scholarly journals Addressing Religion in Secular Healthcare: Existential Communication and the Post-Secular Negotiation

Religions ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 34
Author(s):  
Ricko Damberg Nissen ◽  
Aida Hougaard Andersen

This article aims to understand why religion has proven difficult to address in secular healthcare, although existential communication is important for patients’ health and wellbeing. Two qualitative data samples exploring existential communication in secular healthcare were analyzed following Interpretative Phenomenological Analysis, leading to the development of the analytical constructs of ‘the secular’ and ‘the non-secular’. The differentiation of the secular and the non-secular as different spheres for the individual to be situated in offers a nuanced understanding of the physician–patient meeting, with implications for existential communication. We conceptualize the post-secular negotiation as the attempt to address the non-secular through secular activities in healthcare. Employment of the post-secular negotiation enables an approach to existential communication where the non-secular, including religion, can be addressed as part of the patients’ life without compromising the professional grounding in secular healthcare. The post-secular negotiation presents potential for further research, clinical practice, and for the benefit of patients.

2020 ◽  
Vol 19 ◽  
pp. 160940692092160 ◽  
Author(s):  
Beverly Love ◽  
Arlene Vetere ◽  
Paul Davis

Interpretative phenomenological analysis (IPA) is a qualitative thematic approach developed within psychology underpinned by an idiographic philosophy, thereby focusing on the subjective lived experiences of individuals. However, it has been used in focus groups of which some have been critical because of the difficulties of extrapolating the individual voice which is more embedded within the group dynamics and the added complexity of multiple hermeneutics occurring. Some have adapted IPA for use with focus groups, while others provide scant regard to these philosophical tensions. This raises the question whether IPA should be used with focus group data. To address these concerns, this article will set out a step-by-step guide of how IPA was adapted for use with focus groups involving drug using offenders (including illustrative examples with participants’ quotes). A rationale of why it was important to use both focus groups and an IPA approach will be covered including the value, merits, and challenges this presented. An overview of how participants’ idiographic accounts of their drug use, relapse, and recovery were developed will be provided. This article will conclude with a suggested way forward to satisfy the theoretical tensions and address the question raised in the title.


2016 ◽  
Vol 41 (6) ◽  
pp. 548-555 ◽  
Author(s):  
Sophie Hill

Background:Curriculum documents identify key concepts within learning prosthetics. Threshold concepts provide an alternative way of viewing the curriculum, focussing on the ways of thinking and practicing within prosthetics. Threshold concepts can be described as an opening to a different way of viewing a concept. This article forms part of a larger study exploring what students and staff experience as difficult in learning about prosthetics.Objectives:To explore possible threshold concepts within prosthetics.Study design:Qualitative, interpretative phenomenological analysis.Methods:Data from 18 students and 8 staff at two universities with undergraduate prosthetics and orthotics programmes were generated through interviews and questionnaires. The data were analysed using an interpretative phenomenological analysis approach.Results:Three possible threshold concepts arose from the data: ‘how we walk’, ‘learning to talk’ and ‘considering the person’.Conclusion:Three potential threshold concepts in prosthetics are suggested with possible implications for prosthetics education. These possible threshold concepts involve changes in both conceptual and ontological knowledge, integrating into the persona of the individual. This integration occurs through the development of memories associated with procedural concepts that combine with disciplinary concepts. Considering the prosthetics curriculum through the lens of threshold concepts enables a focus on how students learn to become prosthetists.Clinical relevanceThis study provides new insights into how prosthetists learn. This has implications for curriculum design in prosthetics education.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hannah Piekarz ◽  
Catherine Langran ◽  
Parastou Donyai

AbstractFollowing an acute myocardial infarction, patients are prescribed a regime of cardio-protective medication to prevent recurrent cardiovascular events and mortality. Adherence to medication is poor in this patient group, and not fully understood. Current interventions have made limited improvements but are based upon presumed principles. To describe the phenomenon of medicine-taking for an individual taking medication for secondary prevention for an AMI, Interpretative Phenomenological Analysis was used to analyse transcripts of semi-structured interviews with participants. Themes were generated for each participant, then summarized across participants. Five key themes were produced; the participants needed to compare themselves to others, showed that knowledge of their medicines was important to them, discussed how the future was an unknown entity for them, had assimilated their medicines into their lives, and expressed how an upset to their routine reduced their ability to take medication. Participants described complex factors and personal adaptations to taking their medication. This suggests that a patient-centred approach is appropriate for adherence work, and these themes could inform clinical practice to better support patients in their medicine adherence.


