scholarly journals A dialectical experience in the pursuit to understanding: perspectives from resource team nurses

Author(s):  
Niyat Mehari

Linguistic diversity is increasing in Canada, however, there is a dearth of information related to resource team nurses’ experiences with bridging language disconnect in the provision of care. This study aimed to understand the meaning of resource team nurses’ lived experiences of language barriers in an urban city in Canada. An interpretive phenomenological approach informed by van Manen, guided this study. Eight resource team nurses were recruited using purposive and snowball sampling strategies. In-depth face-to-face interviews served to unearth the lived experience of being a resource team nurse and the meaning ascribed to language in their everyday practice. The themes that emerged were (a) trying to span the distance, (b) everything comes down to time, (c) desiring shared meaning, and (d) experiencing disequilibrium. The overarching theme was: a dialectical experience in the pursuit to understanding. This study has implications for policy, nursing practice and further research.

2021 ◽  
Author(s):  
Niyat Mehari

Linguistic diversity is increasing in Canada, however, there is a dearth of information related to resource team nurses’ experiences with bridging language disconnect in the provision of care. This study aimed to understand the meaning of resource team nurses’ lived experiences of language barriers in an urban city in Canada. An interpretive phenomenological approach informed by van Manen, guided this study. Eight resource team nurses were recruited using purposive and snowball sampling strategies. In-depth face-to-face interviews served to unearth the lived experience of being a resource team nurse and the meaning ascribed to language in their everyday practice. The themes that emerged were (a) trying to span the distance, (b) everything comes down to time, (c) desiring shared meaning, and (d) experiencing disequilibrium. The overarching theme was: a dialectical experience in the pursuit to understanding. This study has implications for policy, nursing practice and further research.


2022 ◽  
Vol 21 (1) ◽  
pp. 116-139
Author(s):  
Manuel de Jesús Hernández Ramírez ◽  
Erika Yovana González Martín ◽  
Ashlye Melannie Fuentes Rodríguez ◽  
Suleika Alelí Carranza López ◽  
Violeta Compeán Padilla ◽  
...  

Introduction: Death is a complex phenomenon, nurses in training may face the process of dying and death of people, which can generate diverse situations that represent their lived experiences. Objective: To understand the lived experience of the first contact with death during clinical practicum of nursing students at a public university.Methodology: Qualitative study with phenomenological approach. It was conducted from October 2020 to February 2021. Selection of participants by intentional sampling with information saturation with seven participants. Data collection through phenomenological interview; participants gave informed consent. The analysis was carried out through the three phases of Max Van Manen's hermeneutic phenomenological method (description, interpretation, description plus interpretation). Results: The students refer to having been faced with the phenomenon in a state of helplessness, blockage, uncertainty, and fear; as well as facing death in a professional and reflective manner in order to provide quality care. Discussion: Death is a natural process; however, the first experiences are diverse and can produce in the students a set of emotions that condition their capacity to act, the way of adapting and observing the needs that arise during this experience. Conclusion: The experiences of nursing students show that they have difficulties in facing death, but it was not an impediment to provide the necessary care; it is considered that a deeper preparation on the process of dying can be favorable for their performance as professionals. Introducción: La muerte es un fenómeno complejo, las enfermeras en formación pueden enfrentarse al proceso de morir y muerte de personas, lo que puede generar diversas situaciones que representan sus experiencias vividas. Objetivo: Comprender la experiencia vivida ante el primer contacto con la muerte durante prácticas clínicas de estudiantes de enfermería de una universidad pública.Metodología: Estudio cualitativo con enfoque fenomenológico. Se llevó a cabo de octubre del 2020 a febrero del 2021. Selección de participantes por muestreo intencional con saturación de información con siete participantes. Recolección de datos a través de entrevista fenomenológica; los participantes emitieron su consentimiento informado. El análisis se llevó a cabo por las tres fases del método fenomenológico hermenéutico de Max Van Manen (descripción, interpretación, descripción más interpretación). Resultados: Los estudiantes refieren haber estado frente al fenómeno en un estado de impotencia, bloqueo, incertidumbre y miedo; así como afrontaron la muerte de manera profesional y reflexiva para brindar cuidado de calidad. Discusión: La muerte es un proceso natural, sin embargo, las primeras experiencias son diversas y pueden producir en los estudiantes un conjunto de emociones que condicionan su capacidad de actuar, el modo de adaptarse y observar las necesidades surgidas durante esta experiencia. Conclusión: Las experiencias de los estudiantes de enfermería demuestran que tienen dificultades para afrontar la muerte, pero no fue un impedimento para brindar los cuidados necesarios; se considera que una preparación más profunda sobre el proceso de morir puede ser favorable para su actuar como profesional.


