scholarly journals Body Changes and Decreased Sexual Drive after Dialysis: A Qualitative Study on the Experiences of Women at an Ambulatory Dialysis Unit in Spain

2019 ◽  
Vol 16 (17) ◽  
pp. 3086 ◽  
Author(s):  
Miriam Álvarez-Villarreal ◽  
Juan Francisco Velarde-García ◽  
Lourdes Chocarro-Gonzalez ◽  
Jorge Pérez-Corrales ◽  
Javier Gueita-Rodriguez ◽  
...  
Keyword(s):  
Body Image ◽  
Intimate Relationships ◽  
Phenomenological Study ◽  
Lifestyle Changes ◽  
Dialysis Unit ◽  
Female Patients ◽  
Sexual Drive ◽  
Field Notes ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

Chronic kidney disease (CKD) has considerable effects on the quality of life of patients, impairing everyday activities and leading to lifestyle changes, as well as affecting body image and intimate relationships. Our aim was to describe the experience of female patients with CKD at an ambulatory dialysis unit regarding body changes and sexuality. A qualitative phenomenological study exploring how 18 female patients, treated at the dialysis unit of a Spanish hospital, perceived their sexuality and intimate relationships. Data were collected using in-depth interviews, researcher field notes, and patients’ personal letters. A thematic analysis was performed. Four main themes arose from the data describing the experience of how CKD impacts body changes and sexuality: (a) Accepting body changes, (b) The catheter, the fistula, and body image, (c) Experiencing a different sexuality, and (d) The catheter, the fistula, and sexuality. Patients experienced changes in their body, perceiving it as being bloated or deformed, together with overall decline. The catheter and/or the fistula triggered changes in the way the women dress in an attempt to hide port sites. Women experience sexuality changes, affecting sexual desire and satisfaction. The presence of catheters was found to be the most cumbersome during sexual acts.

scholarly journals Facilitators and Barriers in the Organ Donation Process: A Qualitative Study among Nurse Transplant Coordinators

2020 ◽  
Vol 17 (21) ◽  
pp. 7996
Author(s):  
Víctor Fernández-Alonso ◽  
Domingo Palacios-Ceña ◽  
Celia Silva-Martín ◽  
Ana García-Pozo
Keyword(s):  
Organ Donation ◽  
Phenomenological Study ◽  
High Educational Level ◽  
Novice Nurse ◽  
Organizational Barriers ◽  
Donation Process ◽  
Field Notes ◽  
Facilitators And Barriers ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

Background: Spain is the world leader in organ donation, with a rate of 49.0 donations per million population. Nurse transplant coordinators fulfill key roles for the success of the complex donation process. Our aims were: (a) to describe the experience of nurse transplant coordinators and (b) to identify barriers and facilitators during the process of organ donation. Methods: A qualitative phenomenological study was conducted within the National Transplant Organization. A purposive sampling method was used, and data collection methods included semistructured interviews, researcher field notes, and participants’ personal letters. A systematic text condensation analysis was performed. The study was approved by the Clinical Research Ethics Committee. Results: A total of 16 participants were recruited and four themes were identified: (a) a different job for nurses, (b) facilitators and barriers of the coordinator’s job, (c) not a job for a novice nurse, and (d) coordinators facing a paradigm shift. Coordinators described their job as being characterized with uncertainty and having to face emotional and institutional barriers. The facilitators identified were high educational level and training, and feelings of pride for being part of the National Transplant Organization. Conclusions: The organ donation process requires specialized training to avoid organizational barriers.

scholarly journals Limitation of therapeutic effort experienced by intensive care nurses

2016 ◽  
Vol 25 (7) ◽  
pp. 867-879 ◽  
Author(s):  
Juan Francisco Velarde-García ◽  
Raquel Luengo-González ◽  
Raquel González-Hervías ◽  
César Cardenete-Reyes ◽  
Beatriz Álvarez-Embarba ◽  
...  
Keyword(s):  
Intensive Care ◽  
Phenomenological Study ◽  
Medical Decision ◽  
Final Decision ◽  
Snowball Sampling ◽  
Research Committee ◽  
Intensive Care Nurses ◽  
Field Notes ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

Background: Nurses who practice limitation of therapeutic effort become fully involved in emotionally charged situations, which can affect them significantly on an emotional and professional level. Objectives: To describe the experience of intensive care nurses practicing limitation of therapeutic effort. Method: A qualitative, phenomenological study was performed within the intensive care units of the Madrid Hospitals Health Service. Purposeful and snowball sampling methods were used, and data collection methods included semi-structured and unstructured interviews, researcher field notes, and participants’ personal letters. The Giorgi proposal for data analysis was used on the data. Ethical considerations: This study was approved by the Ethical Research Committee of the relevant hospital and by the Ethics Committee of the Rey Juan Carlos University and was guided by the ethical principles of voluntary enrollment, anonymity, privacy, and confidentiality. Results: In total, 22 nurses participated and 3 themes were identified regarding the nurses’ experiences when faced with limitation of therapeutic effort: (a) experiencing relief, (b) accepting the medical decision, and (c) implementing limitation of therapeutic effort. Conclusion: Nurses felt that, although they were burdened with the responsibility of implementing limitation of therapeutic effort, they were being left out of the final decision-making process regarding the same.

