Sophie Paroz, Jean-Bernard Daeppen, Martine Monnat, Michael Saraga, Francesco Panese
{"title":"Exploring Clinical Practice and Developing Clinician Self-Reflection Through Cross Self-Confrontation Methodology: An Application Within an Addiction Medicine Unit.","authors":"Sophie Paroz, Jean-Bernard Daeppen, Martine Monnat, Michael Saraga, Francesco Panese","doi":"10.1177/23333936211054800","DOIUrl":"https://doi.org/10.1177/23333936211054800","url":null,"abstract":"<p><p>Use of the methodology of cross self-confrontation (CSC) is limited in the field of healthcare and in the context of clinical practice. We applied this methodology within an addiction medicine unit of a university hospital, as part of an exploration of addiction-related clinical difficulties. Cross self-confrontation was used according to a 3-phase design based on video recorded clinical interviews with pairs of nurses and medical doctors. The article reports and discusses the application of CSC in a specific clinical context and illustrates the methodological process through one result. Findings suggest two major strengths of CSC in the context of clinical practice research and education: (1) the capacity to elicit tacit knowledge from daily clinical practice and (2) the ability to enhance self-reflection by questioning professionals both individually and collectively. Further use of CSC in nursing surroundings and clinical settings should be encouraged.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"8 ","pages":"23333936211054800"},"PeriodicalIF":1.7,"publicationDate":"2021-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39863297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica E Draughon Moret, Daniel J Sheridan, Jennifer A Wenzel
{"title":"\"Reclaiming Control\" Patient Acceptance and Adherence to HIV Post-Exposure Prophylaxis Following Sexual Assault.","authors":"Jessica E Draughon Moret, Daniel J Sheridan, Jennifer A Wenzel","doi":"10.1177/23333936211046581","DOIUrl":"https://doi.org/10.1177/23333936211046581","url":null,"abstract":"<p><p>Sexual assault is an irrefutable trauma; an insult to the autonomy of the person forced into sexual acts. Sexual assault sequelae range from physical injury and acute traumatic stress, to pregnancy and sexually transmitted infections, including human immunodeficiency virus (HIV). HIV post-exposure prophylaxis (HIV PEP) following sexual assault may decrease the likelihood of HIV transmission. Many patients seeking healthcare post-sexual assault either do not initiate HIV PEP or do not complete the 28-day medication regimen. In this qualitative interpretive description, we interviewed sexual assault patients (<i>N</i>=11) about HIV PEP discussions/reactions, attitudes and understanding related to HIV and PEP, and barriers and facilitators of HIV PEP acceptance and adherence. Participants described a process of losing and reclaiming control throughout post-assault care and follow-up; and how this affected HIV PEP-related decision-making. Most HIV PEP decisions were described as a process of reclaiming control over one outcome while simultaneously losing control of another.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"8 ","pages":"23333936211046581"},"PeriodicalIF":1.7,"publicationDate":"2021-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6b/8b/10.1177_23333936211046581.PMC8851138.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39637337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kim McMillan, David K Wright, Christine J McPherson, Kristina Ma, Vasiliki Bitzas
{"title":"Visitor Restrictions, Palliative Care, and Epistemic Agency: A Qualitative Study of Nurses' Relational Practice During the Coronavirus Pandemic.","authors":"Kim McMillan, David K Wright, Christine J McPherson, Kristina Ma, Vasiliki Bitzas","doi":"10.1177/23333936211051702","DOIUrl":"https://doi.org/10.1177/23333936211051702","url":null,"abstract":"<p><p>Efforts to curb spread of COVID-19 has led to restrictive visitor policies in healthcare, which disrupt social connection between patients and their families at end of life. We interviewed 17 Canadian nurses providing palliative care, to solicit their descriptions of, and responses to, ethical issues experienced as a result of COVID-19 related circumstances. Our analysis was inductive and scaffolded on notions of nurses' moral agency, palliative care values, and our clinical practice in end-of-life care. Our findings reveal that while participants appreciated the need for pandemic measures, they found blanket policies separating patients and families to be antithetical to their philosophy of palliative care. In navigating this tension, nurses drew on the foundational values of their practice, engaging in ethical reasoning and action to integrate safety and humanity into their work. These findings underscore the epistemic agency of nurses and highlight the limits of a purely biomedical logic for guiding the nursing ethics of the pandemic response.