scholarly journals The Experiences of Nurses and Physicians Caring for COVID-19 Patients: Findings from an Exploratory Phenomenological Study in a High Case-Load Country

2021 ◽  
Vol 18 (17) ◽  
pp. 9002 ◽  
Author(s):  
Moawiah Khatatbeh ◽  
Fadwa Alhalaiqa ◽  
Aws Khasawneh ◽  
Ala’a B. Al-Tammemi ◽  
Haitham Khatatbeh ◽  
...  
Keyword(s):  
Lived Experience ◽  
Professional Training ◽  
Phenomenological Study ◽  
Work Conditions ◽  
Emotional Reactions ◽  
Working Environment ◽  
Mental Wellbeing ◽  
Structured Interviews ◽  
Services Delivery ◽  
Nurses And Physicians

Various changes have affected health services delivery in response to the repercussions of the COVID-19 pandemic, and this may exhibit unprecedented effects on healthcare workers (HCWs). This study aimed to explore the lived experience of physicians and nurses caring for patients with COVID-19 in Jordan. An interpretative phenomenology approach was used, and sampling was purposively performed. Data were collected through semi-structured interviews using an online meeting platform (Zoom®). Interviews were audio-recorded, transcribed verbatim, and analyzed. The data were obtained from 26 physicians and nurses caring for patients with COVID-19. The mean age of the participants was 29.41 years (SD = 2.72). Six main themes and 17 subthemes were identified: (i) emotional reactions; (ii) preparation; (iii) source of support; (iv) extreme workload; (v) occupational challenges, and (vi) work-related concerns. The results showed that nurses and physicians caring for COVID-19 patients in Jordan were experiencing mental and emotional distress and were practicing under inadequate work conditions. This distress could be multifactorial with personal, organizational, or cultural origins. Our findings may guide policymakers to consider the potential factors that significantly affect working environment in healthcare settings, the physical and mental wellbeing of HCWs, and the required professional training that can help in enhancing resilience and coping strategies amidst crises.

scholarly journals FAMILY DEMENTIA CAREGIVERS’ EPIPHANIES AND CHANGES IN THEIR APPROACH TO CARING FOLLOWING THE VIRTUAL DEMENTIA TOUR

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S554-S554
Author(s):  
Candace C Harrington ◽  
Candace C Harrington
Keyword(s):  
Lived Experience ◽  
Family Caregiving ◽  
Phenomenological Study ◽  
Structured Interviews ◽  
Dementia Caregivers ◽  
Term Care ◽  
Health Indices ◽  
Person Perspective ◽  
Eye Opening

Abstract Previous interventional studies have failed to show long-term improvements in caregiver stress, health indices, burden, or delay in long-term care placement. The Virtual Dementia Tour® (VDT) provides a vicarious first-person perspective of symptoms related to dementia. This interpretative phenomenological study revealed family dementia caregivers’ perceptions of the VDT® and its impact on their perception of a person living with dementia. In-depth open semi-structured interviews were conducted with ten VDT® participants following a community event. Participants’ statements described a life-changing process with eye-opening epiphanies about the lived experience of dementia and served as a “call to action” to change their approach to caring. Innovative advances in family caregiving research are critical to support this valuable geriatric workforce. This original study provided new knowledge about the value of the VDT® to inform interventions that harness the unrecognized power of vicarious experiences like the VDT® for family dementia caregivers to improve long-term outcomes.

scholarly journals Opportunity, support and understanding: the experience of four early trainee nursing associates

2021 ◽  
Vol 15 (6) ◽  
pp. 284-291
Author(s):  
Andrew David Dainty ◽  
Donna Barnes ◽  
Erica Bellamy ◽  
Nicola Kyte ◽  
Katie Berry
Keyword(s):  
Lived Experience ◽  
Phenomenological Study ◽  
Phenomenological Analysis ◽  
Interpretive Phenomenological Analysis ◽  
Structured Interviews ◽  
Participant Experience ◽  
Convenience Sampling ◽  
The University ◽  
Sampling Approach

Aims: This study aimed to capture the lived experience of some of the first trainee nursing associates (TNAs) during the pilot of the role in the January 2017 cohort of TNAs, based at the University of Derby. Methods: A convenience sampling approach was used to recruit participants to this phenomenological study. In-depth, semi-structured interviews were carried out with four participants to capture the experience, as lived by the first cohort of TNAs. Transcripts were transcribed verbatim and were analysed using interpretive phenomenological analysis. Results: Analysis suggests that the participant experience was characterised by six themes, namely: challenges relating to NA training; developing new skills; opportunity; the importance of support; impact of the NA role; and understanding the NA role. Conclusion: This study adds to our understanding relating to the lived experience of some of the first TNAs taking up training for this role within healthcare, and highlights some of the factors that were most pertinent, according to the lived experience of the trainees themselves. The authors hope that the findings of this study will prove useful for those considering taking up training for the role, or indeed establishments considering implementing the role with their settings.

scholarly journals The meaning of postpartum sexual health for women living in Spain: A phenomenological inquiry.

