scholarly journals Working relationally with clients who have experienced abuse: Exploring counselling psychologists’ experiences using ipa

2020 ◽  
Vol 8 (1) ◽  
pp. 144-162
Author(s):  
Carly Malcolm ◽  
Richard Golsworthy
Keyword(s):  
Interpretative Phenomenological Analysis ◽  
Holding Environment ◽  
Structured Interviews ◽  
Relational Dynamics ◽  
Therapeutic Work ◽  
Client Group ◽  
Ethical Approval ◽  
Therapeutic Space ◽  
The University ◽  
External Communications

Whilst much research has been conducted into the efficacy of and guidelines for technical interventions in the treatment of abuse, it is argued that a relational or process approach to therapeutic work should become more integrated into the use of technical interventions to aid therapeutic outcome. The study aims to explore counselling psychologists’ experiences when working with clients who have experienced abuse. Semi-structured interviews were conducted and analysed using Interpretative Phenomenological Analysis (IPA). Six participants were recruited and asked to share their experiences of their therapeutic work with the client group. The research was given ethical approval by the ethics committee of the university. Three superordinate themes emerged from the data: ‘The Holding Environment’, ‘The Personal versus The Professional’ and ‘Internal Responses, External Communications’. These were supported by various subthemes within the accounts and were generated as a result of a double hermeneutic engagement with each interview transcript. This research contributes towards a deeper understanding of the processes involved in creating a therapeutic space for the work and the relational dynamics involved in providing therapy to clients who have experienced abuse. The dynamic process between empathising and ‘detaching’ in session, as well as counselling psychologists’ use of supervision, are highlighted as areas for further study.

scholarly journals Evaluation protocol of the implementation of a learning healthcare system in clinical practice: the Connected Health Cities programme in the north of England

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e025484 ◽  
Author(s):  
Stephanie Steels ◽  
Tjeerd van Staa
Keyword(s):  
Pilot Study ◽  
Healthcare System ◽  
Online Survey ◽  
Structured Interviews ◽  
Connected Health ◽  
The North ◽  
Learning Healthcare System ◽  
Ethical Approval ◽  
Patient And Public Engagement ◽  
The University

IntroductionThe ‘learning healthcare system’ (LHS) has been proposed to deliver better outcomes for patients and communities by analysing routinely captured health information and feeding back results to clinical staff. This approach is being piloted in the Connected Health Cities (CHC) programme in four regions in the north of England. This article describes the protocol of the evaluation of this programme.Methods and analysisIn designing this evaluation, we had to take a pragmatic approach to ensure the feasibility of completing the work within 1 year. Furthermore, we have designed the evaluation in such a way as to be able to capture differences in how each of the CHC regions uses a variety of methods to create their own LHS. A mixed methods approach has been adopted for this evaluation due the scale and complexities of the pilot study. A documentary review will identify how CHC pilot study deliverables were operationalised. To gain a broad understanding of CHC staff experiences, an online survey will be offered to all staff to complete. Semi-structured interviews with key programme staff will be used to gain a deeper understanding of key achievements, as well as how challenges have been overcome or managed. Our data analysis will triangulate the documentary review, survey and interview data. A thematic analysis using our logic model as a framework will also be used to assess progress against the CHC programme deliverables and to identify recommendations to support future programme decision-making.Ethics and disseminationEthical approval was granted by The University of Manchester Ethics Committee on 24 May 2018. The results will be actively disseminated through peer-reviewed journals, conference presentations, social media, the internet and various stakeholder/patient and public engagement activities.

scholarly journals “I Can’t Blame Mum”: A Qualitative Exploration of Relational Dynamics in Women With Female Genital Mutilation (FGM) in the United Kingdom

2021 ◽  
pp. 107780122199491
Author(s):  
Rebecca J. Newton ◽  
Jennifer Glover
Keyword(s):  
United Kingdom ◽  
Female Genital Mutilation ◽  
Interpretative Phenomenological Analysis ◽  
Adult Women ◽  
Structured Interviews ◽  
Relational Dynamics ◽  
Genital Mutilation ◽  
Self In Relation ◽  
The United Kingdom ◽  
Female Genital

Female genital mutilation (FGM) is conceptualized as an interpersonal act, commonly initiated by mothers. This study investigates relational dynamics among adult women who experienced FGM in childhood and have since migrated to the United Kingdom. A qualitative research design was employed, using semi-structured interviews and interpretative phenomenological analysis (IPA) with nine women. Three superordinate themes emerged: (a) “The ‘who to blame?’ conflict: Preserving goodness in parents”; (b) “Better or worse? Positioning the self in relation to others”; and (c) “Regaining power: Righting the wrongs.” Implications for understanding the relational consequences of FGM and the discontinuation of its intergenerational transmission are considered.

