prediabetes. Interviews were thematically analysed and survey data synthesized using SPSS statistical software. Results Of the 225 study participants, 100 individuals were previously diagnosed with prediabetes and 120 participants were not. Those with prediabetes were less likely to be smokers (P = 0.022) and more likely to be satisfied with seeing a dietitian (P = 0.031) than those without a previous prediabetes diagnosis. A total of 20 participants completed semi-structured interviews. Thematic analysis revealed three themes: (i) experiencing a prediabetes diagnosis; (ii) receiving nutrition care during prediabetes and (iii) reflecting on the experience of receiving care for prediabetes versus T2D. Conclusions There are gaps in the current management of prediabetes in Australia. Low rates of prediabetes diagnosis and an ambiguous experience of receiving this diagnosis suggest an area of health service improvement. With no difference in diet quality between individuals with and without a previous prediabetes diagnosis, the nutrition care during prediabetes may be more important than the diagnosis itself in delaying the onset of T2D.

scholarly journals Nursing practice in the promotion of the elderly’s autonomy

2021 ◽  
Vol 55 ◽  
Author(s):  
Andreia Maria Novo Lima ◽  
Maria Manuela Ferreira da Silva Martins ◽  
Maria Salomé Martins Ferreira ◽  
Adriana Raquel Neves Coelho ◽  
Soraia Dornelles Schoeller ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Information Systems ◽  
Nursing Practice ◽  
Phenomenological Study ◽  
Northern Region ◽  
Structured Interviews ◽  
Convenience Sampling ◽  
Specialist Nurses ◽  
Nursing Diagnoses

ABSTRACT Objective: To describe the meaning attributed by specialist nurses to the promotion of the elderly’s autonomy. Method: This is a phenomenological study, according to Giorgi’s method, which uses semi-structured interviews. Eighteen specialist nurses participated, recruited using convenience sampling, in two hospitals in the northern region of Portugal, between March and December 2018. Results: Five themes emerged: use of instruments; use of theoretical framework; nursing diagnoses; prescription of interventions; nursing records. Conclusion: Specialist nurses use instruments that essentially promote the elderly’s physical capacity, within the scope of autonomy. The information systems used to record the diagnoses and prescriptions for interventions do not reflect the intervention for the person’s autonomy. Autonomy in a multidimensional way is not very well developed, despite the recognition of its importance for the elderly’s quality of life and dignity.

scholarly journals The Experience of Adults with Multimorbidity: A Qualitative Study

2014 ◽  
Vol 4 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Cynthia Duguay ◽  
Frances Gallagher ◽  
Martin Fortin
Keyword(s):  
Qualitative Study ◽  
Healthcare System ◽  
Primary Healthcare ◽  
Daily Living ◽  
Care Management ◽  
Phenomenological Study ◽  
Structured Interviews ◽  
The Core ◽  
Study Participants ◽  
Very High

Background Findings from several countries indicate that the prevalence of multimorbidity is very high among clients of primary healthcare. A deeper understanding of patients’ experiences from their own perspective can greatly enrich any intervention to help them live as well as possible with multimorbidity. Objective To describe the fundamental structure of adults’ experience with multimorbidity. Design A phenomenological study was undertaken to describe the experiences of 11 adults with multimorbidity. These adults participated in two semi-structured interviews, the content of which was rigorously analyzed. Results At the core of the study participants’ multimorbidity experience are the impression of aging prematurely, difficulties with self-care management, and issues with access to the healthcare system, which contribute to the problem's complexity. Despite these issues, participants with multimorbidity report attempting to take control of their situation and adjusting to daily living. Conclusions The description of this experience, through the systemic vision of participants, provides a better understanding of the realities experienced by people with multimorbidity.

scholarly journals Lived experiences of nursing students about ethical concerns regarding mobile learning in educational and clinical contexts

2019 ◽  
Author(s):  
Hamid Reza Koohestani ◽  
Mahmood Karimy ◽  
Morteza Hemmat ◽  
Morteza Shamsizadeh
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Mobile Learning ◽  
Mobile Technology ◽  
Phenomenological Study ◽  
Structured Interviews ◽  
Step Method ◽  
Ethical Concerns ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

The field of education has experienced a profound change following the introduction of mobile technology over the last decades, and nursing education is not an exception. This study explored the experiences of nursing students about the ethical concerns regarding the use of mobile devices for learning purposes, that is, mobile learning, in educational and clinical contexts. A qualitative phenomenological study was carried out on nursing students (n = 19) in Saveh University of Medical Sciences of Iran between December 2017 and April 2018. Data were collected through semi-structured interviews with open-ended questions. Data analysis was done using Colaizzi’s 7-step method, revealing four themes and nine sub-themes including: 1) preserving professional dignity (in front of the patient, and the teacher, and preserving academic virtual identity); 2) securing informed consent and respecting personal (the patient’s and teachers) autonomy; 3) proper and efficient use (observing the regulations and codes, and making educational use); and 4) avoiding harm (responsible use of class and patient data). It was revealed that using mobile technology in education could raise ethical concerns for nursing students, and this should be emphasized in nursing educational programs.

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