Educational Research Narratives of Healing

2014 ◽  
pp. 262-279
Author(s):  
Jennifer Lynne Bird ◽  
Eric T. Wanner
Keyword(s):  
Physical Therapy ◽  
Patient Education ◽  
Health Education ◽  
Narrative Inquiry ◽  
Quantitative Data ◽  
Research Process ◽  
Statistical Test ◽  
Health Issues ◽  
Education And Health ◽  
Positive Outlook

In research, statistics tell most of the story. A statistical test reveals a trend between patients who use positive language in their writing and objective physical therapy measures. A correlation exists between patients who articulated a goal in writing and achieved that goal. Keeping a positive outlook and writing about it can lead to healing. When the authors conducted a research study, they discovered potentially groundbreaking implications for the fields of patient education and health education. They learned lessons and their findings will continue to educate adults about health issues. However, statistics don't tell the entire story. The field of narrative inquiry examines qualitative stories in addition to the quantitative data. In this chapter, the authors discuss what they learned about patient education, as well as the stories of the moments that made this research process a memorable journey.

scholarly journals A Review of Qualitative Data Analysis Practices in Health Education and Health Behavior Research

2018 ◽  
Vol 46 (1) ◽  
pp. 32-39 ◽  
Author(s):  
Ilana G. Raskind ◽  
Rachel C. Shelton ◽  
Dawn L. Comeau ◽  
Hannah L. F. Cooper ◽  
Derek M. Griffith ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Data Analysis ◽  
Health Education ◽  
Qualitative Analysis ◽  
Analysis Data ◽  
Research Process ◽  
Common Coding ◽  
Education And Health ◽  
Analytic Process ◽  
Member Checks

Data analysis is one of the most important, yet least understood, stages of the qualitative research process. Through rigorous analysis, data can illuminate the complexity of human behavior, inform interventions, and give voice to people’s lived experiences. While significant progress has been made in advancing the rigor of qualitative analysis, the process often remains nebulous. To better understand how our field conducts and reports qualitative analysis, we reviewed qualitative articles published in Health Education & Behavior between 2000 and 2015. Two independent reviewers abstracted information in the following categories: data management software, coding approach, analytic approach, indicators of trustworthiness, and reflexivity. Of the 48 ( n = 48) articles identified, the majority ( n = 31) reported using qualitative software to manage data. Double-coding transcripts was the most common coding method ( n = 23); however, nearly one third of articles did not clearly describe the coding approach. Although the terminology used to describe the analytic process varied widely, we identified four overarching trajectories common to most articles ( n = 37). Trajectories differed in their use of inductive and deductive coding approaches, formal coding templates, and rounds or levels of coding. Trajectories culminated in the iterative review of coded data to identify emergent themes. Few articles explicitly discussed trustworthiness or reflexivity. Member checks ( n = 9), triangulation of methods ( n = 8), and peer debriefing ( n = 7) were the most common procedures. Variation in the type and depth of information provided poses challenges to assessing quality and enabling replication. Greater transparency and more intentional application of diverse analytic methods can advance the rigor and impact of qualitative research in our field.

Narratives of Research Design

2020 ◽  
pp. 40-72
Author(s):  
Jennifer Lynne Bird ◽  
Eric T. Wanner
Keyword(s):  
Physical Therapy ◽  
Patient Education ◽  
Research Design ◽  
New Technology ◽  
Medical Clinic ◽  
Working Together ◽  
Treatment Plans ◽  
Positive Outlook

The authors explain the design of a survey that provides a new technology for physical therapy clinicians to use while treating patients. The survey dovetails knowledge from the fields of writing and medicine to provide a resource for patient education. In a medical clinic, a patient is asked to numerically rate how he or she feels; however, the new survey discussed not only looks at how patients feel numerically, but also how they subjectively feel using writing. This survey is a new tool that encourages communication between patients and clinicians, makes patients more aware of what they are feeling when they write down responses, and helps clinicians adjust treatment plans when they read what the patients write. Through writing, patients become accountable for their actions and increase their education. The authors focus on the connections among writing, positive outlook, and healing, as well as the lessons they learned from working together and discussing their fields of expertise.

Narratives of Spirituality

2020 ◽  
pp. 1-39
Author(s):  
Jennifer Lynne Bird ◽  
Eric T. Wanner
Keyword(s):  
Statistical Analysis ◽  
Patient Education ◽  
Health Education ◽  
Research Study ◽  
Large Role ◽  
Research Project ◽  
Education And Health ◽  
Statistical Table ◽  
Initial Idea

How does spirituality inform narratives? Some readers may view the experiences survived by the authors as a series of random coincidences, but because religion plays a large role in the lives of both authors, they believe that their experiences happened for a reason. They are not trying to convert you to a certain religion but simply want to show the power religion can have. It is recommended to take out all prejudgments on this issue and read the chapter as is. After that, take out of it what you wish. When the authors conducted a research study, they discovered potentially groundbreaking implications for the fields of patient education and health education. The official narrative of the research follows the research project from the initial idea to the final statistical analysis. The unofficial narrative of the research illustrates all the moments that cannot be captured in a statistical table as the authors answer questions, share stories, and provide information of what they learned.