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"8 ","pages":"23333936211051702"},"PeriodicalIF":1.7,"publicationDate":"2021-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39863295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transitioning to Full Online Teaching During Covid-19 Crisis: The Associate Degree Nurse Faculty Experience.","authors":"Kechi Iheduru-Anderson, Jo Anne Foley","doi":"10.1177/23333936211057545","DOIUrl":"https://doi.org/10.1177/23333936211057545","url":null,"abstract":"<p><p>As the COVID-19 crisis escalated in early 2020, schools of nursing and nursing programs in the United States and around the world shut down. Nurse faculty were forced transition to online teaching in a short time. Descriptive phenomenology was used to explore the experiences of associate degree nurse faculty who transitioned to online teaching during the early months of the COVID-19 pandemic. Inductive thematic analysis was performed on the interview data from 41 faculty teaching at associate degree nursing programs in the U.S. The findings of the study are presented under 6 main themes: stressful/overwhelming, feeling emotionally and physically exhausted, support, new knowledge and growth under pressure, new opportunities for nursing education, and leadership in times of crisis. To prevent the worsening of the nurse faculty shortage and help educate nurses for the future, nurse educators must be supported and recognized for their work during this period and beyond.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"8 ","pages":"23333936211057545"},"PeriodicalIF":1.7,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/30/10.1177_23333936211057545.PMC8573621.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39877240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mai Camilla Munkejord, Tove Mentsen Ness, Wasiq Silan
{"title":"'We are All Interdependent'. A Study of Relationships Between Migrant Live-In Carers and Employers in Taiwan.","authors":"Mai Camilla Munkejord, Tove Mentsen Ness, Wasiq Silan","doi":"10.1177/23333936211043504","DOIUrl":"10.1177/23333936211043504","url":null,"abstract":"<p><p>For the past three decades, to meet the increasing need for long-term care, the Taiwanese government's primary approach has been to import migrant care workers. In this article, we analyse qualitative interview data produced in an Indigenous community. Drawing on Kittay's feminist dependency theory, we explore the interrelationships and collaborative efforts between live-in carers and their employers. Three types of relationships were identified: 'unsupportive relationships', where the live-in carer was treated as a servant; 'supportive relationships', where the live-in carer was treated as a care worker; and 'semi-supportive relationships', where the live-in carer was treated as a carer-servant. In conclusion, the article sheds light on how the live-in carer arrangement could be practised in ways that allow live-in carers and thereby their care recipients to thrive.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"8 ","pages":"23333936211043504"},"PeriodicalIF":1.7,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8619731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39674763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melissa L Desroches, Kathleen Fisher, Sarah Ailey, Judith Stych
{"title":"\"We Were Absolutely in the Dark\": Manifest Content Analysis of Developmental Disability Nurses' Experiences During the Early COVID-19 Pandemic.","authors":"Melissa L Desroches, Kathleen Fisher, Sarah Ailey, Judith Stych","doi":"10.1177/23333936211051705","DOIUrl":"10.1177/23333936211051705","url":null,"abstract":"<p><p>People with developmental disabilities (DD) are devastatingly impacted by COVID-19, yet no studies have explored the experiences of developmental disability nurses during the pandemic. In April 2020, as part of a multiple method study, we used manifest content analysis to evaluate nurses' 287 open-ended responses to our online survey question: \"What is the <i>experience</i> of being a developmental disability nurse while encountering challenges to meeting basic care needs during the early COVID-19 pandemic?\" We identified four themes: living with fear and stress, helping others to understand and cope, navigating a changing landscape, and being left out. Findings reinforce the need for accessible health information for people with developmental disability, guidelines relevant to developmental disability nursing settings, emotional support for developmental disability nurses, and education of health care professionals about the contribution of the developmental disability nurse in supporting the holistic well-being of people with DD.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"8 ","pages":"23333936211051705"},"PeriodicalIF":2.2,"publicationDate":"2021-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a4/5e/10.1177_23333936211051705.PMC8559184.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39589461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura Nicole Tomm-Bonde, Rita Schreiber, Marjorie MacDonald
{"title":"Putting On and Taking Off the Capulana: A Grounded Theory of How Mozambican Women Manage Gender Oppression.","authors":"Laura Nicole Tomm-Bonde, Rita Schreiber, Marjorie MacDonald","doi":"10.1177/23333936211051701","DOIUrl":"https://doi.org/10.1177/23333936211051701","url":null,"abstract":"<p><p>Gender-based oppression is a pervasive global challenge, but has taken a back seat to other issues in Mozambique. The purpose of this grounded theory study was to explore how Mozambican women manage multiple oppressions in their lives in the context of the AIDS epidemic. Using interviews, documents, and constant comparison, we constructed a theory, <i>Putting on and Taking Off the Capulana,</i> to explain how women are socialized into and push back against the prevailing societal misogyny. The theory comprises four categories: Putting on the Capulana, Turning a Blind Eye, Playing the Game, and Taking Off the Capulana. Women adopt sex-role expectations, becoming socialized into patriarchal society. They are silent about their oppression, and society colludes in this. They use a strategic process to gain a sense of control over their situations. Finally, some women develop a critical consciousness and are able to resist their oppression in emancipatory ways.