scholarly journals Patients’ Experiences of Interprofessional Care: A Narrative Inquiry

2021 ◽  
Author(s):  
Kateryna Aksenchuk
Keyword(s):  
Narrative Inquiry ◽  
Care Delivery ◽  
Dimensional Space ◽  
Three Dimensional ◽  
Health Care Expenditures ◽  
Research Approach ◽  
Team Members ◽  
Interprofessional Team ◽  
Interprofessional Care ◽  
Patient Health

Interprofessional care (IPC) has been discussed in the literature as having the ability to lower health care expenditures, decrease wait times, enhance patient health outcomes and increase healthcare provider satisfaction with care-delivery. To date, limited research has been conducted to develop an in depth understanding of patients’ experiences receiving IPC. Using Connelly and Clandinin’s Narrative Inquiry qualitative research approach, three participants were interviewed and asked to engage in a metaphor selection drawing exercise. Participants were invited to describe how they experienced IPC and whether or not they believe person-centered care was delivered to them. Collected stories were analyzed as per Narrative Inquiry approach of three dimensional space: temporality, sociality and place. The National Canadian Interprofessional Competency Framework provided the theoretical lens through which the stories were examined. Along with giving voice to patients, three narrative threads emerged within this study: communication, patient within interprofessional team and interprofessional team members.

scholarly journals Patients’ Experiences of Interprofessional Care: A Narrative Inquiry

2021 ◽  
Author(s):  
Kateryna Aksenchuk
Keyword(s):  
Narrative Inquiry ◽  
Care Delivery ◽  
Dimensional Space ◽  
Three Dimensional ◽  
Health Care Expenditures ◽  
Research Approach ◽  
Team Members ◽  
Interprofessional Team ◽  
Interprofessional Care ◽  
Patient Health

Interprofessional care (IPC) has been discussed in the literature as having the ability to lower health care expenditures, decrease wait times, enhance patient health outcomes and increase healthcare provider satisfaction with care-delivery. To date, limited research has been conducted to develop an in depth understanding of patients’ experiences receiving IPC. Using Connelly and Clandinin’s Narrative Inquiry qualitative research approach, three participants were interviewed and asked to engage in a metaphor selection drawing exercise. Participants were invited to describe how they experienced IPC and whether or not they believe person-centered care was delivered to them. Collected stories were analyzed as per Narrative Inquiry approach of three dimensional space: temporality, sociality and place. The National Canadian Interprofessional Competency Framework provided the theoretical lens through which the stories were examined. Along with giving voice to patients, three narrative threads emerged within this study: communication, patient within interprofessional team and interprofessional team members.

Interprofessional Care: Patient Experience Stories

2015 ◽  
Vol 5 (2) ◽  
pp. 78-87
Author(s):  
Kateryna Metersky ◽  
Jasna K. Schwind
Keyword(s):  
Narrative Inquiry ◽  
Care Delivery ◽  
Health Care Expenditures ◽  
Care Patient ◽  
Care Practice ◽  
Research Approach ◽  
Interprofessional Team ◽  
Interprofessional Care ◽  
Patient Health ◽  
Creative Self

Interprofessional care (IPC) has been discussed in the literature as having the ability to lower health care expenditures, decrease wait times, enhance patient health outcomes and increase healthcare provider (HCP) satisfaction with care-delivery. To date, limited research has been conducted on patients’ experiences of receiving IPC. Using Connelly and Clandinin’s Narrative Inquiry qualitative research approach, three participants were invited to engage in a modified version of Schwind’s Narrative Reflective Process, a creative self-expression tool that utilizes storytelling, metaphor selection, drawing, creative writing and reflective dialogue. Participants shared their stories, and selected and drew metaphors that best represent for them their experiences of receiving IPC. They were also asked whether or not they believe person-centered care was delivered to them. Collected stories were analyzed as per the three common places of Narrative Inquiry: temporality, sociality and place, as well as the three levels of justification: personal, practical and social. Told stories were examined through the theoretical lens of the National Canadian Interprofessional Competency Framework. Three narrative threads emerged within this study: communication, interprofessional team composition, and patient within interprofessional team. The findings appear helpful to inform educators, HCP, policy makers, and researchers, as they strive to enhance person-centered interprofessional care practice. For patients, a clear opportunity for their voices to be heard has been outlined.

