scholarly journals Psychological Adaptation to Transplanted Organ: A Hermeneutic Phenomenological Study

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Zahra Sheikhalipour ◽  
Vahid Zaman Zadeh ◽  
Leili Borimnejad ◽  
Stephen R Large ◽  
Leila Vahedi

Background: While organ transplantation is a common surgical procedure worldwide, it is yet well-examined how the recipients of newly-transplanted organs adapt and accept a new organ from another body. Adaptation and acceptance of a vital organ from another person is a complex phenomenon, and medical staff needs to delve into this issue to provide appropriate care. Objectives: The present study aimed to explore the transplant recipients' experiences of adaptation to the transplanted organ. Method: A qualitative research design with a hermeneutic phenomenological approach was adopted in this study. In-depth unstructured interviews were conducted by one of the authors (Z. S.) in different locations across Iran. The purposive sampling method was used to select 20 transplant recipients (n = 4 kidney transplantation; n = 10 heart transplantation; n = 4 liver transplantations; and n= 2 blood transfusion). Results: The constitutive pattern emerged from the data was ‘Psychological adaptation to transplanted organ’, with three themes (namely ‘Alien organ,’ ‘Ensure of being the patch of togetherness,’ and ‘Durability of new organ in body’) and several sub-themes. Conclusions: According to the organ recipients' experiences, it takes time for the recipients to accept another person's organ as their own. The transplant team members need to openly and proactively discuss the many psychological and spiritual issues to which the newly-transplanted organ recipients are exposed to facilitate the adaptation and acceptance of the new organs.

Author(s):  
Olivia Modesto

Many studies support the recurring theme that due to early childbearing, the education of teen mothers is jeopardized. Negative stereotypes towards them also prevail representing the view that teen mothers are wayward, divergent, and burdensome to society. However, there is support from the literature that the majority of them maintain career and educational aspirations. Moreover, access of pregnant minors and teen mothers to public education is guaranteed by law. With this in view, the researcher explored the educational experiences of teen mothers, particularly those who chose to enroll in and eventually graduated from an alternative public school that exclusively serves this population. A hermeneutic phenomenological approach was used in interviewing seven teen mothers who graduated from an alternative school. This qualitative method was useful in understanding subjective experiences, forming insights about individuals’ motivations and actions. The participants were selected by purposive sampling. Inductive analysis of the data indicated that attending an alternative school provided academic reengagement, structure, motivation, and a safe and caring learning environment for the participants. This study makes a contribution to the scant literature about the educational experiences of teen mothers, providing evidence that they strive to succeed and can succeed educationally when given support and access to academic services. The conclusions serve as a counter discourse to the prevailing negative perceptions towards this challenged population.


Author(s):  
K. C. Lila Bahadur

The purpose of this study was to describe the personal experience on the effect of story-telling and using conjecture in mathematics learning. This research was designed in hermeneutic phenomenological study. Accidental sampling procedure was used in this study since the researcher was as an external observer of B Ed students majoring mathematics. The researcher was innocent of pedagogical approach of student-teachers. Taking two student-teachers and their students of class eight as participants, their perceptions were noticed. Data were collected on the way of practice teaching external observation from two secondary schools of Butwal and Tilottama Municipality and analyzed with hermeneutic phenomenological approach. Research revealed that story telling is the way of humanizing mathematics, motivates students to the subject matter and the conjecture promotes students' cognitive faculties, logical thinking and develop the Heuristic capacity.


2008 ◽  
Vol 12 (4) ◽  
pp. 44-49 ◽  
Author(s):  
Dina C. Byers, ◽  
Nancey E.M. France,

The phenomenon of interest for this study was the registered nurse’s (RN’s) lived experience of caring for patients with dementia in the acute care setting. Watson’s theory of human science and human care and van Manen’s hermeneutic phenomenological approach were used to guide this study. The strategies used for the generation and analysis of data were tape-recorded open-ended interviews, field notes, and the researchers’ audio-taped journal. Upon saturation, two themes and a synthesis of unity emerged across all participants. The implications for practice were clearly communicated by the RNs in this study. Further research is recommended.


