scholarly journals Uncertainty in critical illness and the unexpected: important mediators in the process of nurse-family communication

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Anabela Pereira Mendes
Keyword(s):  
Coping Strategies ◽  
Lived Experience ◽  
Family Communication ◽  
Phenomenological Approach ◽  
Uncertainty In Illness ◽  
Open Questions ◽  
Van Manen ◽  
The Family ◽  
The Subject ◽  
Search For Information

ABSTRACT Objective: The purpose of this study was to understand, based on the Mishel’s Theory of Uncertainty in Illness and the Theory of Transitions of Meleis, in which way uncertainty in illness and the unexpected mediated the process of nurse-family communication and are translated into lived experience of the family. Method: Considering the intentionality of the research, it fits into a qualitative paradigm and a phenomenological approach, according to Van Manen. Participants were referred to as “snowball” and the data collection was performed by interview with open questions. Results: In the analysis of the data, three essential themes were identified: The antecedents of uncertainty: condition inherent to the subject; The process of assessing uncertainty: capacities and opportunities; The way to deal with uncertainty: coping strategies. Conclusion and implications for practice: Family member who lives the uncertainty has personal conditions that influence the process of appreciation and deal with uncertainty. The communication that establishes with the nurses, in particular in the search for information, will be mediated by the experience of uncertainty, in a constant unforeseen. The adaptation that is desired and demanded arises from coping strategies developed, with the nurses too, considering uncertainty a danger or an opportunity.

scholarly journals Critical health-disease transition in the family: Nursing intervention in the lived experience

2019 ◽  
Vol 72 (1) ◽  
pp. 154-161
Author(s):  
Anabela Pereira Mendes
Keyword(s):  
Critical Illness ◽  
Lived Experience ◽  
Emotional Support ◽  
Therapeutic Intervention ◽  
Phenomenological Approach ◽  
Nursing Intervention ◽  
Family Nursing ◽  
Van Manen ◽  
The Family ◽  
Effect Method

ABSTRACT Objective: To analyse the strategies found by families to deal with the situation of critical illness, in their lived experience in a family and in an inpatient context. Method: This research fits into a qualitative paradigm and a phenomenological approach, according to Van-Manen. Participants were referred to a "snowball" effect method and the data was collected through interviews with open-ended questions. Results: From the collected data three essential themes emerged revealing the strategies: Being aware; Building dialogue; Ensuring comfort. Final considerations: In the therapeutic intervention nurses verify that families facing a critical-illness interact between themselves and with the ICU team. Families interacting with nurses can find cognitive and emotional support allowing them to be aware of the situation and to speak about it in order to strengthen and to comfort themselves.

scholarly journals EFEKTIVITAS KOMUNIKASI KELUARGA DALAM MEMBENTUK KELUARGA SAKINAH ( Studi Fenomenologi Keluarga di Griya Lobunta Lestari Cirebon)

Jurnal Signal ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 79
Author(s):  
Mahmudah Mahmudah ◽  
Farida Nurfalah ◽  
Aghnia Dian Lestari
Keyword(s):  
Family Communication ◽  
Qualitative Method ◽  
Phenomenological Approach ◽  
Communication Patterns ◽  
Family Communication Patterns ◽  
The Family ◽  
Power Hierarchy

ABSTRAKMasyarakat tercermin dalam kehidupan yang aman, nyaman, akan tetapi terkadang masih terjadi perselingkuhan, yang berujung pada perceraian. Penelitian bertujuan untuk mengetahui efektivitas komunikasi keluarga dalam membentuk keluarga yang sakinah dengan menggunakan pendekatan fenomenologi, metode kualitatif dan memilih lokasi di Griya Lobunta Lestari Cirebon. Hasil penelitian ini: 1) Proses komunikasi keluarga meliputi: a) Pengiriman fungsional, dan b) Penerimaan fungsional. 2) Pola komunikasi keluarga. Dari hasil penelitian menyatakan bahwa hirarki kekuasaan utama terletak pd suami karena menurut informan, suami adalah kepala keluarga yang harus dihormati. Adanya konflik dan resolusi, ada informan yang menyatakan sebagai mediator ketika konflik itu terjadi antara suami dengan anaknya, dan ada informan yang menyatakan ketika konflik dengan pasangan , maka akan diselesaikan berdua saja dengan suaminya dan itu dilakukan tidak didepan anak.Kata Kunci : Komunikasi Keluarga, Griya Lobunta ABSTRACTSociety is reflected in a safe, comfortable life, but sometimes there is still an affair, which results in divorce. The research aims to determine the effectiveness of family communication in forming a sakinah family by using a phenomenological approach, a qualitative method and selecting a location in Griya Lobunta Lestari Cirebon. The results of this study: 1) The process of family communication includes: a) functional delivery, and b) functional reception. 2) Family communication patterns. The results of the study stated that the main power hierarchy lies in the husband because according to the informant, the husband is the head of the family that must be respected. There are conflicts and resolutions, there are informants who claim to be mediators when the conflict occurs between the husband and his child, and there are informants who state that when conflicts with a partner, it will be resolved along with her husband and it is done not in front of the child.Keywords: Family Communication, Griya Lobunta

