scholarly journals Perception of Spirituality among Substance Addicts with Incarceration Experience: A Phenomenological Study

2019 ◽  
Vol 4 (3) ◽  
pp. 201-218
Author(s):  
İsa Ceylan ◽  
Liam Metcalf-White
Keyword(s):  
Addiction Treatment ◽  
Phenomenological Study ◽  
Treatment Programs ◽  
Counseling Services ◽  
Coping Mechanism ◽  
Structured Interviews ◽  
Central Schemes ◽  
North Wales ◽  
Spiritual Counseling

This paper examines the role of spirituality in a recovery context by drawing on qualitative research conducted at a residential recovery community in North Wales, United Kingdom. The study aimed to examine perceptions of spirituality among exprisoners and people identifying as in recovery from addiction. The researchers explored ideas of “spiritual coping” and “spiritual wellbeing” in terms of meaning, purpose, connectedness, forgiveness, and peace in addiction treatment programs influenced by 12-Step models, for instance, Alcoholics Anonymous (AA). Also, this paper focuses on both spiritual counseling services shaped by pre-determined meanings and values and secondly, on individuals’ perceptions about spirituality through the language of desires, needs, and expectations. The data for this research produced from five semi-structured interviews with male individuals who had recovered from their addiction and had practised some custodial life. To discover the common context of different perceptions of the language spirituality, the data was coded by the first and second loop encodings from the data analysis methods used. The central schemes that appear as “Spirituality in Experiences, Spirituality in Values, Spirituality as Meaning/Purpose of Life, Spirituality as Attachment, Spirituality as Coping Mechanism” have been evaluated within the framework of the concept of spirituality. In the conclusion of this study, it was observed that spirituality was used as a coping mechanism for buffering the sensation of hopelessness and powerlessness often experienced by people in active addiction.

Listening to Bedouin Women Who Were Affected by Intimate Partner Violence and Sought Help From a Doctor

2019 ◽  
pp. 088626051988100
Author(s):  
Iris Manor-Binyamini ◽  
Michal Schreiber-Divon
Keyword(s):  
Intimate Partner Violence ◽  
Health Care Professionals ◽  
Partner Violence ◽  
Social Space ◽  
Phenomenological Study ◽  
Intimate Partner ◽  
Structured Interviews ◽  
Community Clinic ◽  
First Interview

The purpose of this study was to examine how Bedouin women perceived and interpreted seeing a doctor for help in the aftermath of intimate partner violence. In the phenomenological study, 38 semi-structured interviews were conducted at two different points in time. The first interview took place before the first appointment with the doctor, and the second took place about 3 months after seeing the doctor. The findings revealed two main themes: an act of resistance against the prevailing social norms and empowerment out of crisis. The study found that doctors and other professionals working in the field of domestic violence in community clinics provide a reliable first source of support for women within a limiting social space. This brings into focus the centrality of the role of the doctor/health care professionals within the framework of the community clinic and is intended to direct, train, and deepen the insights of the medical staff that work with women affected by intimate partner violence and to create uniformity in the interventions for these women.

Passé or a time to pause? A phenomenological study of family physicians’ experiences of physical examination

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696797
Author(s):  
Martina Kelly ◽  
Lisa Freeman
Keyword(s):  
Physical Examination ◽  
Family Practice ◽  
Phenomenological Study ◽  
Essential Element ◽  
Family Physicians ◽  
The Body ◽  
Evidence Based ◽  
Structured Interviews ◽  
Qualitative Phenomenological

BackgroundOnce the cornerstone of clinical family practice, the role of physical examination is changing. Patients and physicians alike express concern that emphasis on evidence-based medicine and increasing reliance of technology has relegated the role of physical examination in clinical practice.AimTo understand the role of physical examination in contemporary family practice.MethodQualitative phenomenological study, interpreted through the writings of Merleau-Ponty. Semi-structured interviews were conducted with a purposive sample of sixteen family physicians; men, women, recent graduates and experienced physician working in urban, rural and academic practices. Interviews were recorded, transcribed and examined using template analysis, complimented with researcher reflexivity.ResultsStudy participants described physical examination as core to practice, to diagnose, to communicate, and to validate patient and practitioner concerns. Performance of physical examination became routine over time but a disruption to the expected caused physicians to pause. Participants described this as a slowing of time where they became conscious of the body of the patient and their own body, intertwined in a moment. Physicians experienced affective, intellectual, and physical phenomena, which integrated to guide their behaviour, diagnosis, and management of the patient. The role of physical examination was to not only diagnosis as an evidence-based medical expert, but was experienced as a form of embodied, nonverbal communication, which expressed care.ConclusionPhysical examination plays an important role to reassure and communicate trust in the doctor–patient relationship, enacted through the body of the physician. Complimenting diagnosis, the laying on of hands remains an essential element of patient care.