Author(s):  
Juris Zuitiņš ◽  
Anita Pipere ◽  
Velga Sudraba

With the escalating use of qualitative methods in health psychology, the need for the careful match between the studied topic and research design has been repeatedly stressed. The purpose of this study is to choose and substantiate the most compatible methodological approach for the use in the prospective phenomenological doctoral research investigating a lived experience of fathers of fatally ill child. This methodological paper compares three main phenomenological research approaches: Hermeneutic Phenomenology (van Manen, 1990), Psychological or Transcendental Phenomenology (Moustakas, 1994) and Interpretative Phenomenological Analysis (Smith, 1996). The comparative analysis of these three approaches to phenomenological research shows that the Interpretative Phenomenological Analysis could be viewed as the most appropriate approach for analyzing the lived experience of fathers of fatally ill child considering the specific sample of this study, character of the research topic and experience of researcher with phenomenological studies. The methodological underpinnings and possible issues of chosen approach have been discussed at the end of paper.


2021 ◽  
Vol VI (I) ◽  
pp. 78-85
Author(s):  
Muhammad Saqib ◽  
Syed Abdul Waheed ◽  
Nadia Gilani

Working in a school after attaining one of the highest research degrees is uncommon in academia. Nevertheless, this is an emerging phenomenon due to an increased number of PhDs in Pakistan. Yet, many PhDs are unemployed. On the other hand, a school is a place that requires content expert and pedagogically skilled teachers. In the present study, the researchers attempted to address the central questions of the study; how is it like to work in schools after completing PhD and how do PhDs experience being the most qualified persons teaching in schools? A phenomenological approach was employed to uncover participants lived experiences of working in schools. Thirteen PhDs were approached through snowball sampling who were teaching in schools. The data were collected through face-to-face semi-structured interviews at different schools that were analyzed using phenomenological analysis. As a result, three main themes and two sub-themes emerged from the interview transcripts. The themes included working in schools, joining the school after PhD (sub-themes; teaching and managing classroom, assessing and interaction with students) and working with non-PhDs. The study results have implications for PhDs working in schools, other school teachers and heads of the school, and the school education department.


2019 ◽  
Vol 72 (1) ◽  
pp. 154-161
Author(s):  
Anabela Pereira Mendes

ABSTRACT Objective: To analyse the strategies found by families to deal with the situation of critical illness, in their lived experience in a family and in an inpatient context. Method: This research fits into a qualitative paradigm and a phenomenological approach, according to Van-Manen. Participants were referred to a "snowball" effect method and the data was collected through interviews with open-ended questions. Results: From the collected data three essential themes emerged revealing the strategies: Being aware; Building dialogue; Ensuring comfort. Final considerations: In the therapeutic intervention nurses verify that families facing a critical-illness interact between themselves and with the ICU team. Families interacting with nurses can find cognitive and emotional support allowing them to be aware of the situation and to speak about it in order to strengthen and to comfort themselves.