2021 ◽  
Author(s):  
Lidia Pardell-Dominguez ◽  
Patrick Albert Palmieri ◽  
Karen A. Dominguez-Cancino ◽  
Doriam E. Camacho-Rodriguez ◽  
Joan E. Edwards ◽  
...  
Keyword(s):  
Sexual Health ◽  
Lived Experience ◽  
Postpartum Period ◽  
Phenomenological Study ◽  
Cultural Factors ◽  
Common Finding ◽  
Structured Interviews ◽  
Threats To Validity ◽  
Social And Cultural Factors ◽  
Primiparous Women

Abstract Background: Sexual health is a multidimensional phenomenon constructed by personal, social, and cultural factors but continues to be studied with a biomedical approach. During the postpartum period, a woman transitions to mother, as well as partner-to-parent and couple-to-family. There are new realities in life in the postpartum period, including household changes and new responsibilities that can impact the quality of sexual health. This phenomenon is understudied especially in the context of Spain. The purpose of this study was to describe the lived experience of postpartum sexual health among primiparous women giving birth in Catalonia (Spain).Methods: This was a phenomenological study with a purposive sample of primiparous women. Data was collected through semi-structured interviews until saturation. Analysis followed Colaizzi's seven-step process with an eighth translation step added to limit cross-cultural threats to validity. Also, the four dimensions of trustworthiness were established through strategies and techniques during data collection and analysis.Results: Ten women were interviewed from which five themes emerged, including: Not feeling ready, inhibiting factors, new reality at home, socio-cultural factors, and the clinician within the health system. Returning to sexual health led women to engage in experiential learning through trial and error. Most participants reported reduced libido, experienced altered body image, and recounted resumption of sexual activity before feeling ready. A common finding was fatigue and feeling overloaded by the demands of the newborn. Partner support was described as essential to returning to a meaningful relationship. Discussions about postpartum sexual health with clinicians were described as taboo, and largely absent from the care model.Conclusion: Evidence-based practices should incorporate the best evidence from research, consider the postpartum sexual health experiences and preferences of the woman, and use clinician expertise in discussions that include the topic of postpartum sexual health to make decisions. As such, human caring practices should be incorporated into clinical guidelines to recognize the preferences of women. Clinicians need to be authentically present, engage in active communication, and individualize their care. More qualitative studies are needed to understand postpartum sexual health in different contexts, cultures, and countries and to identify similarities and differences through meta-synthesis.

scholarly journals Participants’ experiences of and perceived value regarding different support types for long-term condition self-management programmes

2019 ◽  
pp. 174239531986943 ◽  
Author(s):  
Stephen Hughes ◽  
Sophie Lewis ◽  
Karen Willis ◽  
Anne Rogers ◽  
Sally Wyke ◽  
...  
Keyword(s):  
Lived Experience ◽  
Professional Training ◽  
Self Management ◽  
Chronic Obstructive ◽  
Management Support ◽  
Structured Interviews ◽  
Obstructive Pulmonary Disease ◽  
Term Condition ◽  
Group Programme

Objectives Health professional-led group programmes are a common form of long-term condition self-management support. Much research has focused on clinical outcomes of group participation, yet there is limited research on how group participants perceive and experience the support they receive. We aim to identify the different types of support that participants receive from both facilitators and other participants, and how they value this support. Methods Semi-structured interviews were conducted with 20 participants taking part in a self-management group programme for a long-term condition (obesity, type 2 diabetes or chronic obstructive pulmonary disease). Data pertaining to support types were deductively identified through a social support framework prior to interpretive thematic analysis. Results Participants identified information and emotional support from both facilitators and other participants as complementary yet distinct. Facilitators’ support came from professional training and other participants’ support reflected the contextual, lived experience. Professional interactions were prioritised, constraining opportunities for participant–participant support to be received and exchanged. Discussion We identified a key gap in how self-management support is enacted in groups. Engaging participants to share experiential knowledge will make group support more relevant and mutually beneficial to participants living with a long-term condition.

