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Narrative Interviews (narrative + interview)
Selected AbstractsManagements' perception of community nurses' decision-making processes when referring older adults to an emergency departmentJOURNAL OF NURSING MANAGEMENT, Issue 6 2006A. KIHLGREN MSc In Sweden, older adults are living and being cared for under the responsibility of their respective community. Extensive reorganizations in the community led to management having different backgrounds, which may have caused uncertainty among community nurses, especially in decision-making processes. The aim was to understand how 10 nurses, 10 doctors and 10 home care assistants as leaders for the nurses conceptualized the decision-making processes of community nurses, when referring older persons to Emergency Departments, and whether perceptual differences and/or similarities exist. Narrative interviews and content analysis were performed. The managers had differing views, but all felt there was a need to feel secure in order to trust professional decisions as being correct, thus avoiding inappropriate referrals. Management could see nurses' exposed position, but had varying solutions. This might lead to different messages being given regarding what is important and might explain why the nurses reported that the managers did not understand them. [source] The sexual lives of men with mild learning disability: a qualitative studyBRITISH JOURNAL OF LEARNING DISABILITIES, Issue 1 2009Evan Yacoub Accessible summary ,,We talked to some men with learning disability about sex and relationships. Some people lived in the community, and some people lived in hospital. ,,The men knew quite a lot about sex. Most people said they got good support from their keyworkers. ,,Some people were asked for sex when they did not want it. Some people were made to have sex that was not safe. ,,We have some ideas about how men with learning disabilities can speak up for themselves about sex and relationships. Summary We aimed to explore in detail the sexual lives and behaviour of men with mild learning disabilities living both in community and in secure hospital settings. We wanted to generate hypotheses about them and identify potential unmet needs. We used a narrative interview that focused on areas such as relationships, sex education, contraception and the attitudes of others towards the participants' sexual lives and orientation. We used the constant comparative method to analyse transcribed interviews. Several clients reported engaging in unsafe practices despite being aware of the risks. Participants generally felt that services had shifted from a paternalistic to a more supportive approach towards their sexual lives and orientation. Experiences with other men were commonly reported. Several participants reported being pressurised into sex as adults. In our sample, sexual knowledge did not lead to safe sexual practices. The good rapport with services reported by the participants may be utilised to provide further education and empowerment to improve the safety of sexual practices in this group. Other ways of improved service delivery are suggested. [source] Parental capacities for triadic relationships during pregnancy: Early predictors of children's behavioral and representational functioning at preschool ageINFANT MENTAL HEALTH JOURNAL, Issue 1 2005Kai von Klitzing This study examines associations between parental capacities for triadic (mother,father,child) relationships, assessed prenatally, and the representational and behavioral functioning of their offspring at preschool age. Thirty-eight parental couples were given an intensive psychodynamic interview during their first pregnancy to assess how they anticipated their future parenthood and their relationships as threesomes (mother,father,child). The capacity for triadic relationships ("triadic capacity") was defined as the capacity of fathers and mothers to anticipate their family relationships without excluding either themselves or their partners from the relationship with the infant. Four years later, the representational and behavioral functioning of their children were assessed in depth using child narrative interviews and parental behavior ratings. The coherence of the children's narratives and the number of positive themes they expressed were significantly negatively correlated with the number of behavioral problems. In the longitudinal analyses, there were significant positive correlations between the parental triadic capacities and the coherence/number of positive themes in the children's narratives whereas parental triadic capacities showed a significant negative correlation with the number of the children's externalizing problems. The significance of triadic relational family processes for the development of children's representational world and behavioral functioning is discussed. ©2005 Michigan Association for Infant Mental Health. [source] Physicians "Missing in Action": Family Perspectives on Physician and Staffing Problems in End-of-Life Care in the Nursing HomeJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 10 2005Renée R. Shield PhD Objectives: To understand the roles of physicians and staff in nursing homes in relation to end-of-life care through narrative interviews with family members close to a decedent. Design: Qualitative follow-up interviews with 54 respondents who had participated in an earlier national survey of 1,578 informants. Setting: Brown University interviewers conducted telephone interviews with participants throughout the United States. Participants: The 54 participants agreed to a follow-up qualitative interview and were family members or close to the decedent. Measurements: A five-member, multidisciplinary team to identify overarching themes taped, transcribed, and then coded interviews. Results: Respondents report that healthcare professionals often insufficiently address the needs of dying patients in nursing homes and that "missing in action" physicians and insufficient staffing create extra burdens on dying nursing home residents and their families. Conclusion: Sustained efforts to increase the presence of physicians and improve staffing in nursing homes are suggested to improve end-of-life care for dying residents in nursing homes. [source] Parents' narratives about their experiences of their child's reconstructive genital surgeries for ambiguous genitaliaJOURNAL OF CLINICAL NURSING, Issue 23 2008Caroline Sanders Aim., The aim of this study was to initiate an exploration of parents' understanding and experiences of their child's reconstructive