scholarly journals The Frontline Nurse’s Experience of Nursing Outlier Patients

2020 ◽  
Vol 17 (14) ◽  
pp. 5232
Author(s):  
Jasmine Cheung ◽  
Sandra West ◽  
Maureen Boughton
Keyword(s):  
Registered Nurses ◽  
Well Being ◽  
Phenomenological Approach ◽  
Face To Face ◽  
Hermeneutic Phenomenological ◽  
South Wales ◽  
Renal Patient ◽  
Depth Interviews ◽  
Improve Patient ◽  
Health And Well Being

The frontline nurses’ experience of nursing with overstretched resources in acute care setting can affect their health and well-being. Little is known about the experience of registered nurses faced with the care of a patient outside their area of expertise. The aim of this paper is to explore the phenomenon of nursing the outlier patient, when patients are nursed in a ward that is not specifically developed to deal with the major clinical diagnosis involved (e.g., renal patient in gynecology ward). Using a hermeneutic phenomenological approach, eleven individual face-to-face in-depth interviews were conducted with registered nurses in New South Wales, Australia. The study identified that each nurse had a specialty construct developed from nursing in a specialized environment. Each nurse had normalized the experience of specialty nursing and had developed a way of thinking and practicing theorized as a “care ladder”. By grouping and analyzing various “care ladders” together, the nursing capacities common to nurses formed the phenomenological orientation, namely “the composite care ladder”. Compared to nursing specialty-appropriate patients, nursing the outlier patient caused disruption of the care ladder, with some nurses becoming less capable as they were nursing the outlier patient. Nursing the outlier patient disrupted the nurses’ normalized constructs of nursing. This study suggests that nursing patients in specialty-appropriate wards will improve patient outcomes and reduce impacts on the nurses’ morale.

Caring in nursing homes to promote autonomy and participation

2017 ◽  
Vol 26 (1) ◽  
pp. 280-292 ◽  
Author(s):  
Maria Hedman ◽  
Elisabeth Häggström ◽  
Anna-Greta Mamhidir ◽  
Ulrika Pöder
Keyword(s):  
Nursing Homes ◽  
Older People ◽  
Registered Nurses ◽  
Everyday Life ◽  
Well Being ◽  
Phenomenological Approach ◽  
Healthcare Personnel ◽  
Trusting Relationships ◽  
The Impact ◽  
Health And Well Being

Background: Autonomy and participation are threatened within the group of older people living in nursing homes. Evidence suggests that healthcare personnel act on behalf of older people but are still excluding them from decision-making in everyday care. Objective: The purpose was to describe registered nurses’ experience of caring for older people in nursing homes to promote autonomy and participation. Research design: A descriptive design with a phenomenological approach was used. Data were collected by semi-structured individual interviews. Analysis was inspired by Giorgi’s method. Participants and research context: A total of 13 registered nurses from 10 nursing homes participated. Ethical considerations: Ethical approval was obtained from the Regional Research Ethics Committee. Informed consent was achieved and confidentiality guaranteed. Findings: The essence of caring for older people in nursing homes to promote autonomy and participation consisted of registered nurses’ awareness of older people’s frailty and the impact of illness to support health and well-being, and awareness of acknowledgement in everyday life and trusting relationships. Paying attention to older people by being open to the persons’ wishes were aspects that relied on registered nurses’ trusting relationships with older people, their relatives and surrounding healthcare personnel. The awareness reflected challenges in caring to promote older people’s right to autonomy and participation in nursing homes. Registered nurses’ strategies, hopes for and/or concerns about development of everyday life in nursing homes were revealed and mirrored their engagement in caring for older people. Discussion and conclusion: Awareness of older people’s frailty in nursing homes and the importance of maintained health and well-being were described as the main source for promoting autonomy and participation. Everyday life and care in nursing homes needs to be addressed from both older people’s and healthcare personnel’s perspectives, to promote autonomy and participation for residents in nursing homes.