Occupational health in mental health services: a qualitative study

2019 ◽  
Vol 13 (1) ◽  
pp. 32-44
Author(s):  
Jennifer Oates ◽  
Rasiha Hassan
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Occupational Health ◽  
Lived Experience ◽  
Mental Healthcare ◽  
Working Environment ◽  
Small Scale ◽  
Structured Interviews ◽  
Content Type

Purpose The purpose of this paper is to explore occupational health (OH) clinicians’ perspectives on employee mental health in the mental health workplace in the English National Health Service. Design/methodology/approach Thematic analysis of data from seven semi-structured interviews is performed in this paper. Findings Three themes emerged under the core theme of “Situating OH services”: “the Uniqueness of the mental health service setting”, “the Limitations of OH services” and “the Meaning of mental health at work”. An important finding came from the first theme that management referrals in mental health may be due to disputes about workers’ fitness to face violence and aggression, a common feature of their working environment. Research limitations/implications This was a small scale study of a previously unresearched population. Practical implications These findings should be used to refine and standardise OH provision for mental healthcare workers, with a particular focus on exposure to violence and workers’ potential “lived experience” of mental illness as features of the mental health care workplace. Originality/value This is the first study to explore OH clinicians’ perspectives on the mental health service working environment.

scholarly journals Exploration of rural physicians’ lived experience of practising outside their usual scope of practice to provide access to essential medical care (clinical courage): an international phenomenological study

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e037705
Author(s):  
Jill Konkin ◽  
Laura Grave ◽  
Ella Cockburn ◽  
Ian Couper ◽  
Ruth Alison Stewart ◽  
...  
Keyword(s):  
Medical Care ◽  
Lived Experience ◽  
Phenomenological Study ◽  
Primary Outcome Measure ◽  
Read Aloud ◽  
Scope Of Practice ◽  
Structured Interviews ◽  
Rural Medicine ◽  
Hermeneutic Phenomenological ◽  
Standing Up

ObjectivesRural doctors describe consistent pressure to provide extended care beyond the limits of their formal training in order to meet the needs of the patients and communities they serve. This study explored the lived experience of rural doctors when they practise outside their usual scope of practice to provide medical care for people who would otherwise not have access to essential clinical services.DesignA hermeneutic phenomenological study.SettingAn international rural medicine conference.ParticipantsAll doctors attending the conference who practised medicine in rural/remote areas in a predominantly English-speaking community were eligible to participate; 27 doctors were recruited.InterventionsSemi-structured interviews were conducted. The transcripts were initially read and analysed by individual researchers before they were read aloud to the group to explore meanings more fully. Two researchers then reviewed the transcripts to develop the results section which was then rechecked by the broader group.Primary outcome measureAn understanding of the lived experiences of clinical courage.ResultsParticipants provided in-depth descriptions of experiences we have termed clinical courage. This phenomenon included the following features: Standing up to serve anybody and everybody in the community; Accepting uncertainty and persistently seeking to prepare; Deliberately understanding and marshalling resources in the context; Humbly seeking to know one’s own limits; Clearing the cognitive hurdle when something needs to be done for your patient; Collegial support to stand up again.ConclusionThis study elucidated six features of the phenomenon of clinical courage through the narratives of the lived experience of rural generalist doctors.

scholarly journals The meaning of postpartum sexual health for women living in Spain: A phenomenological inquiry.

2020 ◽  
Author(s):  
Lidia Pardell-Dominguez ◽  
Patrick Albert Palmieri ◽  
Karen A. Dominguez-Cancino ◽  
Doriam E. Camacho-Rodriguez ◽  
Joan E. Edwards ◽  
...  
Keyword(s):  
Sexual Health ◽  
Lived Experience ◽  
Postpartum Period ◽  
Phenomenological Study ◽  
Cultural Factors ◽  
Common Finding ◽  
Structured Interviews ◽  
Threats To Validity ◽  
Social And Cultural Factors ◽  
Primiparous Women

Abstract Background: Sexual health is a multidimensional phenomenon constructed by personal, social, and cultural factors but continues to be studied with a biomedical approach. During the postpartum period, a woman transitions to mother, as well as partner-to-parent and couple-to-family. There are new realities in life in the postpartum period, including household changes and new responsibilities that can impact the quality of sexual health. This phenomenon is understudied especially in the context of Spain. The purpose of this study was to describe the lived experience of postpartum sexual health among primiparous women giving birth in Catalonia (Spain).Methods: This was a phenomenological study with a purposive sample of primiparous women. Data was collected through semi-structured interviews until saturation. Analysis followed Colaizzi's seven-step process with an eighth translation step added to limit cross-cultural threats to validity. Also, the four dimensions of trustworthiness were established through strategies and techniques during data collection and analysis.Results: Ten women were interviewed from which five themes emerged, including: Not feeling ready, inhibiting factors, new reality at home, socio-cultural factors, and the clinician within the health system. Returning to sexual health led women to engage in experiential learning through trial and error. Most participants reported reduced libido, experienced altered body image, and recounted resumption of sexual activity before feeling ready. A common finding was fatigue and feeling overloaded by the demands of the newborn. Partner support was described as essential to returning to a meaningful relationship. Discussions about postpartum sexual health with clinicians were described as taboo, and largely absent from the care model.Conclusion: Evidence-based practices should incorporate the best evidence from research, consider the postpartum sexual health experiences and preferences of the woman, and use clinician expertise in discussions that include the topic of postpartum sexual health to make decisions. As such, human caring practices should be incorporated into clinical guidelines to recognize the preferences of women. Clinicians need to be authentically present, engage in active communication, and individualize their care. More qualitative studies are needed to understand postpartum sexual health in different contexts, cultures, and countries and to identify similarities and differences through meta-synthesis.