2018 ◽  
Vol 23 (7) ◽  
pp. 584-595 ◽  
Author(s):  
Najmeh Valizadeh Zare ◽  
Eesa Mohammadi ◽  
Kourosh Zarea ◽  
Nasrin Elahi ◽  
Zahra Manzari

Background The meaning of coping, which can be affected by the nature and type of stress and by individuals’ background and culture, has not been studied in the context of specific stress conditions, such as kidney transplant. Aims The present study aims to explore the meaning of coping for kidney transplant recipients. Methods Purposeful sampling was employed for this hermeneutic phenomenological study. Participants were nine kidney transplant recipients who had received treatment at specialised hospital centres in Mashhad and Ahwaz, Iran, in 2013. Data were collected from unstructured interviews and analysed using Van Manen’s approach. Results From 10 sub-themes emerged 4 major themes characterising the meaning of coping with renal transplantation: intelligent acceptance of changes, understanding the necessity of self-care, enduring, and understanding supportive encouragement. Conclusions The meaning of coping for kidney transplant recipients in Iran encompasses a wide range of cognitive, behavioural, psychological, spiritual and social dimensions. Relying on God’s eternal power and on imams emerged as major dimensions of the meaning of coping.


2019 ◽  
Vol 36 (9) ◽  
pp. 535-540 ◽  
Author(s):  
Karl Charlton ◽  
John Franklin ◽  
Rebekah McNaughton

ObjectivesWe set out to investigate paramedics’ views of ethics and research, drawing on experiences from Paramedic-2, a randomised controlled trial comparing epinephrine and placebo in out-of-hospital cardiac arrest (OHCA).MethodsAn interpretative phenomenological approach was adopted. A purposive sample of paramedics (n=6) from North East Ambulance Service NHS Foundation Trust were invited to a semi-structured, in-depth interview.ResultsThree superordinate themes emerged: (1) morality, (2) emotion and (3) equipoise. Some viewed Paramedic-2 as an opportunity to improve OHCA outcomes for the many, viewing participation as a moral obligation; others viewed the study as unethical, equating participation with immoral behaviour. Morality was a motivator to drive individual action. Positive and negative emotions were exhibited by the paramedics involved reflecting the wider view each paramedic held about trial participation. Those morally driven to participate in Paramedic-2 discussed their pride in being associated with the trial, while those who found participation unethical, discussed feelings of guilt and regret. Individual experience and perceptions of epinephrine guided each paramedic’s willingness to accept or reject equipoise. Some questioned the role of epinephrine in OHCA; others believed withholding epinephrine was synonymous to denying patient care.ConclusionA paucity of evidence exists to support any beneficial role of epinephrine in OHCA. Despite this, some paramedics were reluctant to participate in Paramedic-2 and relied on their personal perceptions and experiences of epinephrine to guide their decision regarding participation. Failure to acknowledge the importance of individual perspectives may jeopardise the success of future out-of-hospital trials.


Author(s):  
Jamaica Kim L. Mabanglo ◽  
Madelyn P. Estrada ◽  
Rudy B. Gahar ◽  
Crisanto M. Sait ◽  
Robino D. Cawi

A lot of ethnic tribes with diverse social practices, customs, and gatherings are available in the Philippines and one of the ethnic tribes is the Badjao who are recently enticed to move life from the sea to a real existence ashore. Considering the way that they are nomadic, they are dispersed in other cities and towns of Pangasinan. In this connection, the researchers became interested to conduct a study on the perception of the locals in the experienced inequality of the Badjao ethnic group as perceived by them. The study used a qualitative research design specifically a phenomenological approach. Consequently, the interview was aided by an interview guide which is semi structured in nature and the data gathered were analyzed using qualitative content analysis method. As a result, the perception of the participants in experienced inequality of the Badjao ethnic group is discrimination and lack of opportunities which were contributed by their appearance, language, and lifestyle. Moreover, it was concluded that the perception of the locals to the Badjaos are based on the observed traits such as on the physical aspects of discrimination and the way they interact with the locals which leads them to experience prejudice and lack of opportunities. However, in order to help the Badjaos in opposing inequality, the acceptance of the community should be developed in a way that it helps the ethnic group to survive and surpass the challenges in the place they migrated in


2020 ◽  
pp. 025371762092684
Author(s):  
Retno Lestari ◽  
Ah Yusuf ◽  
Rachmat Hargono ◽  
Febri Endra Budi Setyawan ◽  
Ridhoyanti Hidayah ◽  
...  