On the Front Lines: The Impact of Managerialism on the New York City Addiction Treatment Workforce

2021 ◽  
pp. 104829112110416
Author(s):  
Jocelyn Lewiskin ◽  
Mimi Abramovitz ◽  
Jennifer Zelnick
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Addiction Treatment ◽  
Well Being ◽  
Service Organizations ◽  
Treatment Programs ◽  
Structured Interviews ◽  
Professional Discretion ◽  
The Impact

Since the mid-1970s, neoliberal policies have relied on privatization and other tactics to down-size the state, transforming human service organizations in the process. The impact of this approach, also known as managerialism, has not been examined in addiction treatment, where the opioid epidemic has intensified the need for services. Using qualitative semi-structured interviews, we explore how managerialism has affected the workforce, service delivery, and the quality of care in New York City addiction treatment programs. Front-line and managerial staff identified threats to working conditions, including high caseloads and productivity demands; threats to service quality including standardization of practice, loss of professional discretion and serving only those most likely to succeed; and threats to worker well-being marked by stress, burn-out, and low morale. The contradictions between the goals of managerialism and addiction treatment threaten the ability to meet the needs of people struggling with addiction.

Phenomenological study about enhancing university student's psychosocial wellbeing through YouTube videos

2021 ◽  
Author(s):  
Ko Wai Chan
Keyword(s):  
Interpretative Phenomenological Analysis ◽  
Phenomenological Study ◽  
Research Question ◽  
Differential Susceptibility ◽  
Well Being ◽  
Treatment Programs ◽  
Altruistic Behavior ◽  
Structured Interviews ◽  
Self Confidence ◽  
Psychosocial Wellbeing

The present qualitative study aimed to explore how the attitudes, experiences, and feelings of Autonomous Sensory Meridian Response (ASMR) videos could be used to enhance psychosocial wellbeing similar to mindfulness-based treatment programs. ASMR is an atypical and multisensory phenomenon in which a tingling sensation is often elicited following specific audio-visual stimulations. Although ASMR experiences have been announced to enhance wellbeing and phenomenologically superimposed with mindfulness, there is a lack of research exploring how ASMR experiences relate to wellbeing. In this study, the theoretical underpinnings of the Differential Susceptibility to Media Effects Model (DSMM) by Patti M. Valkenburg and Jochen Peter (2013) are merged with Positive psychology's wellbeing theory (PERMA) by Seligman (2011) for the first time with the objective to explore and link the distinguishing characteristics of ASMR video with wellbeing outcomes.The study entailed two in-depth semi-structured interviews, which were conducted with three university students (one female and two males) in Finland. Interpretative phenomenological analysis with coding schemes was employed and guided by DSMM and Seligman's five domains of well-being. Three main themes and fourteen subthemes emerged from the analyses of the interview transcripts corresponding to the research question. The main themes include ASMR intentional use, ASMR media contents, and ASMR multisensory integration. The subthemes encompass prior ASMR-like experiences, social pressure from family members and curiosity, different types of sound, voices, and movement; nostalgic thoughts, pro-change bias, and positive responses. Exploration of interviewees' narratives further brought to light issues concerning ASMR's emotional effects on wellbeing. Analyses reveal different subthemes clustered into five main themes: Positive Emotion, Engagement, Relationships (Connectedness), Meaning and Making a Connection, and Accomplishment.The findings showed how ASMR videos enhance wellbeing through mindfulness-like experiences. These research findings are significant due to the ASMR videos' potential to increase wellbeing and happiness. Furthermore, their influence can extend to elevating the ability to concentrate on tasks at hand, improving the quality of sleep by stopping rumination, increasing self-confidence, and motivating altruistic behavior. The beneficial potential of ASMR videos to promote psychosocial wellbeing is remarkable

scholarly journals Registered nurses’ perceptions and experiences of autonomy: a descriptive phenomenological study

BMC Nursing ◽  
2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Titilayo Olufunke Oshodi ◽  
Benjamin Bruneau ◽  
Rachel Crockett ◽  
Francia Kinchington ◽  
Shoba Nayar ◽  
...  
Keyword(s):  
Registered Nurses ◽  
Work Environment ◽  
Phenomenological Study ◽  
Clinical Work ◽  
Professional Autonomy ◽  
Nurse Training ◽  
Structured Interviews ◽  
Nursing Work Environment ◽  
Nurses Perceptions