Lived Experience of Critically Ill Patients’ Family Members During Cardiopulmonary Resuscitation

2004 ◽  
Vol 13 (5) ◽  
pp. 416-420 ◽  
Author(s):  
Jennifer M. Wagner
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Lived Experience ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Family Members ◽  
Nursing Interventions ◽  
Major Theme ◽  
Van Manen ◽  
The Family ◽  
Research Findings

• Background During resuscitative efforts, patients’ family members are often barred from the patients’ rooms and may never have the opportunity to see their loved ones alive again. Recently, the need to ask family members to leave the room is being questioned. Little is known about families’ perceptions of cardiopulmonary resuscitation.• Objective To describe the experiences, thoughts, and perceptions of family members of critically ill patients during cardiopulmonary resuscitation in the intensive care unit.• Method Six family members whose loved ones underwent cardiopulmonary resuscitation and survived consented to an audiotaped interview. During the interview, family members were asked to describe their experiences during the resuscitation. Interviews were transcribed and were analyzed for relevant themes by using Van Manen thematic analysis.• Results One major theme emerged: Should we go or should we stay? Additionally, 2 subthemes emerged: What is going on? and You do your job. A model, the family’s experience with cardiopulmonary resuscitation, was developed to reflect the research findings.• Conclusions During the period of resuscitation, healthcare professionals neglect to recognize that patients’ family members are experiencing crisis along with the patients and that coping mechanisms are impaired. Moreover, the family members’ informational and proximity needs are often ignored during this time of crisis. Addressing these needs through appropriate nursing interventions will become increasingly important as patients’ family members begin to remain with their loved ones during cardiopulmonary resuscitation.

scholarly journals Experiencia vivida del primer contacto con muerte en prácticas clínicas de estudiantes de enfermería

2022 ◽  
Vol 21 (1) ◽  
pp. 116-139
Author(s):  
Manuel de Jesús Hernández Ramírez ◽  
Erika Yovana González Martín ◽  
Ashlye Melannie Fuentes Rodríguez ◽  
Suleika Alelí Carranza López ◽  
Violeta Compeán Padilla ◽  
...  
Keyword(s):  
Nursing Students ◽  
Lived Experience ◽  
Quality Care ◽  
Phenomenological Approach ◽  
Clinical Practicum ◽  
Hermeneutic Phenomenological ◽  
Van Manen ◽  
Provide Quality Care ◽  
First Contact ◽  
Phenomenological Interview

Introduction: Death is a complex phenomenon, nurses in training may face the process of dying and death of people, which can generate diverse situations that represent their lived experiences. Objective: To understand the lived experience of the first contact with death during clinical practicum of nursing students at a public university.Methodology: Qualitative study with phenomenological approach. It was conducted from October 2020 to February 2021. Selection of participants by intentional sampling with information saturation with seven participants. Data collection through phenomenological interview; participants gave informed consent. The analysis was carried out through the three phases of Max Van Manen's hermeneutic phenomenological method (description, interpretation, description plus interpretation). Results: The students refer to having been faced with the phenomenon in a state of helplessness, blockage, uncertainty, and fear; as well as facing death in a professional and reflective manner in order to provide quality care. Discussion: Death is a natural process; however, the first experiences are diverse and can produce in the students a set of emotions that condition their capacity to act, the way of adapting and observing the needs that arise during this experience. Conclusion: The experiences of nursing students show that they have difficulties in facing death, but it was not an impediment to provide the necessary care; it is considered that a deeper preparation on the process of dying can be favorable for their performance as professionals. Introducción: La muerte es un fenómeno complejo, las enfermeras en formación pueden enfrentarse al proceso de morir y muerte de personas, lo que puede generar diversas situaciones que representan sus experiencias vividas. Objetivo: Comprender la experiencia vivida ante el primer contacto con la muerte durante prácticas clínicas de estudiantes de enfermería de una universidad pública.Metodología: Estudio cualitativo con enfoque fenomenológico. Se llevó a cabo de octubre del 2020 a febrero del 2021. Selección de participantes por muestreo intencional con saturación de información con siete participantes. Recolección de datos a través de entrevista fenomenológica; los participantes emitieron su consentimiento informado. El análisis se llevó a cabo por las tres fases del método fenomenológico hermenéutico de Max Van Manen (descripción, interpretación, descripción más interpretación). Resultados: Los estudiantes refieren haber estado frente al fenómeno en un estado de impotencia, bloqueo, incertidumbre y miedo; así como afrontaron la muerte de manera profesional y reflexiva para brindar cuidado de calidad. Discusión: La muerte es un proceso natural, sin embargo, las primeras experiencias son diversas y pueden producir en los estudiantes un conjunto de emociones que condicionan su capacidad de actuar, el modo de adaptarse y observar las necesidades surgidas durante esta experiencia. Conclusión: Las experiencias de los estudiantes de enfermería demuestran que tienen dificultades para afrontar la muerte, pero no fue un impedimento para brindar los cuidados necesarios; se considera que una preparación más profunda sobre el proceso de morir puede ser favorable para su actuar como profesional.