scholarly journals Experiences and coping with the altered body image in digestive stoma patients

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
César Hueso-Montoro ◽  
Candela Bonill-de-las-Nieves ◽  
Miriam Celdrán-Mañas ◽  
Sandra Milena Hernández-Zambrano ◽  
Manuel Amezcua-Martínez ◽  
...  
Keyword(s):  
Body Image ◽  
Behavioral Interventions ◽  
Phenomenological Study ◽  
Cognitive Behavioral ◽  
Conditioning Factors ◽  
Semistructured Interviews ◽  
Cognitive Behavioral Interventions ◽  
Qualitative Phenomenological ◽  
And Coping ◽  
Qualitative Phenomenological Study

ABSTRACT Objective: to describe the coping of stoma patients with the news about the ostomy, as well as to analyze the meaning and the experience of their new bodily reality. Method: qualitative phenomenological study undertaken through semistructured interviews with 21 stoma patients. The analysis was based on the constant comparison of the data, the progressive incorporation of subjects and triangulation among researchers and stomal therapy nurses. The software Atlas.ti was used. Results: two main categories emerge: "Coping with the news about receiving a stoma" and "Meaning and experience of the new bodily reality". The informants' answer varies, showing situations that range from the natural acceptance of the process to resignation and rejection. The previous experiences of other family members, the possible reconstruction of the stoma or the type of illness act as conditioning factors. Conclusions: the coping with the news about the stoma is conditioned by the type of illness, although the normalization of the process is the trend observed in most informants. Nursing plays a fundamental role in the implementation of cognitive-behavioral interventions and other resources to promote the patients' autonomy in everything related to care for the stoma.

Adult Immigrant Journeys: Occupational Downgrading and Continuously Evolving Selves

2021 ◽  
Vol 32 (1) ◽  
pp. 5-16
Author(s):  
Jan Adversario
Keyword(s):  
Adult Learning ◽  
Phenomenological Study ◽  
Possible Selves ◽  
Professional Experiences ◽  
Future Selves ◽  
Research Questions ◽  
Qualitative Phenomenological ◽  
Adult Immigrants ◽  
Possible Selves Theory ◽  
Qualitative Phenomenological Study

This qualitative phenomenological study examined the occupational downgrading experiences of six adult immigrants. Occupational downgrading happens when an individual’s occupation post immigration does not match his or her education credentials and previous professional experiences. The goal is to make sense of the participants’ narratives through the lens of possible selves theory. Therefore, the research questions guiding this study were (1) How do occupational downgrading experiences of immigrants shape their integration to the U.S. workforce? and (2) How can we make sense of the participants’ narratives through the lens of possible selves theory? Phenomenological interviews served as the main source for data collection. In addition, artifacts allowed the participants to enrich their stories. Themes that emerged from the participants’ occupational downgrading experiences include underemployment, shift in status, language barrier, feeling of discrimination, and lack of inspiration at the new job. Looking at past, present, and future selves, the participants’ narratives were examined first through identity transition processes: separation, transition, and reincorporation. The study adds to a developing body of literature focusing on the possible selves of adult immigrants experiencing occupational downgrading. In particular, they inform who is participating in adult education. Likewise, this study centralizes the immigrant as participant to adult learning; it provides new narratives of adults in transition.

“God, why?”: The Experience of Mothers from the Israeli Ultra-Orthodox Sector after their Child’s Disclosure of Sexual Abuse

2021 ◽  
pp. 088626052110219
Author(s):  
Aiala Szyfer Lipinsky ◽  
Limor Goldner
Keyword(s):  
Sexual Abuse ◽  
Minority Groups ◽  
Phenomenological Study ◽  
Meaning Making ◽  
Initial Step ◽  
Well Being ◽  
Structured Interviews ◽  
Drawing Task ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

Studies dealing with the experiences of non-offending mothers from the general population and minority groups after their child’s disclosure of sexual abuse are scarce, and studies on mothers from the Jewish ultra-Orthodox community are non-existent. This study takes an initial step in filling this gap by exploring how the normalization of sexual abuse shapes these mothers’ experiences. A qualitative phenomenological study was conducted on a sample of 21 mothers from the ultra-Orthodox sector whose children had been sexually abused. It consisted of in-depth, semi-structured interviews of the mothers followed by a drawing task on their experience. The analysis of the interviews yielded four central themes: the role of social stigmatization and religion on the mother’s ability to share her child’s abuse; the effect of the disclosure on the mothers’ mental state and maternal competency; the mothers’ ongoing experience in the shadow of this unprocessed/unresolved trauma; and the mothers’ coping strategies, including acceptance, faith, and meaning making. The findings highlight the influence of the tension between the need to adhere to religious norms and preserve the social fabric and the need to enhance mothers’ and children’s well-being.

