scholarly journals Living With Moral Distress: The Perspectives and Experiences of Iranian Nurse Preceptors

2018 ◽  
Vol 32 (4) ◽  
pp. 355-369 ◽  
Author(s):  
Shahla Shahbazi ◽  
Sousan Valizadeh ◽  
Leili Borimnejad ◽  
Azad Rahmani ◽  
Mojtaba Vaismoradi
Keyword(s):  
Lived Experiences ◽  
Moral Distress ◽  
Phenomenological Approach ◽  
Design Strategies ◽  
Structured Interviews ◽  
New Nurses ◽  
Hermeneutic Phenomenological ◽  
Healthcare Settings ◽  
Transition Experience ◽  
Nurse Preceptors

Background and Purpose: Preceptors play a key role in the transition experience of new nurses. Preceptorship is a stressful role and is influenced by contextual factors. There is a lack of sufficient understandings of the perspectives and lived experiences of Iranian nurse preceptors of preceptorship. The aim of this study was to explore the perspective and lived experiences of Iranian nurse preceptors of preceptorship. Methods: A qualitative design using a hermeneutic phenomenological approach was used. Six Iranian nurse preceptors were chosen using a purposeful sampling method from a large paediatric teaching hospital in an urban area of Iran. Data was collected using in-depth semi-structured interviews and was analysed using the Diekelmann et al.’s method of hermeneutic phenomenological analysis. Results: The data analysis resulted in the development of a constitutive pattern of ‘living with moral distress’, which was constituted of two major themes: ‘asking for and being unable’ and ‘the experience of conflict’. Implications for Practice: The findings of this study can improve nurses’ understandings of the preceptor’s role and associated factors influencing the implementation of the preceptorship programme. ‘Moral distress’ caused by the preceptor role can influence nurse preceptors’ mental health and also the patient care outcomes. More studies are required to explore this phenomenon in different contexts and cultures and design strategies for reducing the burden of taking this role on nurse preceptors. Also, policies are needed for developing a formal preceptor support system to help preceptors take this stressful and demanding role in healthcare settings.

scholarly journals Later life ICT learners ageing well

2012 ◽  
Vol 6 (2) ◽  
pp. 103-127 ◽  
Author(s):  
Helen Russell
Keyword(s):  
Lived Experiences ◽  
Later Life ◽  
Well Being ◽  
Structured Interviews ◽  
Peer Tutors ◽  
Developed Country ◽  
Hermeneutic Phenomenological ◽  
Information And Communication ◽  
Phenomenological Methodology ◽  
Sydney Australia

This article is based on a qualitative study of later life computer learners and their learning experiences in Sydney, Australia. Participants who undertook lessons from peer tutors in non-formal learning environments were aged between 63 and 86. Sixteen later life learners were interviewed individually by using hermeneutic phenomenological methodology. The use of semi-structured interviews provided opportunities for participants to elaborate and reflect on their learning and lived experiences. The interviews took place over a period of seven years, from 2003 to 2010. The main aim of the study was to understand and interpret the lived experiences of information and communication technology (ICT) learning in later life. Interpretations from the study suggested that learning and using a computer contributed to a sense of well-being, furthered an understanding of the lifeworld and provided participants with a heightened sense of belonging. In this article, well-being is discussed in the context of ageing and learning in a modern developed country. The ontological and existential themes of being, becoming and belonging are explored and used as a framework to interpret the findings from the study.

scholarly journals Lived Experiences of Persons with Chronic Schizophrenia Living in the Community

2019 ◽  
Vol 2 ◽  
pp. 1-12
Author(s):  
Akanksha Rani ◽  
Sphoorthi G. Prabhu ◽  
Thirumoorthy Ammapattian ◽  
Janaki Trichy ◽  
Sojan Antony
Keyword(s):  
Social Life ◽  
Lived Experiences ◽  
Help Seeking ◽  
Economic Status ◽  
Chronic Schizophrenia ◽  
Phenomenological Approach ◽  
Educational Background ◽  
Structural Factors ◽  
Hermeneutic Phenomenological ◽  
Help Seeking Behaviour

Background and Purpose: Schizophrenia is a chronic and severe mental disorder which impacts a person’s ability to successfully function in the community. When it interacts with structural and situational stress like poverty, homelessness and unemployment, it can lead to negative experiences and makes a person vulnerable to abuse or even develop resilience or retaining a meaningful life within the limitation of the disorder. The study aims to understand how individuals diagnosed with schizophrenia define and evaluate their experience of living in the community; personal and environmental strengths, impact of illness on their personal and social life, the challenges and barriers they meet in their day to day life and how they overcome those challenges. Methods: The study focuses on lived experiences and deriving meaning from those experiences from a service user perspective. Therefore, Hermeneutic phenomenological approach will be used. In-depth interviews will be conducted over the course of four months to elicit client’s narratives of their experiences. The interviews are transcribed, read and coded to cluster thematic aspects in each case by using ATLAS.ti.v.7. Data will be collected till saturation point is reached and participants are from various age-group, socio-economic status, ethnicity and educational background, living in the Community. Implication: Participants’ stories would narrate sources of strength, process of normalization, describing instances of discrimination, social and structural factors which they encounter affecting their help-seeking behaviour and how these factors act as facilitator and barriers in their day to day life. Findings would suggest the need for advocacy services which are discussed through recommendations and suggestions.