Schoolchildren’s play – A tool for health education

2019 ◽  
Vol 79 (1) ◽  
pp. 21-33 ◽  
Author(s):  
Margareta Sjöblom ◽  
Lars Jacobsson ◽  
Kerstin Öhrling ◽  
Catrine Kostenius
Keyword(s):  
Health Education ◽  
Design Method ◽  
Well Being ◽  
Phenomenological Approach ◽  
Medium Size ◽  
Hermeneutic Phenomenological ◽  
Conflict Situations ◽  
Inner Child ◽  
Grade 3 ◽  
Health And Well Being

Objective: The purpose of this study was to gain more knowledge about the phenomenon of the inner child in relation to health and well-being as reflected in play experienced by schoolchildren. Design/method: Participants were 20 schoolchildren recruited from a primary school in a medium-size city in central Sweden. The children who agreed to participate were 14 girls and 6 boys aged between 9 and 10 years old in grade 3. A hermeneutic phenomenological approach was used to analyse the data consisting of the schoolchildren’s drawings and transcribed interviews. Participants’ verbal reflections on their drawings enabled deeper insight into their lived experiences of play. Results: Findings from this study demonstrate how schoolchildren are influenced by the inner child in childhood to handle conflicts, to cope, to make choices, to build relationships to connect and to dream about the future. The schoolchildren in this study developed their coping skills in conflict situations as part of friendship making. Conclusion: The value play offers for health and well-being reveals how schoolchildren are influenced by the inner child in childhood. Gaining knowledge from schoolchildren’s own voices about play makes a worthwhile contribution to research. In addition, the value play provides to schoolchildren’s health and well-being suggest that play can be an important tool as part of health education.

The Lived Experiences of Folklore Healing Practices as a Health Patterning Modality

2019 ◽  
Vol 38 (3) ◽  
pp. 263-277
Author(s):  
Mary A. Joseph
Keyword(s):  
Well Being ◽  
The United States ◽  
Nursing Theory ◽  
Folk Healing ◽  
Nursing Science ◽  
Hermeneutic Phenomenological ◽  
Research Findings ◽  
Health Patterning ◽  
Depth Interviews ◽  
Health And Well Being

Purpose: The purpose of the study is to understand the meaning of folklore as a health patterning modality and to uncover its unique characteristics in the life-health process. Design: Hermeneutic phenomenological. Method: Max van Manen’s methodology was used for this study. The sample was selected from the Afro-Caribbean American community in the United States. The criterion for selection was that participants used folklore healing practices for health and well-being on an ongoing basis. In-depth interviews were done. Purposive sampling with networking was done based on whether the participants used folk healing on a regular basis. Themes of the meaning of folklore healing practices were identified from participants’ verbatim data. Findings: The meaning of folklore healing practices was interpreted as phenomena with six interconnected essential themes. Additionally, Barrett’s nursing theory of power as knowing participation in change was used to reflect and understand the findings from a nursing perspective. Conclusion: The research findings have implications for nursing science, and the knowledge gleaned from the study may be applied to nursing practice.

Adaptation to Athletic Retirement and Perceptions About Aging: A Qualitative Study of Retired Olympic Athletes

2020 ◽  
pp. 1-15
Author(s):  
Michelle Pannor Silver
Keyword(s):  
Role Models ◽  
High Performance ◽  
Well Being ◽  
Life Transitions ◽  
Major Life ◽  
Self Perceptions ◽  
Olympic Athletes ◽  
Athletic Retirement ◽  
Depth Interviews ◽  
Health And Well Being

Self-perceptions about aging have implications for health and well-being; however, less is known about how these perceptions influence adaptation to major life transitions. The goal of this study was to examine how high-performance athletes’ perceptions about aging influenced their adaptation to athletic retirement. In-depth interviews conducted with 24 retired Olympic athletes using thematic analysis yielded three key themes: (a) perceptions about aging influenced participants’ postretirement exercise habits, (b) perceptions about aging motivated participants to engage in civic activities, and (c) participants who lacked formative perceptions about aging associated their athletic retirement with their own lost sense of purpose. These findings provide evidence that perceptions about aging influence athletes’ adaptation to retirement by directing their subsequent engagement in postretirement activities. Furthermore, this research highlights theoretical implications for the literature regarding embodied processes, retirement transitions, role models, and adaptation to new physical states.