scholarly journals Presence and the paradox of time for palliative care clinicians: a phenomenological study

2020 ◽  
Vol 7 (2) ◽  
pp. 13-25
Author(s):  
Melanie Vachon ◽  
Christine Goyette ◽  
Alexandra Guité-Verret
Keyword(s):  
Palliative Care ◽  
Phenomenological Study ◽  
Working Environment ◽  
Structured Interviews ◽  
High Quality ◽  
Promising Tool ◽  
Organizational Demands ◽  
Competing Demands ◽  
Life Journey

Background: A presence of quality is recognized as a central competence for palliative care clinicians in their mission to accompany patients and families in their end-of-life journey. However, PC clinicians’ capacity for presence may be affected by the increasing emotional, professional and organizational demands of their working environment. Those demands may, in turn, affect quality of care and clinicians’ health. To our knowledge, no previous study has aimed at a better understanding of how PC clinicians view and experience presence in their day-to-day work, although this holds the potential of generating insights to help clinicians develop and cultivate a high-quality presence towards dying patients.Methods: We conducted in-depth qualitative semi-structured interviews with 10 PC clinicians working on a specialized PC ward, later analyzed using Interpretative Phenomenological Analysis.Results: Results account for three essential themes describing the experience of presence; connection to the self, to the other and to the meaning of care. Results also suggest that presence was lived and experienced within a very particular relation to time, which appeared to our participants as a significant challenge in achieving high-quality presence.Conclusion: The stressful working environment in which PC clinicians daily evolve appeared as a threat to presence for our participants. Paradoxically, cultivating presence with mindfulness may be a promising tool to better cope with the competing demands of work and to foster clinicians’ resilience to stress.

scholarly journals Counselling and professionalism: A phenomenological analysis of counsellor experience

2016 ◽  
Vol 4 (2) ◽  
pp. 148-165 ◽  
Author(s):  
Christine Tapson
Keyword(s):  
Professional Identity ◽  
Phenomenological Study ◽  
Phenomenological Analysis ◽  
Emotional Reactions ◽  
Structured Interviews ◽  
Organisational Structures

In this article, the author discusses findings from an interpretative phenomenological study which explores challenging issues in relation to professionalism for counselling, and illuminates features in need of consideration in relation to organisational contexts. These features include the rapid reconfiguration of professionalism in response to contemporary organisational structures such as policy and managerial driven incentives. Using two individual semi-structured interviews, the meaning of professionalism for counsellors is explored. The author proposes that the rapidly growing disparity between old or occupational professionalism, as opposed to new or organizational professionalism, causes uncertainty for counsellors who may struggle to maintain their professional identity. The counsellor’s sense of professionalism is further disempowered if they feel themselves unheard, causing the counsellor to either resist or disengage from organizational obligations. Findings suggest that a counsellor’s sense of professionalism is more ably communicated if their place in an organisation is enacted rather than imposed. The author discusses the experiences of two counsellors in relation to the literature on professionalism, with focus upon the emotional reactions which were expressed as to organisational changes.

Black Men’s Experience of Police Harassment: A Descriptive Phenomenological Study

2021 ◽  
Vol 52 (1) ◽  
pp. 96-117
Author(s):  
Ania Townsell ◽  
Eric B. Vogel ◽  
Alvin McLean
Keyword(s):  
Law Enforcement ◽  
Lived Experience ◽  
Phenomenological Study ◽  
Negative Emotion ◽  
Psychological Research ◽  
Structured Interviews ◽  
Descriptive Phenomenology ◽  
Police Harassment ◽  
History Of ◽  
Men's Experience

Abstract The Black community has a long, well-documented history of being disproportionately harassed by law enforcement. While psychological research has studied this phenomenon, more in-depth research on Black men’s lived-experience of police harassment is needed. This qualitative study used descriptive phenomenology to investigate Black men’s experience of being harassed by law enforcement officers. An analysis of non-structured interviews with a sample of four participants revealed several essential aspects of this experience, including: anxiety in response to the initial awareness of law enforcement’s presence, fear and confusion in response to abrupt escalation of aggression and hostility by officers, a sense of humiliation in response to degrading police tactics, anger over inability to pursue redress through the justice system, ongoing negative emotion, and a sense of having been psychologically harmed by the harassment. The implications of the findings are discussed.

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