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Hermeneutic Approach (hermeneutic + approach)
Selected AbstractsThe meaning of guilt and shame: A qualitative study of mothers who suffer from eating difficultiesINTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 4 2010Kristine Rørtveit ABSTRACT The aim of this study was to illuminate and interpret guilt and shame expressed by mothers with eating difficulties (ED). The research question was: What is the meaning of guilt and shame experienced by mothers with ED? Experiences of guilt and shame in mothers with ED may be strong, yet concealed, and should be addressed when promoting women's mental health. The study design was explorative, and in-depth interviews were conducted with eight mothers suffering from ED. The data were analysed by means of qualitative content analysis and interpreted according to a hermeneutic approach. The main theme ,Struggling in silence with guilt and shame as a mother living with ED and trying to keep it secret' was interpreted on two levels: emotional, ,Feeling worried about failure and wanting to be successful', and cognitive, ,Having condemning thoughts about one's own sense of responsibility'. In addition, each theme contained two subthemes. Feelings and awareness of guilt and shame are strong; they vary between individuals and are intensified in mothers who suffer from ED. It is important for mental health nurses to help mothers with ED articulate such feelings in order to promote health. [source] Husserl and Heidegger: Exploring the disparityINTERNATIONAL JOURNAL OF NURSING PRACTICE, Issue 1 2009Tracy McConnell-Henry RN BN GDN (Critical Care) MHSc (Nse Ed) PhD candidate MRCNA Introduced as an alternative to empirical science, phenomenology offers nursing an insightful means for understanding nursing phenomena specifically in relation to lived experiences. However, not all phenomenologies were created equal, a point which has left many a nursing researcher not only confused. Furthermore, this confusion might result in the choosing of a philosophical framework that is neither cognizant with the research question nor the epistemological lens through which the researcher operates. Drawing on common nursing examples to illustrate concepts, the authors closely examine and debate the disparities between Husserl's transcendental phenomenology and Heidegger's hermeneutic approach to phenomenology. The aim of the article is to demystify the dense language used and present the fundamental beliefs of each philosopher in a format that is accessible to novice phenomenologists. [source] The meaning of good and bad care in the community care: older people's lived experiencesINTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 3 2009Ingrid From MSc In spite of a considerable body of research in the past decades on what does or does not constitute good care for older people, there are still few studies addressing this question in which older people narrate their experiences of being dependent on community care. This study was therefore carried out aiming to explore older people's lived experiences of what good and bad care meant to them, when it was offered by community care services. Nineteen older persons in three Swedish communities participated in the study, which used a phenomenological,hermeneutic approach. Data were collected through unstructured interviews and Colaizzi's framework was utilized in the analysis of the data. The key theme arising from the analysis was that of being encountered as a human being by caregivers who, through the provision of safe and secure care, provide opportunities for living life as usual. When any of these circumstances are lacking, bad care will be the consequence. As the general intention in society is to ensure good quality of care to older people as well as others, the findings in our study should have important implications for providers of community care for older people. [source] Prostate cancer: friend or enemy.INTERNATIONAL JOURNAL OF UROLOGICAL NURSING, Issue 2 2010Part one, the son The aim of the study was to investigate the daily life experiences of sons and daughters following the father's prostate cancer diagnosis. This paper is part one describing the sons experience of life. Research in this field to date has predominantly focused on the father's experiences in coping with the disease, and there is a lack of research on the adult children's experiences following the father's cancer diagnosis. The study assumes a phenomenological,hermeneutic approach, using Ricoeur's theories of narratives and text interpretation. The informants were six sons of men diagnosed with incurable prostate cancer. All participants were interviewed 3 and 10 months after the father was informed of the cancer diagnosis. Data analysis was done in three stages according to Ricoeur: naïve reading, followed by a structured analysis, and concluded with critical interpretation and discussion. Results showed in the experience of worry and dilemma after the father's diagnosis, the son gradually adapted to the new life situation. The adaptation was conscious/unconscious and could be characterized as a personal transition. It is concluded that nurses need to include the son more in the care for the parents. [source] Receiving power through confirmation: the meaning of close relatives for people who have been critically illJOURNAL OF ADVANCED NURSING, Issue 6 2007Åsa Engström Abstract Title.,Receiving power through confirmation: the meaning of close relatives for people who have been critically ill Aim., This paper is a report of a study to elucidate the meaning of close relatives for people who have been critically ill and received care in an intensive care unit. Background., Falling critically ill can bring about a difficult change in life. In previous reports such events are described as frightening experiences, and close relatives are described as an important source of support in this difficult situation. Method., A purposive sample of 10 adults, eight men and two women, narrated how