scholarly journals Understanding Local Perceptions of the Drivers/Pressures on the Coastal Marine Environment in Palawan, Philippines

2021 ◽  
Vol 8 ◽  
Author(s):  
John Roderick V. Madarcos ◽  
Lota A. Creencia ◽  
Bethany R. Roberts ◽  
Mathew P. White ◽  
Johana Nayoan ◽  
...  
Keyword(s):  
Marine Environment ◽  
Environmental Changes ◽  
Well Being ◽  
The Philippines ◽  
Coastal Communities ◽  
Coastal Resource Management ◽  
Face To Face ◽  
Coastal Marine ◽  
Gender Education ◽  
Health And Well Being

The Philippines, as a tropical archipelagic country, is particularly vulnerable to environmental changes affecting coastal and marine settings. However, there are limited studies investigating how these changes are perceived by the local populations who depend directly on the marine environment for their livelihoods, health, and well-being, and who are the most vulnerable to such changes. To explore these issues, we conducted an in-home face-to-face structured survey in 10 coastal communities in Palawan, Philippines (n = 431). As part of the survey, respondents were asked to comment on how important they believed a list of 22 drivers/pressures (e.g., “land-use change”) were in affecting their local marine environment. Statistical analysis of this list using Exploratory Factor Analysis suggested the 22 drivers/pressures could be categorized into 7 discrete groups (or in statistical terms “factors”) of drivers/pressures (e.g., “urbanization,” “unsustainable fishing practices” etc.). We then used ordinary least squared regression to identify similarities and differences between the perspectives within and across communities, using various socio-demographic variables. Results suggested that among the seven identified factors, four were perceived by the local communities as making the marine environment worse, two were perceived as having no impact, and one was perceived to be making the marine environment better. Perceptions differed by gender, education, ethnicity, and study site. A subsequent survey with 16 local coastal resource management experts, suggested that public perceptions of the most critical drivers/pressures were broadly consistent with those of this expert group. Our findings highlight how aware local coastal communities are of the drivers/pressures underpinning the threats facing their livelihoods, health, and well-being. Ultimately, this information can support and inform decisions for the management of local marine resources.

scholarly journals Healthy Lifestyle Practice among a Selected Rural Community of Sirajganj District

KYAMC Journal ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 193-198
Author(s):  
Sailendra Nath Biswas ◽  
Rubaiyat Farzana Hussain ◽  
Mohd Raisul Hasan ◽  
Taslima Akber Happy ◽  
Mahaidhe Hassan ◽  
...  
Keyword(s):  
Rural Community ◽  
Healthy Lifestyle ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Face To Face ◽  
Balanced Diet ◽  
Protein Rich ◽  
Health And Well Being ◽  
Structured Questionnaire

Background: Healthy lifestyle is one which helps keeping and improving health and well-being. This means maintaining hygiene, eating balanced diet, getting regular exercise, avoiding tobacco and drugs and getting adequate rest and recreation. Objective(s): To assess healthy lifestyle practice among selected rural-community of Sirajganj district. Materials and methods: This cross-sectional study was conducted among people living in selected villages of Sirajganj. A total of 490 respondents were interviewed face-to-face using a semi-structured questionnaire. Results: Among the respondents 73.3% were female, mean age was 40.29 ± 15.84 years and 56.9% were literates. Mean monthly income was 10812.30±10039.63 taka. Majority (97.3%) said that they wash their hands 'before eating', 89.0% said 'after coming from washroom', 18.6% mentioned of 'after coming in contact with sick person', 3.9% said 'after playing and 3.1% mentioned of 'after holding coins'. About 84% used soap and water for hand washing. One third (33.9%) washed their hands for a period of more than 20 seconds. About 28% consume meat, fish, and egg daily. Majority (77.8%) consumed extra salt daily, 81.8% never took part in playing of doing exercises and 9.8% were current smokers. Conclusion: Subjects were ruralpeople and showed lack of many elements of healthy lifestyle. Proportion of tobacco-use was less. Yet a big proportion consumes extra salt, don't do any exercise, don't eat fruits and cannot eat protein rich food. KYAMC Journal Vol. 11, No.-4, January 2021, Page 193-198

scholarly journals Parents’ Perception Having Children with Intellectual Disability Providing Sex Education