Medical student mentors in widening access to medicine programmes: 'we're lighting fires, not filling buckets '

2020 ◽  
Vol 22 (2) ◽  
pp. 205-224
Author(s):  
Jack Robert Whiting ◽  
Sam Wickham ◽  
Darren Beaney
Keyword(s):  
Medical Student ◽  
Interpretative Phenomenological Analysis ◽  
Ethics Committee ◽  
Phenomenological Analysis ◽  
Future Research ◽  
Structured Interviews ◽  
Access To Medicine ◽  
Widening Access ◽  
Student Mentors ◽  
Ethical Approval

Background: Widening Access to Medicine (WAM) supports nontraditional applicants throughout application to study medicine and beyond. Many WAM programmes use medical student mentors, however, there is a paucity of research into what makes a good WAM mentor and what qualities they require. This research helps fill a gap in the literature about WAM scheme mentors and provides context for recruitment/training.<br/> Methodology: Purposive sampling was used to select three year 9 mentees, four year 9 mentors, four year 12 mentees and four year 12 mentors. No limitations were placed on gender or ethnicity. Thirty-minute semi-structured interviews were recorded, transcribed and analysed qualitatively, drawing on an interpretative phenomenological analysis approach. This study received ethical approval from the Brighton and Sussex Medical School (BSMS) Research Governance and Ethics Committee.<br/> Results: Four main themes were identified: mentor – mentee relationship, mentor background and attitudes towards WAM, qualities and behaviours of mentors and differences between year 9 and year 12 mentors.<br/> Discussion and conclusions: The results are discussed within the context of the existing literature. This research identifies the requirements for WAM mentors from both mentors and mentees' perspectives. This will inform future WAM schemes run at BSMS and may provide a basis for future research and improvement of WAM mentors nationwide.

Spiritual development in Iranian nurses

2016 ◽  
Vol 24 (8) ◽  
pp. 936-949 ◽  
Author(s):  
Shirmohammad Davoodvand ◽  
Abbas Abbaszadeh ◽  
Fazlollah Ahmadi
Keyword(s):  
Nursing Education ◽  
Spiritual Development ◽  
Nursing Student ◽  
Qualitative Content Analysis ◽  
Quality Care ◽  
Structured Interviews ◽  
Ethical Approval ◽  
Definition Of ◽  
The University ◽  
New Generation

Background: Spiritual development is one of the most important aspects of socialization that has attracted the attention of researchers. It is needed to train nursing student and novice nurses to provide high-quality care for patients. There is ambiguity in the definition of spiritual development and its relations, especially in the eastern countries. Research objectives:: To explore the concept of spiritual development in Iranian nurses. Research design: Qualitative content analysis approach. Data were gathered from semi-structured interviews. Participants and research context: The participants were 17 Iranian Muslim nurses selected using a purposeful sampling. The place of interviews was on their choice. Ethical considerations: Based on the principles of the Helsinki declaration, the focus was on preserving the participants’ autonomy, confidentiality, and anonymity. The participants were told the study purposes and trends, and their rights were emphasized; they were then asked to sign written consent forms. Formal research approval was obtained from Kerman University of Medical Sciences. Ethical approval was granted by the University Ethics Committee before the study was conducted (K/92 etc). Findings: Three themes for spiritual development were defined: obligation to religion, commitment to ethics, and commitment to law. From the results, factors such as connection to the limitless divine power, personal and society-oriented ethical codes, and commitment to the law are proposed. Discussion: There are some differences between these findings and previous study, especially in the relation of the spirituality, religion, and law. Some studies, mostly Iranian, support these findings partially. Conclusion: The results suggest that it is better to teach nursing education based on humanistic principles, ethics, and law to the new generation of nurses to improve community health and development. More studies are needed to examine the relation between these themes.

scholarly journals Significant therapy events with clients with intellectual disabilities

2018 ◽  
Vol 12 (5/6) ◽  
pp. 173-183
Author(s):  
Sarah Wills ◽  
Lorna Robbins ◽  
Tony Ward ◽  
Gary Christopher
Keyword(s):  
Intellectual Disabilities ◽  
Interpretative Phenomenological Analysis ◽  
Design Methodology ◽  
Meaning Making ◽  
Structured Interviews ◽  
Content Type ◽  
Client Group ◽  
Significant Events ◽  
Helpful Events ◽  
Recall Procedure