CHOOSING THE PHENOMENOLOGICAL APPROACH TO EXPLORE A LIVED EXPERIENCE: METODOLOGICAL COMPARISON

2018 ◽  
Vol 7 ◽  
pp. 307-319
Author(s):  
Juris Zuitiņš ◽  
Anita Pipere ◽  
Velga Sudraba
Keyword(s):  
Lived Experience ◽  
Interpretative Phenomenological Analysis ◽  
Methodological Approach ◽  
Phenomenological Approach ◽  
Phenomenological Research ◽  
Phenomenological Analysis ◽  
Doctoral Research ◽  
Van Manen ◽  
Phenomenological Studies ◽  
Methodological Paper

With the escalating use of qualitative methods in health psychology, the need for the careful match between the studied topic and research design has been repeatedly stressed. The purpose of this study is to choose and substantiate the most compatible methodological approach for the use in the prospective phenomenological doctoral research investigating a lived experience of fathers of fatally ill child. This methodological paper compares three main phenomenological research approaches: Hermeneutic Phenomenology (van Manen, 1990), Psychological or Transcendental Phenomenology (Moustakas, 1994) and Interpretative Phenomenological Analysis (Smith, 1996). The comparative analysis of these three approaches to phenomenological research shows that the Interpretative Phenomenological Analysis could be viewed as the most appropriate approach for analyzing the lived experience of fathers of fatally ill child considering the specific sample of this study, character of the research topic and experience of researcher with phenomenological studies. The methodological underpinnings and possible issues of chosen approach have been discussed at the end of paper.

scholarly journals A dialectical experience in the pursuit to understanding: perspectives from resource team nurses

2021 ◽  
Author(s):  
Niyat Mehari
Keyword(s):  
Lived Experience ◽  
Linguistic Diversity ◽  
Phenomenological Approach ◽  
Sampling Strategies ◽  
Snowball Sampling ◽  
Shared Meaning ◽  
Face To Face ◽  
Urban City ◽  
Van Manen ◽  
Provision Of Care

Linguistic diversity is increasing in Canada, however, there is a dearth of information related to resource team nurses’ experiences with bridging language disconnect in the provision of care. This study aimed to understand the meaning of resource team nurses’ lived experiences of language barriers in an urban city in Canada. An interpretive phenomenological approach informed by van Manen, guided this study. Eight resource team nurses were recruited using purposive and snowball sampling strategies. In-depth face-to-face interviews served to unearth the lived experience of being a resource team nurse and the meaning ascribed to language in their everyday practice. The themes that emerged were (a) trying to span the distance, (b) everything comes down to time, (c) desiring shared meaning, and (d) experiencing disequilibrium. The overarching theme was: a dialectical experience in the pursuit to understanding. This study has implications for policy, nursing practice and further research.

scholarly journals Family Communication Patterns of Abuser and Victim in Sexual Abuse Case Resolutions towards Children in Medan City Resort Police

2019 ◽  
Vol 2 (3) ◽  
pp. 144-154
Author(s):  
Haslinda Haslinda ◽  
Lahmuddin Lubis ◽  
Syukur Kholil
Keyword(s):  
Sexual Abuse ◽  
Family Communication ◽  
Communication Patterns ◽  
Family Communication Patterns ◽  
Abuse Case ◽  
Current State ◽  
The Family ◽  
The Subject ◽  
Sexual Abuse Case ◽  
Object Of Study