Background: The growing prevalence of schizophrenia in Indonesia requires the consideration of the families, caregivers, health care professionals, and the entire society, to serve as a support and coping resource for the patients. The process of recovery is rather difficult, especially in the absence of a decent place to live. Hence, there is the need to provide a supportive environment that facilitates recuperation from psychotic symptoms, enhances interaction with others, promotes self-expression of thoughts and feelings, and helps deal with daily stress and challenges. There are currently no studies on the framework of societal adaptation for people with schizophrenia (PWS). The aim of this research, therefore, was to explore the experiences of rural society inhabitants in adapting to PWS in Indonesia. Methods: The study uses a qualitative research design and implements an interpretive phenomenological approach. A total of ten society members were recruited from the community by purposive sampling, and the in-depth interviews conducted were audio-recorded and transcribed. In addition, thematic analysis was carried out using the interpretive phenomenological analysis method. Results: The majority of the participants assumed that PWS prompt the feeling of alertness over fear. In addition, the participants revealed a feeling of indecisiveness in related situations and emphasized the value of keeping up traditional beliefs and practices and the effectiveness of a demonstration of indifference. They explained the need to combine traditional and modern health practices as recommended by the spiritual leaders. Conclusion: Societal adaptation to PWS entails the understanding of how to deal with the disease’s uncertainty and complexity. It is important to create a supportive environment to promote mental health and wellbeing.


2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
Randi Martinsen ◽  
Marit Kirkevold ◽  
Unni Sveen

The psychosocial consequences following a stroke are known to be challenging, influencing the stroke survivors’ ability to participate in and carry out the taken-for-granted roles and activities in family life. This study explored how living with the consequences of stroke impacted on family life in the late recovery phase, that is, six months or more after stroke onset. Twenty-two stroke survivors aged 20–61 years were interviewed in-depth six months to nine years after stroke onset. The interviews were analyzed applying a narrative, hermeneutic phenomenological approach. The findings revealed challenges that varied with time, from an initial struggle to suffice in and balance the relationships and roles within the family early after the stroke, towards a more resigned attitude later on in the stroke trajectory. The struggles are summarized in two main themes: “struggling to reenter the family” and “screaming for acceptance.” Nonestablished people living with stroke and stroke survivors in parental roles seem to be particularly vulnerable. Being provided with opportunities to narrate their experiences to interested and qualified persons outside the home context might be helpful to prevent psychosocial problems.


2021 ◽  
pp. 095935432110022
Author(s):  
Sarah Feige ◽  
Jeffery Yen

While public commentators herald the arrival of the Canadian “student debt crisis,” psychological research into postsecondary student debt proliferates. This study explored the ways in which indebted students themselves understand the meanings and implications of student debt in their own lives, by means of semistructured interviews with nine indebted university students. A hermeneutic phenomenological approach to analysis yielded six themes: indebted by necessity; haunted by distressing thoughts and feelings about debts; living under the pressure to repay debts; living a constrained life; feeling alienated from others; and uncertainty about the meaning of university education. Findings suggest that student debt is characterized by the experience of feeling unable to “live one’s life,” and of looking toward a fragile future after university. By grounding the psychological experience of debt in the socially embedded, historical realities of students’ everyday lives, this work suggests implications for critical psychological understandings of financial subjectivation.


2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Stephanie Bogue Kerr ◽  
Marguerite Soulière ◽  
Lorraine Bell

The present article presents the findings of a phenomenological study, which sought to explore the subjective experience of kidney transplantation amongst young people who lived the transition from pediatric to adult care.  This study was conducted using a qualitative phenomenological approach, involving semi-directed interviews with five people, three of whom received their kidney transplants as children, the other two as young adults. An in-depth analysis of their narratives revealed the paradoxical nature of the kidney transplant experience for these individuals; existing between self and other, sickness and health, and at times, between life and death. The liminal nature of transplantation was found to be an important quality of the experience, thus leading to an analysis of the experience in relation to the theoretical concepts of liminality and rites of passage. This analysis culminates in the introduction of the term transliminal-self, to encompass the complexity of the experience. Finally, the article concludes with a discussion regarding the relevance of the subjective experience for the practice of medical and allied health professionals who work with transplant recipients. 


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