Abstract Background Professional autonomy is a key concept in understanding nurses’ roles in delivering patient care. Recent research exploring the role of autonomy in the nursing work environment indicated that English and American nurses had differing perceptions of autonomy. This qualitative study aimed to explore the understanding and experiences of autonomy of nurses working in England. Methods A descriptive phenomenological analysis of data from 48 semi-structured interviews with registered nurses from two National Health Service (NHS) hospitals (purposive sample) was used to explore the concept of autonomy. Results Six themes were identified: working independently; working in a team; having professional skills and knowledge; involvement in autonomy; boundaries around autonomy; and developing autonomy requires support. A key finding was that nurses related autonomy to their clinical work and to the immediate work environment of their ward, rather than to a wider professional context. Nurses also perceived that autonomy could be turned off and on rather than comprising an integrated aspect of nursing. Conclusions Findings suggest that nurses in England, as framed by the sample, had a local ward-focused view of autonomy in comparison to nurses in America, who were reported to relate autonomy to a wider involvement in hospital level committees. Findings further indicate that autonomy was practiced occasionally, rather than incorporated into practice. Findings highlight the need for nurses in England to adopt a broader perspective and actively contribute to writing hospital guidelines and policies that recognise the importance of autonomy to nurse training and practice.

scholarly journals The Central Role of Peers Facilitators in the Empowerment of Breast Cancer Patients: A Qualitative Study

2021 ◽  
Author(s):  
Béatrice LOGNOS ◽  
isabelle Boulze-Launay ◽  
Elodie Million ◽  
Gérard Bourrel ◽  
Michel Amouyal ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Professionals ◽  
Phenomenological Study ◽  
Well Being ◽  
Mutual Aid ◽  
Breast Cancer Patients ◽  
Online Forums ◽  
Structured Interviews ◽  
Qualitative Phenomenological

Abstract Background In 2020, the number of new cancer cases was estimated at 20 490 862 worldwide up from 18.1 million in 2018 and 14.1 million in 2012. Since the 2000s, cancer treatments have significantly improved, allowing either a cure or control of the disease. Patients share their experience of the disease and use supportive care solutions through involvement in patient associations and online forums. All the associations were built on the principle of “peer support,” which is based on mutual aid between people who suffer or have suffered from the same somatic or psychological illness or had the same life experience.This experiential knowledge can be explored to understand the role of peers and associations in the appropriation of their cancer Methods: A qualitative phenomenological study was undertaken through semi-structured interviews with 12 participants. Interviews were audio-recorded, transcribed verbatim, then analyzed by means of triangulation up to the point of theoretical saturation, by a semio-pragmatic method. Results: Four categories emerged: (1) “Transforms a painful experience into a positive one. It mobilizes the human values of sharing, love, and humility, which facilitates resilience”; (2) “The characteristics of the association, a non-medical place between people sharing a common destiny, resonates with patients’ needs and improves their well-being”; (3) “The association transforms the patients’ experiences by facilitating engagement that leads to a patient-expert (empowerment)”; and (4) “Understanding what is happening to them is soothing, reassuring, because patients’ concerns need to be heard ant their care understood”.Conclusions: This study highlights patient associations can serve as the mediator of NPI and facilate the empowerment of breast cancer patient Practice implications: Educating health professionals in initial and continuing education about non-pharmacological interventions will be a major issue. Teaching the patient-centred approach to health professionals is one of the priorities in initial and continuing medical education.

A Phenomenological Study of Early Career School Counselor Clinical Supervision Experiences

2021 ◽  
Vol 25 (1) ◽  
pp. 2156759X2199714
Author(s):  
Kenya G. Bledsoe ◽  
Joy J. Burnham ◽  
Ryan M. Cook ◽  
Madeline Clark ◽  
Alan L. Webb
Keyword(s):  
Professional Identity ◽  
School Counselors ◽  
Clinical Supervision ◽  
School Counselor ◽  
Phenomenological Study ◽  
Early Career ◽  
Counseling Services ◽  
Structured Interviews ◽  
Counseling Supervisors ◽  
Qualitative Phenomenological

Researchers conducted a qualitative, phenomenological investigation of the clinical supervision experiences of nine early career school counselors using semi-structured interviews. Researchers discovered six themes and related subthemes regarding clinical supervision experiences, including (a) challenges, (b) support, (c) knowledge, (d) self-efficacy, (e) improved professional identity, and (f) improved counseling services. Implications for school counselors, counseling supervisors, and counselor educators are discussed.