This study aims to analyze the family communication patterns of abuser and victim in sexual abuse case resolutions towards children, the application of the principles of Islamic communication in resolving sexual abuse cases towards children and to know the obstacles in solving sexual abuse cases for underage children in the law area of Medan City Resort Police. The research method used in this study is a descriptive qualitative approach. This method describes the current state of the subject or object of study based on facts that appear or as they are. The results of the study shows that the family communication patterns of abuser and victim in sexual abuse case resolutions towards children in Medan City Resort Police are the Equality Pattern, Balance Split Pattern, Unbalanced Split Pattern and Monopoly Patterns.

scholarly journals Hverdagsfortellinger som setter spor – Studenters fortellinger fra og refleksjoner over hverdagslivet i barnehagen

2020 ◽  
pp. 233-253
Author(s):  
Margareth Eilifsen
Keyword(s):  
Everyday Life ◽  
Lived Experience ◽  
Life Stories ◽  
Kindergarten Teachers ◽  
Kindergarten Teacher ◽  
Study Program ◽  
Life Management ◽  
Van Manen ◽  
The Subject

We understand our lives through narratives, and the form of the narratives is appropriate for understanding the actions of others, says MacIntyre. Meanwhile, narratives and understanding of narratives also apply to understanding our self and our own actions. Through stories from the field of practice in the study program for kindergarten teachers, students describe serious and important stories from an everyday life with children. These stories have had an impact on student’s development in becoming teachers. Through reflective work with life stories from teaching students, various perspectives on life management from children aged 2–8 years are outlined. The stories are told through the students’ voices, and they are reflected over in hindsight with the subject teachers from the program. The article deals with the students’ ways of telling stories and reflecting on them retrospectively. Phenomenological hermeneutic method lay as a basis for analysis of stories as Lived Experience Descriptions (LED) in this article (van Manen). The main result is the importance of listening to and reflecting on narratives in order to understand and alter actions and become a reflective kindergarten teacher.

scholarly journals A dialectical experience in the pursuit to understanding: perspectives from resource team nurses

2021 ◽  
Author(s):  
Niyat Mehari
Keyword(s):  
Lived Experience ◽  
Linguistic Diversity ◽  
Phenomenological Approach ◽  
Sampling Strategies ◽  
Snowball Sampling ◽  
Shared Meaning ◽  
Face To Face ◽  
Urban City ◽  
Van Manen ◽  
Provision Of Care

Linguistic diversity is increasing in Canada, however, there is a dearth of information related to resource team nurses’ experiences with bridging language disconnect in the provision of care. This study aimed to understand the meaning of resource team nurses’ lived experiences of language barriers in an urban city in Canada. An interpretive phenomenological approach informed by van Manen, guided this study. Eight resource team nurses were recruited using purposive and snowball sampling strategies. In-depth face-to-face interviews served to unearth the lived experience of being a resource team nurse and the meaning ascribed to language in their everyday practice. The themes that emerged were (a) trying to span the distance, (b) everything comes down to time, (c) desiring shared meaning, and (d) experiencing disequilibrium. The overarching theme was: a dialectical experience in the pursuit to understanding. This study has implications for policy, nursing practice and further research.

Analisis Perbandingan Manajemen Keuangan Ojek Online Dan Ojek Reguler Studi Kasus Kecamatan Duren Sawit Jakarta Timur

Liquidity ◽  
2018 ◽  
Vol 7 (1) ◽  
pp. 41-52
Author(s):  
M. Koesmawan ◽  
Darwin Erhandy ◽  
Dede Dahlan
Keyword(s):  
Financial Management ◽  
Average Income ◽  
Savings And Loans ◽  
Financial Difficulties ◽  
The Family ◽  
Family Finances ◽  
The Subject ◽  
Almost All

In order to meet the needs of living which consists of primary as well as secondary needs, human can work in either a formal or an informal job. One of the informal jobs that is became the subject of this research was to become an ojek driver. Ojek is a ranting motorcycle.  Revenue of ojek drivers, accordingly, should be well managed following the concept of financial management. This research was conducted for the driver of the online motorcycle drivers as well as the regular motorcycle drivers they are called “The Ojek”. Ojek’s location is in Kecamatan (subdistrict) Duren Sawit, East Jakarta with 70 drivers of ojeks. The online ojeks earn an average of Rp 100,000 per day, can save Rp 11,000 to 21,000 per day, while, the regular ojek has an average income per day slightly lower amounted to Rp 78,500, this kind of ojeks generally have other businesses and always record the outflow of theirs money. Both the online and regular ojeks feel a tight competition in getting passengers, but their income can help the family finances and both ojeks want a cooperative especially savings and loans, especially to overcome the urgent financial difficulties. Almost all rivers, do not dare to borrow money. They are afraid of can not refund the money as scheduled.

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