Moving From Field Text to Research Text in Narrative Inquiry

2016 ◽  
Vol 48 (3-4) ◽  
pp. 62-69 ◽  
Author(s):  
Louela Manankil-Rankin
Keyword(s):  
Narrative Inquiry ◽  
Process Analysis ◽  
Dimensional Space ◽  
Three Dimensional ◽  
Social Conditions ◽  
Text Interpretation ◽  
Time Interaction ◽  
Inquiry Process ◽  
Interpretive Process ◽  
Three Dimensional Space

Narrative Inquiry is a research methodology that enables a researcher to explore experience through a metaphorical analytic three-dimensional space where time, interaction of personal and social conditions, and place make up the dimensions for working with co-participant stories. This inquiry process, analysis, and interpretation involve a series of reflective cognitive movements that make possible the reformulations that take place in the research journey. In this article, I retell the process of my inquiry in moving from field texts (data sources) to research text (interpretation of experience) in Narrative Inquiry. I draw from an inquiry on how nurses experience living their values amidst organizational change to share how I as an inquirer/researcher, moved from field texts to narrative accounts; narrative resonant threads; composite letter as the narrative of experience; personal, practical, and social justifications to construct the research text and represent it another form as a poem. These phases in the inquiry involve considerations in the analytic and interpretive process that are essential in understanding how to conduct Narrative Inquiry. Lastly and unique to my inquiry, I share how a letter can be used as an analytic device in Narrative Inquiry.

Interprofessional Team’s Perception of Care Delivery After Implementation of a Pediatric Pain and Sedation Protocol

2017 ◽  
Vol 37 (3) ◽  
pp. 66-76 ◽  
Author(s):  
Sandra L. Staveski ◽  
May Wu ◽  
Tiffany M. Tesoro ◽  
Stephen J. Roth ◽  
Michael J. Cisco
Keyword(s):  
Health Care Providers ◽  
Care Delivery ◽  
Care Providers ◽  
Team Members ◽  
Interprofessional Team ◽  
Before And After ◽  
Assessment And Treatment ◽  
Management Plans ◽  
Delirium Management ◽  
Perception Of Care

BACKGROUNDPain and agitation are common experiences of patients in pediatric cardiac intensive care units. Variability in assessments by health care providers, communication, and treatment of pain and agitation creates challenges in management of pain and sedation.OBJECTIVESTo develop guidelines for assessment and treatment of pain, agitation, and delirium in the pediatric cardiac intensive unit in an academic children’s hospital and to document the effects of implementation of the guidelines on the interprofessional team’s perception of care delivery and team function.METHODSBefore and after implementation of the guidelines, interprofessional team members were surveyed about the members’ perception of analgesia, sedation, and delirium managementRESULTSMembers of the interprofessional team felt more comfortable with pain and sedation management after implementation of the guidelines. Team members reported improvements in team communication on patients’ comfort. Members thought that important information was less likely to be lost during transfer of care. They also noted that the team carried out comfort management plans and used pharmacological and nonpharmacological therapies better after implementation of the guidelines than they did before implementation.CONCLUSIONSGuidelines for pain and sedation management were associated with perceived improvements in team function and patient care by members of the interprofessional team.

scholarly journals Nurses' experiences of creating an artistic instrument for their nursing practice and professional development: an arts-informed narrative inquiry

2021 ◽  
Author(s):  
Neelam Walji
Keyword(s):  
Professional Development ◽  
Narrative Inquiry ◽  
Nursing Practice ◽  
Dimensional Space ◽  
Healthcare Providers ◽  
Three Dimensional ◽  
Reflective Process ◽  
The Arts ◽  
Centered Care ◽  
Patterns Of Knowing

My passion for the arts as a medium motivated me to create an art piece (artistic instrument) to enrich my nursing practice. This inspired me to explore how other nurses experience creating their own artistic instruments and what meaning these held for their nursing practice and professional development. In this arts-informed Narrative Inquiry, two participants engaged in a narrative interview and in the Narrative Reflective Process, an artistic approach to creative reflection. Participants’ stories were re-constructed and analyzed using the Narrative Inquiry three-dimensional space (temporality, sociality, and place), and examined through the theoretical lens of Patterns of Knowing. Findings revealed six narrative threads (empathy, quality of life, communication, power imbalances, and personal as well as professional development) highlighting the importance of person-centered care, the value of reflective practice, and the need for further research exploring the use of arts by healthcare providers across diverse educational and practice based settings.

scholarly journals IDENTITY CONSTRUCTION AND CLASSROOM PARTICIPATION OF AN INDONESIAN GRADUATE STUDENT IN AN AUSTRALIAN UNIVERSITY

2021 ◽  
Vol 8 (1) ◽  
pp. 147-174
Author(s):  
M. Faruq Ubaidillah ◽  
Utami Widiati
Keyword(s):  
Narrative Inquiry ◽  
Identity Construction ◽  
Situated Learning ◽  
Dimensional Space ◽  
Three Dimensional ◽  
Classroom Participation ◽  
Social Emotional ◽  
Narrative Study ◽  
Full Participation ◽  
L2 Learning

This narrative study explores identity construction and classroom participation of an Indonesian female student who attended a master’s program in TESOL in an Australian university. Grounded from identity and investment frameworks (Norton, 2000) and situated learning theory (Lave & Wenger, 1991), the study specifically probes into the changing identity construction across time shaped by the participant’s involvement in the community of practice. Data analysis followed Polkinghorne’s (1995) categorical procedure and Connelly and Clandinin’s (2006) three-dimensional space of narrative inquiry. The findings portray gradual and complex identity construction mediated by the participant’s agentive classroom participation. It was also found that the participant’s identity evolved across time together with a movement from peripheral to full participation. This study informs that L2 learning is dependent on social, emotional, cultural, and situated practices depicted in L2 learner’s classroom participation. It also highlights the need for incorporating narrative inquiry to understand multiple, subjective, and conflicting values in L2 learning and other educational contexts. 

