Typhoon and Flooding Disasters’ Lived Experiences of Loboc Residents in Bohol, Philippines

This study described the meaning of lived experiences of the municipal leaders of Loboc, Bohol, Philippines, prior, during, and after typhoon “Seniang” in 2014. It investigated the initiatives and practices of the local government unit (LGU) and captured the household experiences through a qualitative research approach following the Husserlian descriptive phenomenology utilizing Colaizzi’s method of data analysis. Purposive sampling was employed through face-to-face interviews with 12 key informants after reaching saturation point. All narrative accounts were transcribed and served as the primary source of qualitative data. The extracted accounts were organized through thematic categorization yielding 77 significant statements, 28 formulated meanings, 15 clusters, and 4 emergent themes. These emergent themes include awareness of disaster, experiences during the disaster, good local governance practices, and experienced challenges. Grounded on these findings, it is concluded that effective disaster response and quick and successful recovery fundamentally depend on authentic and effective governance by Loboc local leaders concretized through collaborative, concrete observance, implementation of responsive policy processes and the harmonious team works among community members. Altogether, proactive involvement makes a community more resilient. The researchers recommend that Loboc local leaders, employees, and residents, altogether put a premium on active participation, profess a positive outlook with enduring commitment to immediately rebound from any experienced disaster.

Experiences of advanced psychiatric nurses regarding the need for prescriptive authority in KwaZulu-Natal

Background: Nurse prescribing has become a global and transformational practice to ensure the achieving of optimal health outcomes, including advanced psychiatric nurses. Despite the transformational practice globally, South Africa seems to lag behind because nurses do not have permission to prescribe medication.Aim: To describe the experiences of advanced psychiatric nurses regarding the need to prescribe medication treatment in KwaZulu-Natal.Setting: The study took place in three mental healthcare institutions in KwaZulu-Natal in inpatient units.Method: The qualitative, descriptive design was used to collect the experiences of advanced psychiatric nurses in KwaZulu-Natal regarding the need for prescriptive authority. Six focus group interviews were conducted to gather information. The seven steps of Colaizzi’s method were used to analyze the data.Results: The study found two primary themes and two sub-themes. The findings highlighted the necessity for advanced psychiatric nurse role recognition and prescribing. Insufficient use of skilled psychiatric nurses caused delays in addressing mental health patients in emergencies.Conclusion: The two themes, prescribing role of advanced psychiatric nurses and role recognition, revealed that granting advanced psychiatric nurses’ autonomy to prescribe remained a challenge. Advanced psychiatric nurses are expected to provide high-quality care, but they are limited in their abilities. Because advanced psychiatric nurses are not used to prescribe in KwaZulu-Natal, they rely on psychiatrists to manage psychotic patients.Contribution: The evaluation of policies and procedures that guide advanced psychiatric nurses in prescribing psychotropic medications.

Mediating effect of burnout on the relationship between grit and turnover intentions among the private tertiary school teachers in Region XI: a convergent design

This study aimed to investigate the mediating effect of burnout on the relationship between grit and turnover intention of private tertiary school teachers in Region XI. A convergent mixed-methods design was utilized. A total of 303 private tertiary school teachers who were at least three years already in the service in Region XI were selected using purposive sampling technique. Adapted survey tools and interview guide questions were used to gather the essential data. The statistical tools used were mean, standard deviation, Pearson Product Moment of Correlation, and the Sobel z-test. The Colaizzi’s method was utilized to elucidate the qualitative data. The findings revealed that private tertiary school teachers’ level of burnout and turnover intention were low, and their level of grit was high. Moreover, the relationship among these variables was significant. Also, the mediating effect of burnout on the relationship between grit and turnover intention was significant, although it was just partial. The lived experiences of teachers were explained further by the themes revealing personal, work, and client-related burnout; positive dispositions on the teaching profession; underlying reasons for low level of attrition; and invigorating grit and strength as reasons to stay. Furthermore, the impact of these experiences on their beliefs and attitudes included: staying is beneficial, adhering commitment to excellence, and demonstrating positivity in all circumstances. Finally, the quantitative findings corroborate with the qualitative findings.