2017 ◽  
Vol 2 (2) ◽  
pp. 164 ◽  
Author(s):  
Dwi Karina Ariadni ◽  
Yayi Suryo Prabandari ◽  
Sumarni DW
Keyword(s):  
Intellectual Disability ◽  
Sex Education ◽  
Group Discussion ◽  
Phenomenological Approach ◽  
Normal Children ◽  
Face To Face ◽  
Role Of Parents ◽  
Depth Interviews ◽  
Children With Intellectual Disability

Introduction: Children with intellectual disability have the same sexual needs as the average children. Parents are their children’s primary sex educators, but many parents are afraid of talking to their children about sex. The purpose of this study to explore the perception of parents in providing sex education to children with intellectual disability. Methods: A qualitative study using phenomenological approach. Focus group discussion (FGD) and in-depth interviews (face-to-face) with ten parents having children with mild or moderate intellectual disability, aged nine-eighteen years registered at SLB Negeri 1 Yogyakarta. Colaizzi method was used to identify core themes and patterns. Results: Four themes were found: the importance of sex education for children with intellectual disability, the mother has the most important role in providing sex education, the distinction of sex education for children with intellectual disability, religion is important in sex education. Conclusions: Perception of parents in providing sex education to children with intellectual disability is different from parents with normal children. Parents should be earlier deliver sex education to protect them from sex abuse and the method of giving sex education with practice. The role of parents, especially mother is very important to provide sex education than father.

scholarly journals Academic Librarians Perceive Duration and Social Interaction as Important Elements for Professional Development

2018 ◽  
Vol 13 (2) ◽  
pp. 94-96
Author(s):  
Hilary Bussell
Keyword(s):  
Professional Development ◽  
Social Interaction ◽  
Electronic Mail ◽  
Phenomenological Approach ◽  
The United States ◽  
Academic Librarians ◽  
Self Awareness ◽  
Hermeneutic Phenomenological ◽  
Depth Interviews

A Review of: Attebury, R. I. (2017). Professional development: A qualitative study of high impact characteristics affecting meaningful and transformational learning. The Journal of Academic Librarianship, 43(3), 232-241. http://dx.doi.org//10.1016/j.acalib.2017.02.015 Abstract Objective – To understand the characteristics of meaningful and transformational professional development experiences of academic librarians. Design – Qualitative analysis of in-depth interviews using a hermeneutic phenomenological approach. Setting – Public and private colleges and universities in the United States of America. Subjects – 10 academic librarians. Methods – The researcher selected 10 participants using an initial survey distributed through national library electronic mail lists. Two rounds of semi-structured, in-depth interviews were conducted over Skype during fall 2014 and spring 2015. The first round of interviews began with background questions about participants’ careers, then moved on to questions about professional development experiences that were meaningful and/or transformational. The responses from this first round of interviews were used to develop questions for a second round of interviews with the same participants. After completing the interviews, the researcher sent follow-up emails to participants in order to gather feedback on summaries and interpretations of interviews. The transcribed interviews were used to create an initial set of codes and then imported into NVivo for analysis using a hermeneutic phenomenological approach. Main Results – All participants reported on professional development experiences that they found to be meaningful. Half of the participants discussed professional development experiences that were transformational for their perceptions and practice of librarianship. The themes of duration and interaction were identified in every participant’s discussions of meaningful or transformational professional development. Reflection, discomfort, and self-awareness were also identified as prominent themes. Conclusion – The study found that two of the most important ingredients for meaningful and transformational professional development are activities that are sustained over time and that include social interaction. The participants perceived long-term, interactive professional development activities as opportunities to identify and address gaps in their professional knowledge, which benefits themselves and their organizations. On-the-job learning, single-theme workshops or institutes, and professional committee work were particularly promising forms of meaningful professional development. The author recommends that academic librarians who are interested in meaningful or transformational professional development look for activities that are sustained and interactive, that promote reflection, and that provide opportunities to increase self-awareness of gaps in knowledge. Facilitators of professional development activities should include interactive components and ensure that participants have a chance to stay in contact after the event in order to encourage long-term interaction and reflection.