scholarly journals Nurses' experiences of creating an artistic instrument for their nursing practice and professional development: an arts-informed narrative inquiry

2021 ◽  
Author(s):  
Neelam Walji
Keyword(s):  
Professional Development ◽  
Narrative Inquiry ◽  
Nursing Practice ◽  
Dimensional Space ◽  
Healthcare Providers ◽  
Three Dimensional ◽  
Reflective Process ◽  
The Arts ◽  
Centered Care ◽  
Patterns Of Knowing

My passion for the arts as a medium motivated me to create an art piece (artistic instrument) to enrich my nursing practice. This inspired me to explore how other nurses experience creating their own artistic instruments and what meaning these held for their nursing practice and professional development. In this arts-informed Narrative Inquiry, two participants engaged in a narrative interview and in the Narrative Reflective Process, an artistic approach to creative reflection. Participants’ stories were re-constructed and analyzed using the Narrative Inquiry three-dimensional space (temporality, sociality, and place), and examined through the theoretical lens of Patterns of Knowing. Findings revealed six narrative threads (empathy, quality of life, communication, power imbalances, and personal as well as professional development) highlighting the importance of person-centered care, the value of reflective practice, and the need for further research exploring the use of arts by healthcare providers across diverse educational and practice based settings.

scholarly journals Patients’ Stories of Interprofessional Whole-Person Care

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Kateryna Aksenchuk ◽  
Jasna K Schwind ◽  
Sherry Espin ◽  
Beth McCay ◽  
Jacqui Gingras
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Delivery ◽  
Structured Interview ◽  
Point Of View ◽  
Team Work ◽  
Care Providers ◽  
Interprofessional Team ◽  
Whole Person ◽  
Patient Health

Objectives: Interprofessional whole-person care has been depicted as being able to enhance patient health outcomes, increase health care provider satisfaction with care delivery, lower health care spending and decrease wait times for receiving care. Limited research has been conducted into exploring patients’ experiences of being recipients of this type of care. The objective of this oral presentation is to disseminate findings of a Master of Nursing study through patients’ stories of experience receiving care on aunit where inter professional care is practiced.Methods: Three participants underwent a two step data collection process: a one hour semi-structured interview and a 30 minute symbolic image artistic exercise, as adapted from Schwind’s Narrative Reflective Process. Participants were invited to describe how they experienced receivingcare from an interprofessional team and whether or not they believed whole-person care was delivered to them. Collected data are being analyzed using Clandinin and Connelly’s Narrative Inquiry approach of three dimensionalspace, temporality, sociality and place.Results: The emerging results suggest that participants express satisfaction with the care they received from the interprofessional team on their unit. Their stories indicate that strong interprofessional team-work can contribute to patient satisfaction in care received. For these teams to be successful, from the patients’ point of view, there needs to be: better communication between care providers, greater involvement of the patient in decision making, proper identification of who comprises the teams, andconsistency in team composition.Conclusion: By acknowledging experiences and feelings ofpatients who have received care from an interprofessional team, there is potential to increase sustainability of these teams. The data generated through this study can potentially help health care providers, who are members of interprofessional teams, to deliver more effective, comprehensive whole-personcare within health care institutions.

Three Dimensional structure and organization of diploid chromosomes by optical section microscopy

1987 ◽  
Vol 45 ◽  
pp. 633-635
Author(s):  
David A. Agard ◽  
Yasushi Hiraoka ◽  
John W. Sedat
Keyword(s):  
Dimensional Space ◽  
Three Dimensional ◽  
Developmental State ◽  
Mitotic Cell ◽  
Biological Properties ◽  
Dimensional Structure ◽  
Specific Gene ◽  
Three Dimensional Structure ◽  
Complementary Techniques ◽  
Dynamic Structures

In an effort to understand the complex relationship between structure and biological function within the nucleus, we have embarked on a program to examine the three-dimensional structure and organization of Drosophila melanogaster embryonic chromosomes. Our overall goal is to determine how DNA and proteins are organized into complex and highly dynamic structures (chromosomes) and how these chromosomes are arranged in three dimensional space within the cell nucleus. Futher, we hope to be able to correlate structual data with such fundamental biological properties as stage in the mitotic cell cycle, developmental state and transcription at specific gene loci.Towards this end, we have been developing methodologies for the three-dimensional analysis of non-crystalline biological specimens using optical and electron microscopy. We feel that the combination of these two complementary techniques allows an unprecedented look at the structural organization of cellular components ranging in size from 100A to 100 microns.

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