2021 ◽  
Vol 2 (3) ◽  
pp. 19-30
Author(s):  
Semme Ratsie Tuelo ◽  
Ecloss Munsaka

Purpose: This study was aimed at describing the perceptions of initiation instructors and parents on the role of initiation in character building of adolescents. Methodology: The study used a phenomenological approach. A sample of constituting 20 participants; 5 male initiation instructors, 5 female initiation instructors and 10 parents who have had their children going for initiation, all residing in Mochudi Village in Botswana. Purposive sampling, as well as snowball sampling were used to select participants. In-depth face to face interviews and a focus group discussion were conducted with the participants. The descriptive approach method (phenomenology) was used to interpret data. Results: Findings revealed that initiation transforms an individual’s thinking, feeling and acting, regulating his or her perceptions of reality to conform to that of society, thus initiation can be used to as a societal structure to transform and build the characters of adolescents.


2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Anabela Pereira Mendes

ABSTRACT Objective: The purpose of this study was to understand, based on the Mishel’s Theory of Uncertainty in Illness and the Theory of Transitions of Meleis, in which way uncertainty in illness and the unexpected mediated the process of nurse-family communication and are translated into lived experience of the family. Method: Considering the intentionality of the research, it fits into a qualitative paradigm and a phenomenological approach, according to Van Manen. Participants were referred to as “snowball” and the data collection was performed by interview with open questions. Results: In the analysis of the data, three essential themes were identified: The antecedents of uncertainty: condition inherent to the subject; The process of assessing uncertainty: capacities and opportunities; The way to deal with uncertainty: coping strategies. Conclusion and implications for practice: Family member who lives the uncertainty has personal conditions that influence the process of appreciation and deal with uncertainty. The communication that establishes with the nurses, in particular in the search for information, will be mediated by the experience of uncertainty, in a constant unforeseen. The adaptation that is desired and demanded arises from coping strategies developed, with the nurses too, considering uncertainty a danger or an opportunity.


1970 ◽  
Vol 7 (2) ◽  
Author(s):  
Uus Uswatusolihah

This paper focuses on how interpersonal communication is built to achieveagreement and uses phenomenological approach. It is based on a research on therelationship between lecturer and student in the process of thesis consultation inSTAIN Purwokerto.This paper explains that the model of their relationship is a role model, inwhich the role is formed through a surrounding structure. Form and context ofinterpersonal communication happen in a kind of face to face dialogues andindividually. The process of communication hardly found in groups, or withcommunication media such as telephone and internet. Seen from its effectiveness,it is found that most of the interpersonal communications are effective enough tobuild agreement between the individuals involved in the process.


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1289.1-1290
Author(s):  
S. De Souza ◽  
R. Williams ◽  
E. Johansson ◽  
C. Zabalan ◽  
T. Esterine ◽  
...  