PurposeThe purpose of this paper is to explore significant events in psychotherapy with clients with intellectual disabilities (IDs).Design/methodology/approachFour therapy dyads, each consisting of one client and one therapist, were recruited. Following the brief structured recall procedure (Elliott and Shapiro, 1988), semi-structured interviews focused on helpful events in psychotherapy, using video of particular sessions as a stimulus to help prompt recall of that session.FindingsUsing interpretative phenomenological analysis, five super-ordinate themes were identified: “The Uniqueness of the Therapeutic Relationship”; “Using adaptations to Express Emotions”; “Client Behaviour/Therapist Behaviour”; “Hope and Paternalism”; and “Meaning-Making”. The results provide additional evidence that significant therapy events occur for clients with IDs. Furthermore, the research enabled insights to be gained about the process of therapy for this client group and for exploration of therapeutic factors that may be involved in facilitating a significant therapy event.Research limitations/implicationsThis study highlights the need for therapists to work in such a way as to facilitate significant events in therapy. Whilst this study was a necessary first step, owing to the non-existence of research in this area, the sample size and qualitative design may limit any wider generalisation of the findings.Originality/valueSignificant events have not previously been explored in psychotherapy with clients with IDs. This research could therefore make an important contribution to our understanding of the process of psychotherapy for this client group.

The priority health issues and key health determinants of detained Filipino children

2020 ◽  
Vol 16 (3) ◽  
pp. 281-302
Author(s):  
Rosie Blount
Keyword(s):  
Urban Poor ◽  
Photo Elicitation ◽  
Health Determinants ◽  
Sampled Data ◽  
Health Issues ◽  
Structured Interviews ◽  
Content Type ◽  
Filipino Children ◽  
Ethical Approval ◽  
The University

Purpose Rising societal pressures for the Filipino urban poor population – precipitating increased crime – alongside widespread corruption, have led to many children being both lawfully and unlawfully detained in child rehabilitation centres. Far from rehabilitating, detained children live in prisonlike conditions, despite the illegality of child imprisonment in the country. Their human rights disregarded; they suffer from abuse, neglect and a multitude of health issues, with no access to healthcare. This study aims to explore the experiences and perceptions of formerly detained looked-after adolescents and their carers, on the priority health issues and key health determinants of detained Filipino children. Design/methodology/approach A qualitative study was conducted in June 2019 in a Filipino children’s home for previously detained children. In total, 18 semi-structured interviews, using photo-elicitation, were conducted to retrospectively explore the experiences of formerly detained children and their carers, who were purposively sampled. Data were transcribed and thematically analysed. Ethical approval was granted by the University of Leeds. Findings Adolescents and carers commonly reported eight key health issues in detained children, namely, most frequently skin disease, mental health issues and malnutrition, then additionally wounds, respiratory disease, dental problems, sexual health issues and gastrointestinal issues. Six determinants of health in detainment centres were identified as follows: hygiene, food, weather, overcrowding, facilities and safeguarding issues. Originality/value The illegality and corruption associated with child detention centres mean the situation of detained Filipino children is difficult to assess directly. This study combats this by exploring the experiences of formerly detained children and their carers, to retrospectively assess the health of illegally detained Filipino Children.

scholarly journals An Exploration of Student Midwives’ Lived Experiences Regarding Confidence and Satisfaction in Medium-Fidelity Simulation

2018 ◽  
Vol 12 (1) ◽  
pp. 272-281
Author(s):  
Zukiswa Brenda Ntlokonkulu ◽  
Ntombana Mcdeline Rala ◽  
Daniel Ter Goon
Keyword(s):  
Lived Experiences ◽  
Interpretative Phenomenological Analysis ◽  
Post Partum ◽  
Phenomenological Analysis ◽  
Theory And Practice ◽  
Clinical Environment ◽  
Structured Interviews ◽  
University Of Fort Hare ◽  
Simulated Condition ◽  
The University

Background Newly qualified midwives are expected to exhibit some level of confidence in practice when they enter the clinical environment. Objective To explore the lived experiences of student midwives after exposure to medium-fidelity simulation concerning confidence and satisfaction. Methods This qualitative, interpretive, phenomenological analysis study was conducted on a purposive sample of five, fourth-year Baccalaureate of Nursing Science student midwives at the University of Fort Hare. In-depth semi-structured interviews were conducted. Data analysis applied the interpretative phenomenological analysis approach. Results Superordinate theme sense of fulfilment elicited six sub-ordinate themes namely 1) Transferability of skills 2) Knowledgeable 3) Equipment used during simulation 4) Realism of simulation 4) Sense of accomplishment 5) Sure/unsure of performance. The use of a standardised patient during the simulation instead of a mannequin prepared participants for the real clinical environment. After being involved in the simulation, participants became more inquisitive regarding the management of the simulated condition. Satisfaction with simulation depended on whether the simulation activity met the student’s expectations, and if the simulation equipment resembled real clinical equipment. Post-partum haemorrhage simulation bridged the gap between theory and practice. Conclusion Confidence and satisfaction of student midwives during simulation is depended on the realism of the simulated activity. Exposure to simulated activity increases student knowledge. The student acknowledged that simulation can bridge the gap between theory and practice.