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"8 ","pages":"23333936211051701"},"PeriodicalIF":1.7,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2a/1a/10.1177_23333936211051701.PMC8543683.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39567048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Threads of Practice: Enhanced Maternal and Child Health Nurses Working With Women Experiencing Family Violence.","authors":"Catina Adams, Leesa Hooker, Angela Taft","doi":"10.1177/23333936211051703","DOIUrl":"https://doi.org/10.1177/23333936211051703","url":null,"abstract":"<p><p>Family violence is a serious public health issue with significant health consequences for women and children. Enhanced Maternal and Child Health nurses (EMCH) in Victoria, Australia, work with women experiencing family violence; however, scholarly examination of the clinical work of nurses has not occurred. This qualitative study explored how EMCH nurses work with women experiencing abuse, describing the personal and professional challenges for nurses undertaking family violence work. Twenty-five nurses participated in semi-structured interviews. Using interpretive description methodology has enabled an insight into nurses' family violence work. Threads of practice identified included (1) Validating/Reframing; (2) Non-judgmental support/Safeguarding and (3) Following/Leading. The nurses highlighted the diversity of experience for women experiencing abuse and nurses' roles in family violence nurse practice. The research contributes to understanding how EMCH nurses traverse threads of practice to support women experiencing family violence.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"8 ","pages":"23333936211051703"},"PeriodicalIF":1.7,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a9/0a/10.1177_23333936211051703.PMC8532206.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39553557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Lived Experience of Continuous Subcutaneous Insulin Infusion in Adults With Type 1 Diabetes Mellitus: A Phenomenological Inquiry.","authors":"V Renee Callahan Fagan, Karen Parsons","doi":"10.1177/2333393620981058","DOIUrl":"10.1177/2333393620981058","url":null,"abstract":"<p><p>Continuous subcutaneous insulin infusion (CSII) is a complex, medical device for the management of Type 1 Diabetes Mellitus (T1DM). There is limited research exploring the everyday experiences living with this device. The purpose of this study was to understand the lived experience of adults using CSII therapy to manage T1DM. Lived experiences from eight individuals were collected through semi-structured interviews and then analyzed using a hermeneutic approach to phenomenology. Four substantive themes with supporting subthemes were identified and represent the essence of participant experiences; that is, living with CSII eventually took ascendancy over managing T1DM.CSII therapy has gained popularity due to reported improvements in metabolic control and flexibility. However, the burden of the responsibility and psychological implications of CSII took ascendancy over T1DM. Living with CSII impacts the psychological well-being of individuals so psychological complications are as important to assess by healthcare professionals as physical and metabolic complications.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"8 ","pages":"2333393620981058"},"PeriodicalIF":1.7,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/86/a9/10.1177_2333393620981058.PMC8419533.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39397558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparative Ethnographic Narrative Analysis Method: Comparing Culture in Narratives.","authors":"Denise Saint Arnault, Laura Sinko","doi":"10.1177/23333936211020722","DOIUrl":"https://doi.org/10.1177/23333936211020722","url":null,"abstract":"<p><p>Narrative data analysis aims to understand the stories' content, structure, or function. However narrative data can also be used to examine how context influences self-concepts, relationship dynamics, and meaning-making. This methodological paper explores the potential of narrative analysis to discover and compare the processes by which culture shapes selfhood and meaning making. We describe the development of the Comparative Ethnographic Narrative Analysis Method as an analytic procedure to systematically compare narrators' experiences, meaning making, decisions, and actions across cultures. This analytic strategy seeks to discover shared themes, examine culturally distinct themes, and illuminate meta-level cultural beliefs and values that link shared themes. We emphasize the need for a shared research question, comparable samples, shared non-biased instruments, and high-fidelity training if one uses this qualitative method for cross-cultural research. Finally, specific issues, trouble-shooting practices, and implications are discussed.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"8 ","pages":"23333936211020722"},"PeriodicalIF":1.7,"publicationDate":"2021-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ad/7c/10.1177_23333936211020722.PMC8375330.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39337643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}