Incorporating a New Technology for Patient Education

2014 ◽  
pp. 139-151 ◽  
Author(s):  
Eric T. Wanner ◽  
Jennifer Lynne Bird
Keyword(s):  
Physical Therapy ◽  
Patient Education ◽  
New Technology ◽  
Recovery Process ◽  
Therapy Process ◽  
Positive Outlook

This chapter explains the design of a survey that provides a new technology for physical therapy clinicians to use while treating patients. The new survey uses both numerical subjective and written subjective questions; the questions dovetail knowledge from the fields of writing and medicine to provide a resource for patient education. Encouraging a patient to write how he or she feels throughout the physical therapy process can increase the clinician's awareness, allowing for the modification of treatment when needed to achieve elite results for the patient. Reading a patient's writing also helps the clinician become more aware of whether the patient has a positive or negative outlook throughout the recovery process. The patient's development and maintenance of a positive outlook becomes a goal of the clinician. From this survey, the authors learned patients with a higher positive outlook throughout treatment sessions demonstrated greater healing gains in existing objective physical therapy measures.

scholarly journals Person-Centered Care In Mental Health Education and Practice Through Arts-Informed Narrative Inquiry

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Jasna Schwind ◽  
Gail Lindsay ◽  
Sue Coffey ◽  
Debbie Morrison ◽  
Barb Mildon
Keyword(s):  
Mental Health ◽  
Nursing Students ◽  
Health Education ◽  
Narrative Inquiry ◽  
Research Process ◽  
Self Awareness ◽  
Embodied Experience ◽  
Mental Health Education ◽  
Practice Nurses ◽  
Whole Person

Objectives: We conceptualize person-centred care (PCC) as whole person care that is enacted through the relationship between caregivers and care-receivers. This understanding bridges education and practice, nursing students and nurses, and methodological approaches. The objective of our Associated Medical Services Phoenix Call to Caring funded research is to explore how students and nurses in mental health construct and enact person-centred care.Methods: Our participants include students and nurses in mental health education and practice. We meet with them in integrated groups of nurses and students. Our research process engages participants in four arts-informed narrative inquiry sessions: stories of giving and receiving PCC, use of metaphors to access tacit knowing, collages and mandalas to explore embodied experience of PCC. Our research is multi-method through the addition of pre and post caring scales to document changes in participant attitudes and behaviours. A follow-up telephone call three months after the fourth session provides an evaluation of the significance of this exploration to PCC in their practice.Results: Dimensions of enacting PCC are revealed including personal, regulatory, professional and institutional forces that shape students’ and nurses’ choice to be person-centred in their practice. Nurses and students increase self-awareness and critical thinking about the value and enactment of PCC in their practice, also shaping the healthcare environment. The significance of arts-informed narrative methods to illuminate knowledge construction is revealed.Conclusions: PCC includes the practitioner and student as knowledge maker, in partnership with a patient and family. PCC involves choosing how to be in relationship as a whole person as well as conceptualizing patients as whole persons. PCC involves practitioner self-awareness and courage to advocate for personal integrity of patients and self-as-caregiver. Arts-informed narrative inquiry provides nurses (established and emergent) processes for continuing reflection and professional development.

scholarly journals Promoting Community Health and Eliminating Health Disparities Through Community-Based Participatory Research

2016 ◽  
Vol 96 (3) ◽  
pp. 410-417 ◽  
Author(s):  
Ruiping Xia ◽  
John R. Stone ◽  
Julie E. Hoffman ◽  
Susan G. Klappa
Keyword(s):  
Physical Therapy ◽  
Community Health ◽  
Participatory Research ◽  
Health Care Disparities ◽  
Team Building ◽  
Community Based Participatory Research ◽  
Research Process ◽  
Community Level ◽  
Health Issues ◽  
Community Based

In physical therapy, there is increasing focus on the need at the community level to promote health, eliminate disparities in health status, and ameliorate risk factors among underserved minorities. Community-based participatory research (CBPR) is the most promising paradigm for pursuing these goals. Community-based participatory research stresses equitable partnering of the community and investigators in light of local social, structural, and cultural elements. Throughout the research process, the CBPR model emphasizes coalition and team building that joins partners with diverse skills/expertise, knowledge, and sensitivities. This article presents core concepts and principles of CBPR and the rationale for its application in the management of health issues at the community level. Community-based participatory research is now commonly used to address public health issues. A literature review identified limited reports of its use in physical therapy research and services. A published study is used to illustrate features of CBPR for physical therapy. The purpose of this article is to promote an understanding of how physical therapists could use CBPR as a promising way to advance the profession's goals of community health and elimination of health care disparities, and social responsibility. Funding opportunities for the support of CBPR are noted.