Therapists' Experience of Loss: An Interpretative Phenomenological Analysis

2014 ◽  
Vol 68 (2) ◽  
pp. 89-109 ◽  
Author(s):  
Konstantinos Kouriatis ◽  
Dora Brown
Keyword(s):  
Qualitative Study ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Structured Interviews ◽  
Therapeutic Work ◽  
The Impact

This qualitative study aimed to explore therapists' experiences of loss. Semi-structured interviews were conducted with 6 therapists and the data were subjected to interpretative phenomenological analysis. Three master themes emerged from the analysis: (a) the grieving therapist, (b) hindrances in grieving, and (c) the impact of loss on therapeutic work. Therapists talked about their grief and elaborated on how they coped with their bereavement. Hindrances in their grief were reported, emerging both from others' stance and from their own. Participants found that their experience of loss was related to both challenges and advancements in their therapeutic work.

Tertiary English-majored Students’ Perceptions toward the Role of Pronunciation in English Language Learning and their Practicing Strategies

2020 ◽  
Vol 6 (2) ◽  
pp. 264-279
Keyword(s):  
Language Learning ◽  
English Language ◽  
Vital Role ◽  
English Language Learning ◽  
Structured Interviews ◽  
Efl Learners ◽  
The University

Accurate pronunciation has a vital role in English language learning as it can help learners to avoid misunderstanding in communication. However, EFL learners in many contexts, especially at the University of Phan Thiet, still encounter many difficulties in pronouncing English correctly. Therefore, this study endeavors to explore English-majored students’ perceptions towards the role of pronunciation in English language learning and examine their pronunciation practicing strategies (PPS). It involved 155 English-majored students at the University of Phan Thiet who answered closed-ended questionnaires and 18 English-majored students who participated in semi-structured interviews. The findings revealed that students strongly believed in the important role of pronunciation in English language learning; however, they sometimes employed PPS for their pronunciation improvement. Furthermore, the results showed that participants tended to use naturalistic practicing strategies and formal practicing strategies with sounds, but they overlooked strategies such as asking for help and cooperating with peers. Such findings could contribute further to the understanding of how students perceive the role of pronunciation and their PPS use in the research’s context and other similar ones. Received 10th June 2019; Revised 12th March 2020; Accepted 12th April 2020

Integration of Digital Preservation Knowledge, Skills and Competencies in the Teaching Curricula of Library and Information Studies at the University of Botswana

Mousaion ◽  
2019 ◽  
Vol 37 (1) ◽  
Author(s):  
Thatayaone Segaetsho ◽  
Julie Moloi
Keyword(s):  
Digital Preservation ◽  
Records Management ◽  
Structured Interviews ◽  
University Of Botswana ◽  
Current Trends ◽  
Teaching Content ◽  
Library And Information Studies ◽  
Information Studies ◽  
The University

In the past few decades, digital technology has found a place in the acquisition, arrangement, description, preservation, and dissemination of information. However, heritage institutions are perturbed by the challenges of digital preservation strategies particularly for education. Despite continuous investment in digital preservation, there are limited skilled professionals to equip learners with the knowledge, skills and competencies required to drive digital preservation in Botswana. Therefore, this paper investigated the knowledge, skills and competencies related to digital preservation in the teaching curricula of the Department of Library and Information Studies (DLIS) at the University of Botswana. Data collection was done through intensive structured interviews with specific educators who teach courses on digital preservation in the archives and records management stream. The study revealed that despite the fact that the educators in preservation courses are aware of current trends in digital preservation, most of them have not obtained formal degree certification specific to digital preservation. The findings further revealed that minimal digital preservation competencies are observed in the teaching curricula. A significant number of challenges observed illustrated mainly a lack of resources and limited skills in terms of practical demonstrations by educators. The curricula mostly lacked clarity on long-term and short-term digital preservation. The study recommends that DLIS and other institutions should conduct surveys or curriculum auditing on digital preservation in order to improve the teaching content. A significant number of shortcomings regarding digital preservation that could motivate further studies are also discussed under the conclusion and recommendations section of this study.

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