Background:Patient and public involvement (PPI) is gaining increasing recognition as important in ensuring research is relevant and acceptable to participants. Rheuma Tolerance for Cure (RTCure) is a 5 year international collaboration between academia and industry; focusing on earlier detection and prevention of rheumatoid arthritis (RA) through the use of immune-tolerising treatments.Objectives:To bring lived experience and insight into scientific discussions; and to evolve collaboration between lay representatives and academia/industry.Methods:9 Patient Research Partners (PRPs) from 5 European countries were recruited via the EULAR PARE Network and institutions within the RTCure Consortium (8 PRPs with RA and 1 ‘at risk’). They were asked to enter into a legal agreement with the Consortium. PRPs participated in teleconferences (TCs) and were invited to attend face-to-face (F2F) meetings at least annually. Requests for input/feedback were sent from researchers to PRPs via the project’s Patient Engagement Expert [SK].Results:PRP involvement has given researchers and industry partners a new perspective on patient priorities, and focused thought on the ethics of recruitment for and participation in clinical trials of people ‘at risk’ of developing RA. PRPs have helped define the target populations, given their thoughts on what types of treatments are acceptable to people ‘at risk’ and have aided the development of a survey (sent to EULAR PARE members) regarding the use of animal models in biomedical research. Positive informal feedback has been received from researchers and industry regarding the contribution of PRPs to the ongoing project (formal evaluation of PPI in RTCure will be carried out in 2020 and at the project end in 2022).Challenges:Legal agreements- Many PRPs refused to sign the Consortium’s complex PRP Agreement; feeling it unnecessary, incomprehensible and inequitable. After extensive consultation with various parties (including EULAR and the Innovative Medicines Initiative) no similar contract was found. Views for its requirement even varied between legal experts. After 2 years of intense discussion, a simple non-disclosure agreement was agreed upon. Ideally any contract, if required, should be approved prior to project onset.Meeting logistics- Other improvements identified were to locate the meeting venue and accommodation on the same site to minimise travel, and to make it easier for PRPs to take breaks when required. This also facilitates informal discussions and patient inclusivity. We now have agreed a policy to fund PRPs extra nights before and after meetings, and to bring a carer if needed.Enabling understanding– Future annual meetings will start with a F2F meeting between PRPs and Work Package Leads. Researchers will be encouraged to start presentations with a summary slide in lay language. Additionally, an RTCure Glossary is in development.Enabling participation– SK will provide monthly project updates and PRP TCs will be held in the evening (as some PRPs remain employed). PRPs will be invited to all project TCs and F2F meetings. Recruitment is underway to increase the number of ‘at risk’ PRPs as their viewpoint is vital to this study.Conclusion:Currently PPI in RTCure is an ongoing mutual learning process. Universal guidance regarding what types of contracts are needed for PPI would be useful. Communication, trust and fruitful discussions have evolved through F2F meetings (both formal and informal) between PRPs, academia and industry. It is important that all parties can be open with each other in order to make PPI more meaningful.Acknowledgments:This work has received support from the EU/EFPIA Innovative Medicines Initiative 2 Joint Undertaking RTCure grant number 777357.Disclosure of Interests:Savia de Souza: None declared, Ruth Williams: None declared, Eva Johansson: None declared, Codruta Zabalan: None declared, Tom Esterine: None declared, Margôt Bakkers: None declared, Wolfgang Roth: None declared, Neil Mc Carthy: None declared, Meryll Blake: None declared, Susanne Karlfeldt: None declared, Martina Johannesson: None declared, Karim Raza Grant/research support from: KR has received research funding from AbbVie and Pfizer, Consultant of: KR has received honoraria and/or consultancy fees from AbbVie, Sanofi, Lilly, Bristol-Myers Squibb, UCB, Pfizer, Janssen and Roche Chugai, Speakers bureau: KR has received honoraria and/or consultancy fees from AbbVie, Sanofi, Lilly, Bristol-Myers Squibb, UCB, Pfizer, Janssen and Roche Chugai


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Michelle Amri ◽  
Christina Angelakis ◽  
Dilani Logan

Abstract Objective Through collating observations from various studies and complementing these findings with one author’s study, a detailed overview of the benefits and drawbacks of asynchronous email interviewing is provided. Through this overview, it is evident there is great potential for asynchronous email interviews in the broad field of health, particularly for studies drawing on expertise from participants in academia or professional settings, those across varied geographical settings (i.e. potential for global public health research), and/or in circumstances when face-to-face interactions are not possible (e.g. COVID-19). Results Benefits of asynchronous email interviewing and additional considerations for researchers are discussed around: (i) access transcending geographic location and during restricted face-to-face communications; (ii) feasibility and cost; (iii) sampling and inclusion of diverse participants; (iv) facilitating snowball sampling and increased transparency; (v) data collection with working professionals; (vi) anonymity; (vii) verification of participants; (viii) data quality and enhanced data accuracy; and (ix) overcoming language barriers. Similarly, potential drawbacks of asynchronous email interviews are also discussed with suggested remedies, which centre around: (i) time; (ii) participant verification and confidentiality; (iii) technology and sampling concerns; (iv) data quality and availability; and (v) need for enhanced clarity and precision.


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