Factors Affecting Counseling Services in Social Service Structures Providing Support to Women Who Are Victims of Violence: A Qualitative Research in Greece

2016 ◽  
Vol 34 (21-22) ◽  
pp. 4741-4755 ◽  
Author(s):  
Katerina Flora ◽  
Anthi Argyroudi
Keyword(s):  
Research Question ◽  
Subsequent Development ◽  
Research Data ◽  
Counseling Services ◽  
Structured Interviews ◽  
Professional Counselors ◽  
Factors Affecting ◽  
Main Research ◽  
Victims Of Violence

This qualitative study examines the factors that affect counseling services in structures aimed to provide support to women who are victims of violence. What has created the need to investigate the above issues is the increase in events of violence against women in Greece, and the subsequent development of relevant support and accommodation structures. Despite the clinical experience accumulated, research data from Greece are incomplete. The main research question concerns the factors that affect counseling in violence counseling structures. The participants were 10 professional counselors employed in violence counseling structures. The research data were collected through semi-structured interviews and their analysis followed the interpretative phenomenological method. The results designate two main axes: the personal and that of the others. The main categories of factors on the “personal” axis highlighted the importance of prior as well as continuing training for the counselor’s work with the specific population; the crucial role of experience, which is characterized as dense and very rich; and the necessary presence of unfailing supervision. Regarding the axis of “the others,” the main categories that emerged are cooperation with colleagues—in the light of interdisciplinarity as well as support—and cooperation with the local authorities and the central responsible body, as an important determinant of the operation of the structure. The results are discussed on the basis of the factors’ importance and of possible implications for finding solutions.

scholarly journals People in Recovery from Substance Use Disorders: What Motivates Them to Enter Addiction Treatment Agencies as Counselors?

2021 ◽  
Vol 29 (4) ◽  
pp. 2315-2334
Author(s):  
Azahah Abu Hassan Shaari
Keyword(s):  
New York ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Addiction Treatment ◽  
Sampling Technique ◽  
Treatment Programs ◽  
Snowball Sampling ◽  
Treatment Services ◽  
Staffing Needs

This qualitative study aimed to understand the motivations of people recovering from substance use disorders (SUDs) to work in addiction treatment agencies as counselors. A purposive and snowball sampling technique was used to recruit 18 recovering counselors from Long Island, New York. Most of the participants self-identified as Caucasian, and a third identified as African American. All interviews were audio-recorded and transcribed verbatim. The results indicate that want to give back, perceived self-efficacy to work with SUD clients, and previous experiences with addiction treatment services motivated people in recovery from SUD to become counselors. The respondents also reported the role of intrinsic rewards, such as witnessing clients’ progress over time and the opportunity to sustain their recovery, which influenced their decision to continue working in the addiction treatment field. Understanding work motivations has significant implications for assessing the staffing needs and professional development of SUD treatment programs, including recruitment, retention, and the overall size and capacity of the addiction treatment workforce.

Understanding people’s experiences of using the SaeboFlex® following a stroke

2020 ◽  
pp. 030802262094378
Author(s):  
Hayley Millard ◽  
Louise Gustafsson ◽  
Matthew Molineux ◽  
Katherine Richards
Keyword(s):  
Upper Limb ◽  
Phenomenological Study ◽  
Outpatient Service ◽  
Occupational Therapists ◽  
Outpatient Setting ◽  
Structured Interviews ◽  
Upper Limb Rehabilitation ◽  
Client Experiences ◽  
Limb Rehabilitation

Introduction This qualitative interpretive phenomenological study sought to understand the experiences of people using the SaeboFlex®, within an outpatient setting, following a stroke. Method Five adults who had experienced a stroke and had received the SaeboFlex® from occupational therapists in one outpatient service within the previous 12 months were recruited using convenience sampling. Semi-structured interviews were conducted, recorded, transcribed verbatim, and analysed using Braun and Clarke’s thematic analysis. Results Three themes emerged from the data: (a) hope for upper limb recovery: ‘you have got nothing to lose’; (b) the everyday experience of the SaeboFlex®: ‘just keeping it in a routine’; (c) the self-reported outcomes: ‘I can do more things you know … but there haven’t been any miracles’. Conclusion The findings highlight the important role of hope in the recovery of people following a stroke, and that participants continue to use the device despite limited goal achievement. The reports of limited transfer of training into everyday occupations, either with or without the device, is something that should be carefully considered. The SaeboFlex® is a tool that is promoted for upper limb rehabilitation, but which has limited evidence of effectiveness and mixed client experiences. Further research is required.

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