The lived experience of HIV-infected patients in the face of a positive diagnosis of the disease: a phenomenological study

Background AIDS as a human crisis may lead to devastating psychological trauma and stress for patients. Therefore, it is necessary to study different aspects of their lives for better support and care. Accordingly, this study aimed to explain the lived experience of HIV-infected patients in the face of a positive diagnosis of the disease. Methods This qualitative study is a descriptive phenomenological study. Sampling was done purposefully and participants were selected based on the inclusion and exclusion criteria. Data collection was conducted, using semi-structured interviews. Data analysis was performed using Colaizzi’s method. Results 12 AIDS patients participated in this study. As a result of data analysis, 5 main themes and 12 sub-themes were identified, which include: emotional shock (loathing, motivation of social isolation), the fear of the consequences (fear of the death, fear of loneliness, fear of disgrace), the feeling of the guilt (feeling of regret, feeling guilty, feeling of conscience-stricken), the discouragement (suicidal ideation, disappointment), and the escape from reality (denial, trying to hide). Conclusion The results of this study showed that patients will experience unpleasant phenomenon in the face of the positive diagnosis of the disease and will be subjected to severe psychological pressures that require attention and support of medical and laboratory centers.

Resection or Preservation? A Tough Surgical Decision for Chinese Breast Cancer Patients Who are in Line with Breast Conserving

Purpose Breast cancer patients who are in line with breast conserving are faced more challenges in making surgery decision, because breast conservation and mastectomy have equivalent oncologic outcomes. The purpose of this study is to analyze the surgical decision-making process for breast cancer patients and further explore the reasons why do Chinese women who are in line with breast conserving are more likely to choose mastectomy. Methods A qualitative study was conducted. With the sample saturation principle, data collected by semi-structured interviews with 24 breast cancer patients who are in line with breast conserving. Colaizzi’s method of phenomenology was used for data analysis. Results Three major themes emerged from the data. The themes were the following: (1) lack of significant decision-making support (stereotyping of breast cancer surgery, inferior quality of interaction with health professions, and without the help of decision aids); (2) can’t mull under the strike (immediacy of the decision, breasts are out of deliberating, and escape); and (3) edified by the Chinese culture (deep family values, hiding concerns about femininity, and conservative character). Conclusions Our findings explore the reasons why more Chinese breast cancer patients with breast conserving conditions choose mastectomy, and help patients to choose knowledge-based treatment options which are concordant with their needs, values, and preferences.

Barriers in Diabetes Self-management: A Qualitative Study from the Perspective of Nurses in Primary Health Centers, Indonesia

BACKGROUND: Nurses play an essential role, including being the main educator of diabetes mellitus (DM). It is necessary to reduce the barriers faced by nurses in managing patients’ self-management. AIM: The purpose of this study was to explore the barriers faced by nurses in managing the self-management of DM patients. METHODS: This research is a qualitative-research with a phenomenological approach. The recruitment of participants used a purposive sampling method, which was divided into two Focus Group Discussion (FGD) groups: the first group consisted of five nurses from the urban health center and the second group consisted of five nurses from the suburban area. The FGD was conducted twice for each group: 90 min for the first and 45 min for the second. The data were analyzed using Colaizzi’s method of data analysis. RESULTS: This study resulted in two themes, namely, internal barriers within the patient and external barriers outside the patient. The barriers from within the patient theme had five subthemes including (1) fear of being exposed to the disease and stigma associated with diabetes, (2) fear and distrust of health cadres, (3) low self-awareness and feeling healthy so not seeking treatment, (4) lack of responsibility for diabetes self-management practices, and (5) time issues. The second theme of barriers external to the patients included three subthemes that were (1) limited manpower, (2) limited facilities and funds, and (3) a lot of programs or activities. CONCLUSION: Nurses faced external barriers that arise from the puskesmas and internal barriers within the patient.

“I'm walking on eggshells”: Challenges faced by mothers with breast cancer in interacting with adolescent daughters

Background With breast cancer becoming the most diagnosed cancer in the world, the number of breast cancer mothers with adolescent children is also rising. And for adolescent daughters, their mother server as a primary figure among the key processes of identification with their gender, femininity and sexuality. But breast cancer threats mother’s health including such a key symbol of her womanhood, the breast. Which may adversely affect the development of an adolescent daughter’s own sense of personal identity and womanhood. However, few researchers and practitioners on mother-daughter interactions in the context of breast cancer, therefor this study is aimed to reveal the nuances of interactive challenges with adolescent daughters faced by mother with breast cancer from mother’ perspective. Methods A qualitative study was conducted. With the sample saturation principle, data collected by semi-structured interviews with 21 breast cancer patients who are in line with breast conserving. Colaizzi’s method of phenomenology was used for data analysis and Foucauldian discourse approach was also partially integrated into the analysis for this research. Results Three major themes emerged from the data. The themes were the following: (1) Mothers are lost in chaos (unable to deal with the shock of cancer, powerlessness of the uncertainty about the life span, and confused about how to respond to daughter's curiosity); (2) Mothers struggle for balance (protect daughter or let her be independent, as a mother or a patient); and (3) Mothers are immersed in guilt (increasing risk of cancer for daughters, influencing the development of daughter, and bring burden to daughter). Conclusions Our findings explore the interaction experience of breast cancer mothers and adolescence daughters, and further reveal the nuances of mother–daughter interaction challenges faced by mother with breast cancer from mother’ perspective. To help mothers enhance interaction with their daughters and assist health practitioners to translate our findings into health interventions.