The experience of adolescents who have a parent with advanced cancer: A phenomenological inquiry

2014 ◽  
Vol 13 (4) ◽  
pp. 1057-1069 ◽  
Author(s):  
Farya Phillips
Keyword(s):  
Advanced Cancer ◽  
Healthcare Professionals ◽  
Well Being ◽  
Phenomenological Approach ◽  
Parental Cancer ◽  
Open Communication ◽  
Phenomenological Inquiry ◽  
Hermeneutic Phenomenological ◽  
Semistructured Interviews ◽  
Being There

AbstractObjective:Adolescents are considered the group most susceptible to negative psychosocial outcomes when faced with a parent's illness. However, there has been extremely limited research on the adolescent's adjustment to advanced parental cancer. The aim of our study was to gain understanding of the experiences of adolescents, in their own words, to gather pilot data about the needs of this population that will be valuable in developing interventions for adolescents facing parental cancer.Method:A hermeneutic phenomenological approach was applied using in-depth semistructured interviews to inquire about adolescents' experiences. Some 10 adolescents (7 males, 3 females) aged 14–17 were interviewed.Results:Four essential themes about adolescents living with a parent's advanced cancer emerged from the analysis: “life interrupted,” “being there,” “managing emotions,” and “positives prevail.” These findings underscore the significant impact an advanced cancer diagnosis can have on a family unit and suggest that the experience may also have the potential of creating opportunities for growth and well-being. Our findings reinforce previous results that advocate for the importance of family and peer support, positive attitude, and open communication when a family is coping with advanced parental cancer.Significance of results:Understanding how adolescents gain strength from their relationships with family and peers offers healthcare professionals an opportunity to have services and strategies in place to foster these relationships.

Tradition and Culture: An Important Determinant of Inuit Women’s Health

2013 ◽  
Vol 4 (1) ◽  
pp. 25 ◽  
Author(s):  
Gwen K. Healey
Keyword(s):  
Teenage Pregnancy ◽  
Social Inclusion ◽  
Well Being ◽  
Health Issues ◽  
Face To Face ◽  
Arctic Regions ◽  
Illness Prevention ◽  
Women’S Perceptions ◽  
Health And Well Being

This exploratory qualitative study used a case study method to explore Inuit women’s perspectives on their health and well-being. Data were gathered using face-to-face interviews from a purposive sample of women in one Nunavut community who self-identified as Inuit. Data analysis and interpretation were guided by an established approach in qualitative research called “immersion/crystallization.” Various strategies, including methods of verification and validition, were employed to ensure the scientific rigour and reliability of the study’s findings. The mechanisms through which culture and tradition affected women’s perceptions of health and well-being were clearly illustrated and clearly significant to the interview subjects. Women used examples of teenage pregnancy and parenting issues to illustrate traditional practices in Nunavut communities and their significance in an increasingly non-traditional society. Women stressed the importance of speaking Inuktitut and teaching it to their children. Many associated their ability to speak Inuktitut with their ties to Inuit traditions. Women described the grief experienced from loss of culture leading to problems related to identity, social inclusion and wellness. Culture and traditional knowledge were identified as key determinants of health for Canadian Inuit women. This study provides important information to inform and guide health promotion and illness prevention planning. The study will also help decision-makers and health professionals address some of the health issues affecting Inuit women by providing them with some insight into Inuit women’s local and contemporary circumstances. The results of this work can support local efforts to identify priorities for policy and program development relevant to Inuit women’s specific needs. Finally, the relevance of insight gained through the health perspectives of Inuit women in Nunavut deserves further investigation in relation to other Arctic regions, both in Canada and in the larger circumpolar community.

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