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.

scholarly journals Manuscript Tittle: 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 present study aimed 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. To determine the validity of the study, Lincoln and Guba’s criteria, which include credibility, dependability, transferability, and confirmability, was considered.Results: Five general themes and ten sub-themes emerged after investigating interviews. Themes include religious harassment the sub-theme of being defiled), fail (sub-themes of loss and negative attitudes, disrupted sex (the sub-theme of sexual dissatisfaction), consequence (three sub-themes of sleep disturbance, mental crisis, and isolation), and ultimately panic (three sub-themes 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.

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.

scholarly journals Women’s experiences of rectovaginal fistula: an ethno- religious experience

2020 ◽  
Vol 20 (1) ◽  
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 present study aimed 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. For determining the validity of the study, Lincoln and Guba’s criteria, which include credibility, dependability, transferability, and confirmability, were considered. Results Five general themes and 10 sub-themes emerged after investigating interviews. Themes include religious harassment the sub-theme of being defiled), fail (sub-themes of loss and negative attitudes, disrupted sex (the sub-theme of sexual dissatisfaction), consequence (three sub-themes of sleep disturbance, mental crisis, and isolation), and ultimately panic (three sub-themes 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.

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

2019 ◽  
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.

Physical Activity Experiences of Women Aging with Disabilities

2004 ◽  
Vol 21 (2) ◽  
pp. 122-138 ◽  
Author(s):  
Donna L. Goodwin ◽  
Scott G. Compton
Keyword(s):  
Physical Activity ◽  
Phenomenological Study ◽  
Physical Disabilities ◽  
Medical Model ◽  
Acquired Brain Injury ◽  
Structured Interviews ◽  
Hermeneutic Phenomenological ◽  
Cord Injury ◽  
Experiences Of Women ◽  
Hermeneutic Phenomenological Study

This hermeneutic phenomenological study sought to understand the experiences of physical activity and aging with a disability. Six women with physical disabilities, including cerebral palsy (n = 2), acquired brain injury (n = 1), and spinal cord injury (n = 3), and between the ages of 22-37 years (mean age = 28 years) participated in the study. Their experiences were captured by way of semi-structured interviews. Each participant completed two interviews that were audiotaped and transcribed verbatim. The thematic analysis revealed three themes: experiencing something normal, loss of physical freedom, and maintaining function through physical activity. Implications of the findings were discussed within the context of health promotion and Verbrugge and Jette’s (1994) socio-medical model of disablement.

scholarly journals The Lived Experiences of Parents of Iranian Young Women with Multiple Sclerosis

2019 ◽  
Author(s):  
Marzieh Panahi ◽  
Zahra Tazakori ◽  
Mansoureh Karimollahi
Keyword(s):  
Multiple Sclerosis ◽  
Young Women ◽  
Lived Experiences ◽  
Phenomenological Study ◽  
Positive Impact ◽  
Structured Interviews ◽  
The Family ◽  
Data Saturation ◽  
Open Coding ◽  
Colaizzi's Method

Abstract Background: Chronic illness in children causes more mental health risks for parents than other members of the family. Therefore, exploring the experiences of parents living with young women who have multiple sclerosis and presenting them to healthcare planners and managers can have a positive impact on community health. This study aimed to explore the experiences of parents of young women with multiple sclerosis in Iran. Methods: This research was a phenomenological study, and sampling was continued until data saturation, and 12 participants were chosen. The data were gathered using semi-structured interviews and analyzed using Colaizzi's method. Results: Open coding resulted in 450 codes, and after several stages of analysis and integration of similar codes, five main concepts, and 21 sub-concepts was produced. The main concepts included distress, trapping, adaptation barriers, response to illness, and reconciliation with the disease. Conclusion: This study showed the disease affects all dimensions of the parents' life and can lead to the experiences that are new to them and may lead to confusion. These findings can lead to more effective parental care for their daughters. It can also reduce the burden of disease on the family, the health system, and the community.

scholarly journals Bracketing in Phenomenology: Only Undertaken in the Data Collection and Analysis Process

2015 ◽  
Author(s):  
Zenobia Chan ◽  
Yuen-ling Fung ◽  
Wai-tong Chien
Keyword(s):  
Data Collection ◽  
Research Study ◽  
Phenomenological Study ◽  
Policy Planning ◽  
Structured Interviews ◽  
Analysis Process ◽  
Data Collection And Analysis ◽  
Phenomenological Studies ◽  
Gate Keeping ◽  
Colaizzi's Method

Our aim with this article is to demonstrate how the researchers use bracketing as a method of demonstrating the validity after initiating a phenomenological study. Although bracketing is a method of demonstrating the validity of the da ta collection and analysis process in most phenomenological studies, how the researchers use them in practice is rarely demonstrated explicitly. We collected data through our experiences in preparing a phenomenological research study. We suggest that the concept of bracketing should be adopted upon initiating the research proposal and not merely in the data collection and analysis process. We propose four strategies for doing bracketing that are guided by the thinking activity of reflexivity: mentality assessment and preparation before deciding the research paradigm, deciding the scope of the literature review according to the prevailing gate - keeping policy, planning for data collection using semi - structured interviews guided by open - ended questions, and planning for data analysis using Colaizzi’s method. Our proposition highlights that thorough preparation for doing bracketing is essential before entering the data collection and analysis process in phenomenology, because they are sequentially related.

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 Reflections on volunteer nurses' work and caring experiences during COVID-19: a phenomenological study

2021 ◽  
pp. 174498712110075
Author(s):  
Loretta Yuet Foon Chung ◽  
Lin Han ◽  
Yifei Du ◽  
Libo Liu
Keyword(s):  
Lived Experiences ◽  
Phenomenological Study ◽  
Management Strategies ◽  
Sampling Strategy ◽  
External Support ◽  
Resource Utilisation ◽  
Structured Interviews ◽  
Familial Bonds ◽  
Data Saturation ◽  
Colaizzi's Method

Background With epidemics emerging at a hastened pace, a phenomenological study allows researchers to cast aside their perceptions to understand nurses’ lived experiences, and from there to discover previously unavailable insights at the epicentre of a pandemic. Aims To understand volunteer nurses’ lived experiences in Wuhan. Methods A descriptive phenomenological study with a purposive sampling strategy was used to describe volunteer nurses’ experiences in Wuhan. Interviews continued until data saturation. Ten semi-structured interviews of 30 to 60 minutes duration were conducted from 27 to 30 March 2020. The narrative data were audiotaped, transcribed and analysed using Colaizzi’s method. Results Four themes emerged: mission and challenges denoted the participants’ realisation of the grim challenges ahead; challenges called for actions that described the concerted actions through partnerships and familial bonds; caring acts from all around revealed an external support system; and actions that made a difference portrayed the interplay of actions with feelings, thoughts and further actions to accomplish the mission. Conclusions This phenomenological study showed the interplay of nurses’ intentions and actions, and ‘actions speak louder than words’ when nurses were motivated by workmates’ actions to change their feelings, thoughts and actions. The concerted efforts can be used to develop educational programmes, management strategies and institutional policy on structure, system and resource utilisation, as well as dissemination of scientific knowledge to global healthcare workers and the public.

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.

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