A Case Study on the Self-directed English Learning Experiences of Korean College Students Using Self-coaching

The purpose of this study is to analyze the English learning experience of college students using Colaizzi's method, which is one of the qualitative research methods, using self-coaching technology as a tool to improve self-directed learning ability. In-depth interview were conducted to collect data, and 9 significant statements, 4 theme clusters, and 2 categories were derived. The results are as follows. First, it showed that the participants clearly set the reasons and goals for learning English. Second, it was confirmed that they had time to return to the positive motivation they experienced in the past and strengthened their will to overcome difficulties caused by self-coaching. Third, it was reported that they had a valuable experience of asking the questions presented for the first time, and they recollected the feelings of when they happily learned English, thereby gaining new vitality for learning English. Finally, it also showed that they experienced risk factors such as a desire to procrastinate, a desire to give up, and a rush to complete a task due to difficulty in self-control, which could lead to poor learning. Based on these results, it was suggested that self-coaching contributed to the improvement of learning English, the importance of questions, necessary factors when expanding to regular classes, and the expansion of coaching research.

Colaizzi's Methods in Descriptive Phenomenology: Basis of A Filipino Novice Researcher

Descriptive phenomenology is a common methodology employed in social science research to investigate and describe people's lived experiences. It is both a philosophy and a scientific technique, and it has undergone several modifications as it expanded from the original European movement to encompass the American movement. This paper discussed and explained the process in applying Colaizzi’s method in descriptive phenomenological research under the field of education. This paper used a published research study, which the process of Colaizzi was utilized to give enough help in sorting, organizing, analyzing and presenting the narrative dataset. The main objective of using Colaizzi's descriptive phenomenology method was to generate an exhaustive description of the phenomena addressing the challenges of student moms in the midst of pandemic. Descriptive phenomenology is particularly beneficial for correctly describing the problems of student moms, and the result may be applied as the voice of this group of students during pandemic. This can be a basis of School Institutions in crafting policies as well the National Government.

Recovery from ‘schizophrenia’: Perspectives of mental health nurses in the Eastern island of Indonesia

Background: Recovery is a way of life to make people’s lives more meaningful by working and interacting socially in the community. The recovery has become a new vision of mental health services, including in persons with schizophrenia. However, this concept is relatively new and still limited to nurses in developing countries, such as Indonesia. Several studies among nurses related to this topic have been conducted in the Western part of Indonesia. Yet, no studies have been implemented in the Eastern part of Indonesia. Therefore, exploring nurses’ perspectives in the Eastern island of Indonesia is necessary to provide a complete understanding of recovery in patients with schizophrenia.Objective: To explore the perspectives of mental health nurses on recovery from schizophrenia. Methods: This was a qualitative study using a phenomenological design. The study was conducted from April to May 2020 at community health centers in Maluku, Indonesia. Eight nurses recruited using purposive sampling participated in in-depth interviews. The interviews were audio-recorded, transcribed verbatim, validated, and analyzed based on Colaizzi’s method of data analysis.Results: Five themes were generated, including (i) treat a patient like a brother, (ii) recovery as an unfamiliar term with various meanings, (iii) medication as the primary action but also the main problem, (iv) being recovered if referred to a mental hospital, and (v) ineffective mental health programs.Conclusion: The findings of this study can be used as an input and evaluation for nurse managers to make an effort to uniform the perception among nurses in Indonesia regarding the recovery process in schizophrenia. It is also suggested that community health centers leaders and mental health policymakers prioritize and optimize recovery-oriented mental health programs and services in the Eastern island of Indonesia. Additionally, the findings offer new insight about ‘we are brothers’ or called ‘hidop orang basudara’, which is expected to be one motto for nursing care in Indonesia and beyond.