Author(s):  
Dr. Anil Behal

Please see attached a short article on the use and deployment of the "Interpretative Phenomenological Analysis" (IPA) for making sense of, and analyzing qualitative data. It's a turnkey approach developed in the UK by Jonathan Smith et al. at the University of Birkbeck. The redeeming feature of this approach is its ease of use, especially for the novice researcher and the more advanced candidates who are looking to make sense of novel phenomena. <br>


2020 ◽  
Vol 28 (2) ◽  
pp. 115-119 ◽  
Author(s):  
Samantha Meegan ◽  
Toni Martin

Background The newborn and infant physical examination (NIPE) is a screening programme now undertaken by specially trained midwives. It is increasingly a feature within pre-registration midwifery educational programmes. Objectives To explore the experiences of student midwives completing the theory and practice aspects of the NIPE within a pre-registration midwifery programme. Design A qualitative design was utilised to analyse data collected by semi-structured interviews. Method This study was conducted using interpretative phenomenological analysis (IPA). Findings Three superordinate themes were generated: learning by doing, mentorship and transition to qualification. The findings demonstrate the benefits of student midwife exposure to practical aspects of NIPE. Conclusions Findings indicate that standardisation is required with NIPE education and clinical practice. Preceptorship programmes must effectively prepare newly qualified midwives to undertake the NIPE role. Higher educational institutes must provide greater support to the midwives providing mentorship of student midwife NIPE practitioners. Further research should examine the maintenance of the NIPE role following qualification as a midwife.


Dementia ◽  
2017 ◽  
Vol 18 (5) ◽  
pp. 1896-1911 ◽  
Author(s):  
Hannah Aldridge ◽  
Paul Fisher ◽  
Ken Laidlaw

Studies highlight that shame can be problematic for people with early-stage dementia. However, no published research has specifically explored experiences of shame in dementia from the perspective of the individual. This study uses Interpretative Phenomenological Analysis to gain an understanding of how shame is experienced and made sense of by six people with early-stage dementia. Individual, semi-structured interviews took place in participants’ homes. An in-depth analysis of the data revealed four superordinate themes implicated in shame experiences: Avoidance explains the participants’ efforts to distance themselves from shaming experiences; participants reported Negative self-perceptions including a weakening self, loss of value and meaninglessness; Relationship matters involved issues around trust, burden and past relationships and Uncertainty and loss of control highlights participants’ anxiety about losing clarity and control. Ideas are contributed for promoting non-shaming experiences for people with dementia, particularly through communication during assessment and diagnosis, and psychological therapies.


2017 ◽  
Vol 26 (1) ◽  
pp. 2-20 ◽  
Author(s):  
Artur Dias ◽  
Aurora A.C. Teixeira

Purpose The purpose of this paper is to analyze the aftermath of business failure (BF) by addressing: how the individual progressed and developed new ventures, how individuals changed business behaviors and practices in light of a failure, and what was the effect of previous failure on the individual’s decisions to embark on subsequent ventures. Design/methodology/approach The authors resort to qualitative methods to understand the aftermath of BF from a retrospective point of a successful entrepreneur. Specifically, the authors undertook semi-structured interviews to six entrepreneurs, three from the north of Europe and three from the south and use interpretative phenomenological analysis. Findings The authors found that previous failure impacted individuals strongly, being shaped by the individual’s experience and age, and their perception of blame for the failure. An array of moderator costs was identified, ranging from antecedents to institutions that were present in the individual’s lives. The outcomes are directly relatable to the failed experience by the individual. The authors also found that the failure had a significant effect on the individual’s career path. Originality/value While predicting the failure of healthy firms or the discovery of the main determinants that lead to such an event have received increasingly more attention in the last two decades, the focus on the consequences of BF is still lagging behind. The present study fills this gap by analyzing the aftermath of BF.


2014 ◽  
Vol 16 (3) ◽  
pp. 203-215 ◽  
Author(s):  
Niamh Kennedy

Purpose – Prison violence generates much public interest with concerns for the financial costs, staff safety and public safety. The purpose of this paper is to explore the experience of riotous behaviour from the perspective of prisoners in a maximum secure adult prison. It also seeks gather information and to generate discussion on areas for future research. Design/methodology/approach – A purposive sampling method and in-depth semi-structured interviews were carried out. Interpretative phenomenological analysis identified super ordinate themes and related sub-themes within the participants’ narratives. Emergent themes were then considered in relation to the theories and concepts that underpinned and connected them. Findings – Super ordinate themes emerged centred around the subject of social processing and relationships. Prisoners emphasised the role of prisoner-staff relationships in feeling valued as part of the social structure and considered riotous behaviour the best method of communication at that time. Social comparison highlighted the value they placed in being part of the prisoner culture and the nostalgic nature of the riotous behaviour for them. It lends support to earlier theory on prison adjustment and social psychological explanations for rioting. Research limitations/implications – It is not assumed that the findings of this study can be universally applied given the sample size and the idiosyncratic nature of participants’ experiences. This research may provide greater insight into the motivational factors related to individuals involved in riotous behaviour. With such insight prison staff may be more able to consider whether prisoners’ needs are being sufficiently met to help prevent such behaviour in the future. Practical implications – This research may help inform training on the identification and management of potential riots. With insight into the individual motivational factors prison staff may be more able to consider whether prisoners’ needs are being sufficiently met to help prevent such behaviour in the future. Originality/value – This paper reports on the prisoners’ individual experience of being involved in riotous behaviour. Due to the paucity of literature on this behaviour, this exploratory study is intended to add to existing knowledge.


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