scholarly journals Lived Experiences of Battered Women in Ozamiz City, Philippines

2018 ◽  
Author(s):  
Cynthia Superable
Keyword(s):  
Domestic Violence ◽  
Physical Abuse ◽  
Battered Women ◽  
Lived Experiences ◽  
Social Stigma ◽  
Hermeneutic Phenomenology ◽  
Phenomenological Approach ◽  
The Philippines ◽  
Hermeneutic Phenomenological ◽  
Van Manen

Domestic violence is prevalent not only in the Philippines but also in other countries. This study explored how battered women viewed their experiences as victims using a hermeneutic phenomenological approach (van Manen, 2016). Using purposive sampling and snowball technique, the study identified six battered women who were interviewed using researcher-made guide questions. The responses generated from the interviews were transcribed and analyzed using Heidegger's hermeneutic phenomenology which aimed to understand the lived experiences of the participants. Four central themes were identified, namely recurrence of physical abuse, endurance to pain, disempowerment of women, and love for family. Battered women prefer to stay home and endure their husbands’ battering to protect children and family from social stigma.

Describing the experiences of older persons with visual impairments during COVID-19 in rural Ghana

2020 ◽  
Vol 22 (6) ◽  
pp. 371-383
Author(s):  
Ariel Kwegyir Tsiboe
Keyword(s):  
Lived Experiences ◽  
Older Persons ◽  
Design Methodology ◽  
Qualitative Methodology ◽  
Family Members ◽  
Phenomenological Approach ◽  
Structured Interviews ◽  
Persons With Disabilities ◽  
Content Type ◽  
Rural Ghana

Purpose This study aims to describe the lived experiences among older persons with disability during the coronavirus pandemic in rural Ghana. Design/methodology/approach This study is based on a qualitative methodology consistent with a phenomenological approach. Semi-structured interviews were conducted with 20 participants. Thematic analysis was used for data analysis. Findings During the pandemic, care rendered to older persons with disabilities by their caregivers easily declined because of the lockdown measure. This made the participants suffer in profound loneliness and hunger, and forced some to generate suicidal thoughts. On the other hand, the participants who lived with their family members were also kept indoors for several weeks to reduce their chances of contracting the virus. This was because participants’ family members loosed confidence in the Ghanaian health-care system in protecting their older relatives. Originality/value To the best of the author’s knowledge, this is the first study to explore the experiences of older persons with disabilities during coronavirus disease 2019 in rural Ghana. The Ghanaian Government should consider formalized care to ensure continued care of older persons with disabilities especially during pandemics and future related uncertainties.

scholarly journals Communication in Home Care: The Experiences of Formal Caregivers in Communicating with Persons Living with Dementia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 899-899
Author(s):  
Pabiththa Kamalraj ◽  
Marie Savundranayagam ◽  
J B Orange ◽  
Marita Kloseck
Keyword(s):  
Home Care ◽  
Care Home ◽  
Personal Space ◽  
Phenomenological Approach ◽  
Structured Interviews ◽  
Term Care ◽  
Caregiver Support ◽  
Formal Caregivers ◽  
Personal Support ◽  
Hermeneutic Phenomenological

Abstract There is limited literature on formal caregivers’ communication with persons living with dementia (PLWD) in home settings. Most research comes from studies of long-term care home settings or informal home care contexts. Yet, there are expected needs and rising demands for formal caregiver support within home care. The aim of this study was to understand better the lived experiences of personal support workers (PSWs) regarding their communication with PLWD in home settings. A hermeneutic phenomenological approach guided this research. Semi-structured interviews were conducted with 15 PSW participants. Three major themes were identified through thematic analysis: (1) challenged by dementia-related impairments; (2) valuing communication in care; and (3) home is a personal space. PSWs experienced difficulties in their communication with PLWD despite recognizing the importance of communication in providing optimal home care. This suggests that while PSWs possess good intentions, they do not possess the skills necessary to ensure effective interactions. Dementia-specific education and training are recommended to improve PSWs’ communication skills and to enhance quality of care. Findings highlight further the uniqueness of the personal home space itself on PSWs experiences with communication. Aspects of the home care environment can enable, but also complicate, successful communication between PSWs and PLWD. Consequently, findings also have implications for family members of PLWD and home care employers regarding optimizing practice and improving care.

scholarly journals Perceptions and experiences of nurses about their performance in the COVID-19 pandemic

Rev Rene ◽  
2020 ◽  
Vol 22 ◽  
pp. e60790
Author(s):  
Elisabete Maria das Neves Borges ◽  
Cristina Maria Leite Queirós ◽  
Maria Rosário Fátima Sousa Pinheiro Vieira ◽  
Antónia Adília Ribeiro Teixeira
Keyword(s):  
Lived Experiences ◽  
Professional Growth ◽  
Work Organization ◽  
Phenomenological Approach ◽  
Team Cohesion ◽  
Emotional States ◽  
Structured Interviews ◽  
Future Expectations ◽  
Individual Character ◽  
Type Sample