genital surgeries for ambiguous genitalia. Background., The determination of gender for a child born with ambiguous genitalia is a complex medical and social process influenced by biological, psychological, social and cultural factors. Two main approaches exist; one promotes interventions (optimal gender policy) while the other suggests delaying interventions (informed consent policy) until the child can contribute to the decision. Methods., An exploratory narrative inquiry design was chosen. Data were collected through narrative interviews with a purposive non-random sample of 10 parents of eight children (aged 0,11 years) who had ambiguous genitalia. Results., Parents' stories reflected strong protective instincts towards their children along with feelings of shock and disbelief. Parents' social construction of gender influenced their attitudes and beliefs about their child's ambiguous genitalia and the need for surgery. Parents' desired to be ,good parents' and do what they perceived as ,right' for their child. They considered genital surgery as a necessity primarily relying on medical advice to guide them at times of uncertainty and confusion. Parents rarely shared stories about their child's surgeries/genitalia outside of the couple relationship and these stories were often referred to as ,secrets'. Conclusion., Having a child with ambiguous genitalia was perceived as problematic and brought about changes in roles, responsibilities, goals and social status as a parent beyond those usually associated with parenthood. Relevance to clinical practice., These early findings help increase awareness of parents' experiences and of the problems and emotional challenges that parents face when their child is born with genital ambiguity. [source] Therapist empathy and client anxiety reduction in motivational interviewing: "She carries with me, the experience"JOURNAL OF CLINICAL PSYCHOLOGY, Issue 11 2009Lynne E. Angus Abstract In this article, we examine the use of motivational interviewing (MI) to treat generalized anxiety disorder (GAD) by means of case illustration that focuses on four categories drawn from the client's experience of the key ingredients in MI therapy. The case illustration, drawn from the York study on combining MI and cognitive behavior therapy in the treatment of GAD (uses the client's pre- and post-therapy narrative interviews) to arrive at categories representative of the client's experience of MI therapy. The results of the qualitative analysis highlight the key contributions to positive client outcomes and readiness for change in brief MI therapy for GAD. © 2009 Wiley Periodicals, Inc. J Clin Psychol: In Session 65: 1,12, 2009. [source] The role of offender experience and crimes in shaping accountsJOURNAL OF INVESTIGATIVE PSYCHOLOGY AND OFFENDER PROFILING, Issue 2 2009Eugenio de Gregorio Abstract The paper summarises the main findings obtained in a wide study on the construction of deviant actions' narratives. In this paper, we focused on two topics: both topics are crucial to suggest new directions in investigative psychology. Narratives provide investigative psychologists with new sets of tools to define criminal profiles, such as narrative profiling. This paper deals with a qualitative investigation undertaken by collecting narrative interviews. These interviews were conducted with 34 prisoners held in two penal institutes in Rome and their goal was to reveal the typical form of constructing accounts taken in a non-investigative context. The specific aim of the project was to show whether differences exist in the narrative accounts provided by perpetrators of crime considering two factors: the type of crime committed and the experience in the deviance arena, which are hypothesised to shape narrations. Interviews were analysed with particular reference to the ,Evaluation model' by W. Labov. Participants were divided into three groups on the basis of the type of experience in the deviant field (professionals, intermediates and amateurs) and into four groups according to the crime committed (homicide, robbery and theft, and crimes linked to drugs and fencing). The results show the significant existence of clear differences in the reconstruction of the crime committed compared to the experience of the protagonist. Copyright © 2009 John Wiley & Sons, Ltd. [source] Self- and maternal representations, relatedness patterns, and problem behavior in middle childhoodPERSONAL RELATIONSHIPS, Issue 2 2008ARIELA WANIEL The present study investigated the association between children's representations of their mothers' and teachers' reports of children's problem behavior. The research team conducted semistructured narrative interviews with a community sample of 203 Israeli 9- to 11-year-old children. Ten months later, researchers collected teachers' reports of children's internalizing and externalizing problems. This study investigated whether children's self-representation narratives and their maladaptive relatedness stances questionnaire scores mediated this association. Results indicated that children reporting benevolent representations of their mothers exhibited lower levels of problem behavior. More positive self-representations and lower levels of skewness in children's relatedness stances to their mothers both mediated this association. This article includes a discussion of these results in light of factors contributing to maladjustment in middle childhood. [source] A woman-centred psychological intervention for premenstrual symptoms, drawing on cognitive-behavioural and narrative therapyCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 5 2002Jane M Ussher A women-centred psychological intervention for premenstrual symptoms, drawing on cognitive-behavioural and narrative therapy, has been developed. In a randomized control trial previously reported, this treatment was found to be as effective as SSRIs in reducing moderate or severe premenstrual symptoms. The purpose of this paper is to outline the multifactorial model of premenstrual symptoms that underpinned this intervention, describe the treatment in detail session by session, and present two case examples drawing on narrative interviews conducted pre and post treatment with the women who took part in the randomized control trial, in order to illustrate the process of change. It is argued that premenstrual symptoms arise from a complex interaction of material, discursive and intrapsychic factors, and that this needs to be taken into account when designing clinical interventions. Copyright © 2002 John Wiley & Sons, Ltd. [source] | |||||||||||||