Impact of Spirituality on the Lived Experience of Christians During OT Rehabilitation

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512510228p1-7512510228p1
Author(s):  
Debra Hanson ◽  
Cherae C. Reeves ◽  
Alyssa Raiber ◽  
Megan K. Hamann
Keyword(s):  
Lived Experience ◽  
Conceptual Model ◽  
Culturally Relevant ◽  
Phenomenological Study ◽  
Rehabilitation Process ◽  
Occupational Participation ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study ◽  
Primary Author

Abstract Date Presented 04/13/21 Results of a qualitative phenomenological study of the influence of spirituality on the lived experience of Christians during the rehabilitation process are shared. Findings show the pervasive impact of spirituality on occupational participation, performance, and engagement and align with the concepts of Humbert’s conceptual model of spirituality. This study of spirituality as expressed from a specific worldview perspective advances the provision of holistic, culturally relevant OT services. Primary Author and Speaker: Debra Hanson Contributing Authors: Heather Roberts, Angela Shierk

scholarly journals Nurses lived experiences of conscience reaction: a qualitative phenomenological study

2012 ◽  
Vol 2 (3) ◽  
pp. 3-9 ◽  
Author(s):  
Parkhideh Hasani ◽  
Rostam Jalali ◽  
Zhila Abedsaeedi
Keyword(s):  
Lived Experience ◽  
Phenomenological Study ◽  
Quality Care ◽  
Care Practice ◽  
Professional Lives ◽  
Personal Integrity ◽  
Next Of Kin ◽  
Health Care Practice ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

Background and objectives: Conscience is a cornerstone of ethics, affecting both our private and professional lives. Everyday health care practice raises questions about conscience and how to understand its role. Conscience has also been described as inducing self-growth and protecting personal integrity. Nurses views on their reactions to behaviors consistent or contrary to conscience could therefore help us to understand the meaning of the reactions of conscience. This study aimed to illuminate meanings of nurses lived experience of conscience reaction in their daily practices.Material and methods: Interviews with nine nurses were interpreted using a phenomenological hermeneutic (Colaizzi, 1978) method. Data was collected in 2010 among nurses working in various hospitals in Kermanshah. The nurses were selected for participation purposively.Results: The nurses lived experience of conscience reaction was formulated in three themes and ten sub-themes. The first theme is ‘being peace, which includes three sub-themes: Being calm, being pleased, and being satisfying. The second theme is ‘trouble conscience’ which includes four subthemes: guilt, thinking engagement, discomfort, and fretfulness. The third theme is responding which includes three sub-themes: expressing, compensation, and lack of repeat.Conclusions: The nurses lived experience of conscience reaction showed that nurses considered conscience reaction to be an important factor in the exercise of their profession, as revealed by the descriptive categories: being peace when they act consistent with conscience; trouble conscience when they act contrary on conscience; and responding after doing an anti conscience practice. They perceived that conscience played a role in nursing actions involving patients and next of kin, and guided them in their efforts to provide high quality care.  DOI: http://dx.doi.org/10.3329/bioethics.v2i3.10257Bangladesh Journal of Bioethics 2011;2(3):3-9

Transitioning Out of Foster Care

2017 ◽  
Vol 51 (4) ◽  
pp. 529-547 ◽  
Author(s):  
Sunny Harris Rome ◽  
Miriam Raskin
Keyword(s):  
Foster Care ◽  
Lived Experience ◽  
Phenomenological Study ◽  
Mental Health Problems ◽  
Aging Out ◽  
First Year ◽  
Full Time ◽  
Employment Education ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

Youth aging out of foster care are at particular risk for negative outcomes including school dropout, homelessness, poverty, unemployment, substance abuse, health and mental health problems, and victimization. Yet we know little about how, when, and why these youth find themselves on a downward trajectory. This qualitative, phenomenological study—conducted in partnership with four public child welfare agencies—examined the lived experience of 19 youth during their first year after exiting foster care. The authors used monthly, contemporaneous interviews to explore domains including housing, employment, education, and relationships with trusted adults. Although outcomes in employment were poorest, participants’ experience in all domains was characterized by frequent changes and instability. Adverse events began immediately and many youth were unsure how to navigate the system to get help. Yet youth who were successful in one domain were more likely to be successful in others. Risk factors included having four or more foster care placements, being on probation, accumulating fines, and losing government assistance. Protective factors included living with an adult who shares the rent and maintains a positive, consistent presence; being a full-time student; receiving educational and housing subsidies; having reliable means of transportation and communication; and maintaining the same job throughout the transitional year. Despite facing significant obstacles, the youth demonstrated resilience and optimism as they contemplated their futures. Recommendations include providing specialized services that target youth as they exit the system, and emphasizing stability rather than self-sufficiency.

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