they experienced their close relatives during and after the time they were critically ill. The data were collected in 2004. The interview texts were transcribed and interpreted using a phenomenological hermeneutic approach influenced by the philosophy of Ricoeur. Findings., One major theme was identified, experiencing confirmation, with six sub-themes: receiving explanations; a feeling of being understood; a feeling of safety; gaining strength and will-power; having possibilities and realizing their value. Close relatives served as tools for the person who was ill, facilitating better communication and an increased ability to do various things. Simultaneously, feelings of dependence on the close relatives were expressed. There were descriptions of loneliness and fear in the absence of close relatives and, in order to feel safe, the participants wanted their close relatives to stay near them. Conclusion., Close relatives are vital, as they are the ill person's motivation to stay alive and to continue the struggle. Their presence is of great importance for the ill person and must be facilitated by staff. [source] A comparison of mothers' and fathers' experiences of the attachment process in a neonatal intensive care unitJOURNAL OF CLINICAL NURSING, Issue 6 2008Liv Fegran RN Aim., To compare mothers' and fathers' individual views and experiences of the attachment process in a neonatal intensive care unit within the first week after a premature birth. Background., The attachment between parents and children is a precursor to the consolidation of parenting skills, the growth and development of the infant and the establishment of a bond between parent and child. Premature birth and the resultant hospitalization disrupt the normal attachment process between parent and child. Most of the litteraure on attachment theory focuses on the mother,child connection and is being criticised for regarding the father's role as supportive and peripheral. Methods., The design of this study was descriptive with a hermeneutic approach. Twelve parents (six mothers and six fathers) in a 13-bed neonatal intensive care unit in a Norwegian regional hospital participated in a field study addressing the encounter between parents and nurses. This paper is based on the semi-structured interviews with the parents at discharge. Results., The interview analysis revealed two main categories. (a) Taken by surprise: For mothers, the premature birth created a feeling of powerlessness and they experienced the immediate postnatal period as surreal and strange. The fathers experienced the birth as a shock, but were ready to be involved immediately. (b) Building a relationship: Mothers experienced a need to regain the temporarily lost relationship with their child, whereas the fathers experienced the beginning of a new relationship. Conclusion., Comparing parents' experiences of the attachment process within the first days after a premature birth reveals a striking contrast between the mother's experience of surrealism and the father's ability to be involved immediately after birth. Relevance to clinical practice., Parents' of premature children's different starting points should be acknowledged as professionals encourage parents to have early skin-to-skin contact with their premature infant. [source] Desire to survive emotional pain related to self-harm: A Norwegian hermeneutic studyNURSING & HEALTH SCIENCES, Issue 1 2010Anne Lise Holm rpn, mnsc Abstract The aim of this study was to explore and interpret women's desire to survive emotional pain related to self-harm. Women who suffer from borderline personality disorder describe emotional pain as intense. Previous research indicates that self-harm is a way of obtaining emotional relief and offers an escape from unwanted emotions, thoughts, and/or distressing situations. An explorative, interpretative design was employed. The data were collected by means of in-depth interviews with a sample of women resident in Norway suffering from borderline personality disorder and were analyzed using a hermeneutic approach. The findings revealed one main theme, self-sacrifice, and two other themes, self-harm (a struggle to be relieved of responsibility) and a fear of intimacy versus intrusion. This study indicates that self-sacrifice appears to imply a longing for reconnection with the self and others. To preserve their self-image, the women require courage to survive the painful state of unworthiness. [source] Exploring comprehensibility and manageability in palliative home care: An interview study of dying cancer patients' informal carersPSYCHO-ONCOLOGY, Issue 9 2004Anna Milberg The presence of an informal carer is often a prerequisite for successful palliative home care, and the staff's ability to support informal carers' coping in such situations is important. Recent research has revealed that it is possible to achieve positive psychological states in palliative care despite the burdening situation. As there is a lack of theory-based coping studies, the aim of this study was to describe, within the context of palliative home care, two concepts in Antonovsky's theory of Sense of Coherence: comprehensibility (a perception that the challenge is understood) and manageability (a perception that the resources to cope are available). Tape-recorded semi-structured interviews with 19 informal carers during ongoing palliative home care were transcribed and analysed with a qualitative hermeneutic approach. Elements that facilitated comprehensibility included open information, symbolic information, basic life assumptions and previous knowledge. These were important for creating a congruent inner reality (as opposed to chaos). Resources contributing to manageability dealt with power, support, competence and accessibility, which on a more abstract level resulted in a feeling of togetherness (as opposed to isolation). The findings are discussed in relation to the complexity of communication between staff and carers within palliative care. Copyright © 2003 John Wiley & Sons, Ltd. [source] | ||||||||||