Objective: to describe the perception and experiences of nurses about their performance during the COVID-19 pandemic. Methods: qualitative study with phenomenological approach. Fifteen nurses participated in the study, selected according to an intentional snowball type sample. The data were obtained through semi-structured interviews and the transcribed information was submitted to thematic-category content analysis. Results: from the analysis of the participants’ discourse, the following categories and subcategories emerged: lived experiences (negative states; work organization; team cohesion; challenges and norms and guidelines); adopted strategies (individual; team support; familiar and informative) and future expectations (return to normality; adaptation; personal and professional growth; nursing uncertainty and valorization). Conclusion: from the perceptions and experiences of the nurses of their performance in the COVID-19 Pandemic, the negative emotional states, strategies adopted of individual character and future expectations of return to normality are highlighted.

scholarly journals Moral Distress in Community and Hospital Settings for the Care of Elderly People. A Grounded Theory Qualitative Study

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1307
Author(s):  
Giulia Villa ◽  
Federico Pennestrì ◽  
Debora Rosa ◽  
Noemi Giannetta ◽  
Roberta Sala ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Protective Factor ◽  
Moral Distress ◽  
The Elderly ◽  
Single Type ◽  
Theory Approach ◽  
Structured Interviews ◽  
Healthcare Settings ◽  
Core Category ◽  
Care Of Elderly

Background: Moral distress has frequently been investigated in single healthcare settings and concerning a single type of professional. This study aimed to describe the experience of moral distress in all the types of professionals providing daily care to elderly patients and residents. Methods: The Grounded Theory approach, developed by Corbin and Strauss, was used. This study included participants from hospital and nursing homes of northern Italy. Purposive and theoretical sampling was used. Between December 2020 and April 2021, semi-structured interviews were conducted. Results: Thirteen participants were included in the study. Four categories were derived from the data: talking and listening, care provider wellbeing, decision making, protective factors, and potential solutions. The core category identified was “sharing daily”. Interviewees confirm how hard it may be to communicate to the elderly, but at the same time, how adequate communication with the leader is a protective factor of moral distress. They also confirm how communication is key to managing or downsizing misunderstandings at all levels. Findings highlight the scarcity of operators as a fundamental trigger of moral distress. Conclusions: Many determinants of this phenomenon lie behind the direct control of professionals, but education can help them learn how to prevent, manage, or downsize the consequences.

scholarly journals Exploring the contested borderland between data and meaning:

2020 ◽  
Vol 7 (1) ◽  
pp. 21-36
Author(s):  
Ian Coxon
Keyword(s):  
First Principles ◽  
Lived Experiences ◽  
Design Thinking ◽  
Phenomenological Approach ◽  
Research Centre ◽  
New Techniques ◽  
Hermeneutic Phenomenological ◽  
The People ◽  
Real People ◽  
Industry Sectors

At our research centre we have employed a hermeneutic phenomenological approach within a broad spectrum of projects to help us to better understand everyday human experience for the people for whom we wish to design. We have experimented with and explored creative ways to 'enter into' the lives of individuals and groups within diverse industry sectors. Finding new ways to capture lived experiences; understanding hidden 'meaning structures' within them and communicating these insights experientially are the goals driving this work. In this paper we share some examples of how we achieved these goals by infusing design thinking with hermeneutic phenomenology across four stages of our projects - Exploring; Sharing; Understanding and Showing How. These stages are kept rigorous by constantly referring back to philosophical first principles to inspire new techniques and 'ways into' the life-worlds of real people. We hope that designers and engineers will find these examples helpful in their attempts to find new perspectives on old problems and to challenge old perspectives on new problems.

scholarly journals Lived experiences of young pregnant women who smoke

2019 ◽  
Vol 27 (7) ◽  
pp. 427-433 ◽  
Author(s):  
Fiona Johnson ◽  
Jaqui Hewitt-Taylor ◽  
Elizabeth Norton
Keyword(s):  
Lived Experience ◽  
Self Efficacy ◽  
Lived Experiences ◽  
Phenomenological Approach ◽  
Structured Interviews ◽  
Smoking During Pregnancy ◽  
Child Health Outcomes ◽  
Smoking Cessation Services ◽  
Adverse Pregnancy ◽  
And Child Health

Background Smoking tobacco during pregnancy can lead to adverse pregnancy and child health outcomes. Aim To gain insight of smoking during pregnancy from young pregnant women's lived experience. Method A descriptive phenomenological approach was used. Semi-structured interviews were conducted with five women aged 18-20 years who had smoked tobacco during pregnancy. Findings Themes that emerged from the data were related to culture and routine, psychological wellbeing, self-efficacy, public opinion, recognition of harm, whom they spoke to about smoking, and the approaches that helped behaviour change. Conclusions Midwives were seen as the trusted health professional by the young women and a non-judgemental approach was valued to promote self-efficacy. Smoking cessation services were not recognised as beneficial, and cutting down, rather than using nicotine replacement therapy or e-cigarettes, was preferred.

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