Incorporating a New Technology for Patient Education

2017 ◽  
pp. 662-675 ◽  
Author(s):  
Eric T. Wanner ◽  
Jennifer Lynne Bird
Keyword(s):  
Physical Therapy ◽  
Patient Education ◽  
New Technology ◽  
Recovery Process ◽  
Therapy Process ◽  
Positive Outlook

This chapter explains the design of a survey that provides a new technology for physical therapy clinicians to use while treating patients. The new survey uses both numerical subjective and written subjective questions; the questions dovetail knowledge from the fields of writing and medicine to provide a resource for patient education. Encouraging a patient to write how he or she feels throughout the physical therapy process can increase the clinician's awareness, allowing for the modification of treatment when needed to achieve elite results for the patient. Reading a patient's writing also helps the clinician become more aware of whether the patient has a positive or negative outlook throughout the recovery process. The patient's development and maintenance of a positive outlook becomes a goal of the clinician. From this survey, the authors learned patients with a higher positive outlook throughout treatment sessions demonstrated greater healing gains in existing objective physical therapy measures.

Searching for Evidence about Health Education and Health Behavior Interventions

2001 ◽  
Vol 28 (2) ◽  
pp. 231-248 ◽  
Author(s):  
Barbara K. Rimer ◽  
Karen Glanz ◽  
Gloria Rasband
Keyword(s):  
Health Education ◽  
Health Behavior ◽  
Quantitative Data ◽  
Evidence Based ◽  
Behavior Interventions ◽  
Education And Health ◽  
Effective Interventions ◽  
Health Behavior Interventions ◽  
The Right

Evidence is fundamental to science, but finding the right evidence in health education and health behavior (HEHB) is often a challenge. The authors discuss some of the controversies about the types of evidence that should be considered acceptable in HEHB, the tension between the use of qualitative versus quantitative data, the need for measures of important but neglected constructs, and interpretation of data from experimental and nonexperimental research. This article discusses some of the challenges to the use of evidence and describes a number of strategies and some forces encouraging the use of evidence-based interventions. Finally, the authors suggest ways to improve the practice and dissemination of evidence-based HEHB. Ultimately, if evidencebased interventions are not disseminated, the interventions will not achieve their potential. The goal should be to develop more effective interventions and disseminate them to improve the public’s health.

scholarly journals 41 From Ward to Classroom: Service Evaluation of Education to Increase Awareness of Frailty and Resilience and Encourage Greater Physical Activity

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65 ◽  
Author(s):  
John Travers ◽  
Roman Romero-Ortuno ◽  
Declan Lyons ◽  
Marie-Therese Cooney
Keyword(s):  
Physical Activity ◽  
Patient Education ◽  
Health Education ◽  
Group Discussion ◽  
Service Evaluation ◽  
Old Patients ◽  
Strength Exercises ◽  
Local Quality ◽  
Key Aspects ◽  
Weekly Group

Abstract Background Our hospital routinely offers a weekly group discussion session for inpatients on aspects of ageing as part of an ‘evergreen programme’ (EP) of health education. Topics are varied and facilitated by a doctor in an informal, open forum. Feedback from nurses, doctors and patients suggested that the EP was lacking in emphasis on the benefits of exercise to improve the levels of physical activity among inpatients. As part of a local quality improvement (QI) initiative, the EP set out to incorporate the provision of patient education on the reported benefits of strength exercises in delaying and reversing frailty. Here we describe the development of this QI initiative and its evaluation. Methods New health education content was added to an EP group discussion to address four key aspects of frailty, namely: definition, risks, screening and interventions. The Socratic health education method was used in the next weekly group discussion (e.g., what does frailty mean to you? What are the consequences? How would you measure frailty? What if it could be delayed or reversed?). An exercise leaflet was provided and strength exercises were demonstrated. Results 18 of 27 over-65-year-old patients attended the group discussion, mean age 75, 11 female (61%). 2 participants were interested in doing strength exercises at the start of the session (11%, 0 female) when asked. Most participants had not been aware that strength exercises can delay and reverse frailty. 14 participants (78%, 8 female) declared interest in doing strength exercises at the end. Interested participants used the exercise leaflet for independent exercise in hospital and brought it home on discharge. Conclusion The EP at our hospital has been improved to include greater emphasis on the benefits of strength exercises in delaying and reversing frailty. QI initiatives can allow translation of research evidence into patient education.

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