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Sebastian Klaus, Alexander Meschnig, Ernst von Kardorff
OBJEKTIVES: Using qualitative-hermeneutical methods with a focus on biographical (risk-) constellations for conditions of success or failure of return to work - and therefore on the efficiency and sustainability of employment participation benefits - the study accompanies participants during a time span of 2 years after their vocational retraining on their way back into the first labor market. METHODS: The study applies a mixed method design which combines 30 episodical-narrative interviews of participating rehabilitants alongside with a questionnaire survey of a total of 214 participants and 19 interviews of scientists and vocational retraining experts...
June 2018: Die Rehabilitation
Deybson Borba de Almeida, Gilberto Tadeu Reis da Silva, Genival Fernandes de Freitas, Maria Itayra Padilha, Igor Ferreira Borba de Almeida
OBJECTIVE: To analyze the constituting knowledge of militant nurses in trade associations. METHOD: Historical research, based on the oral history method, with a qualitative approach carried out with 11 nurses who are/were militants for professional issues since the 1980s in the state of Bahia. The data collected through semi-structured interviews were organized in the software n-vivo 10 and analyzed based on dialectical hermeneutics. RESULTS: We identified pedagogical, administrative, public health, sociological, and trade union background knowledge as constituent of militant individuals...
May 2018: Revista Brasileira de Enfermagem
Rosemarie Rizzo Parse
The purpose of this paper is to elaborate the ethos of humanbecoming with the core knowings of living quality. This requires describing in more detail the tenets of dignity-reverence, awe, betrayal, and shame-and specifying the tenets further with the newknowings arising from the humanbecoming hermeneutic sciencing of Lives of Others. The author introduces the newly conceptualized paradoxes, revering-betraying and aweing-shaming.
July 2018: Nursing Science Quarterly
Synnøve Caspari, Maj-Britt Råholm, Berit Saeteren, Arne Rehnsfeldt, Britt Lillestø, Vibeke Lohne, Åshild Slettebø, Anne Kari Tolo Heggestad, Bente Høy, Lillemor Lindwall, Dagfinn Nåden
AIM AND OBJECTIVES: The aim of this article is to present results from interviews of older people living in nursing homes, on how they experience freedom. BACKGROUND: We know that freedom is an existential human matter, and research shows that freedom remains important throughout life. Freedom is also important for older people, but further research is needed to determine how these people experience their freedom. The background for this article was a Scandinavian study that occurred in nursing homes; the purpose of the study was to gain knowledge about whether the residents felt that their dignity was maintained and respected...
June 13, 2018: Journal of Clinical Nursing
Shaun Gallagher, Micah Allen
We distinguish between three philosophical views on the neuroscience of predictive models: predictive coding (associated with internal Bayesian models and prediction error minimization), predictive processing (associated with radical connectionism and 'simple' embodiment) and predictive engagement (associated with enactivist approaches to cognition). We examine the concept of active inference under each model and then ask how this concept informs discussions of social cognition. In this context we consider Frith and Friston's proposal for a neural hermeneutics, and we explore the alternative model of enactivist hermeneutics...
2018: Synthese
Trude Anita Hartviksen, Berit Mosseng Sjolie, Jessica Aspfors, Lisbeth Uhrenfeldt
BACKGROUND: Healthcare middle managers (HMMs) have, as the leaders closest to clinical practice, a crucial position in healthcare today. There is broad knowledge about the demands on HMMs' capacity, their situation in general, and the challenges this presents for the improvement of healthcare quality. There is less knowledge about how to facilitate HMMs` capacity and capability with regard to their leadership and how to handle this in a complex context. The purpose of this study was to identify and discuss the facilitation of HMMs' development of capacity and capability for leadership...
June 8, 2018: BMC Health Services Research
Karen Kenyon, Clair Hebron, Pirjo Vuoskoski, Carol McCrum
BACKGROUND: Physiotherapy is recommended for upper limb movement impairments (ULMI) following breast cancer treatment. There is limited research into the pathophysiology and management of ULMI. Care is provided in different health-care contexts by specialist and nonspecialist physiotherapists, with referrals set to increase. This study explores physiotherapists' experiences of managing ULMI. DESIGN: Qualitative study using a hermeneutic phenomenological approach...
June 7, 2018: Physiotherapy Theory and Practice
Rachelle Arkles, Claire Jankelson, Kylie Radford, Lisa Jackson Pulver
Dementia in Australia's Aboriginal and Torres Strait Islander population is an area of significant health and community concern. In this article, we use a hermeneutic mode of interpretation to deepen understanding of experience and meaning in dementia for family carers of older Aboriginal people in urban Australia. Specifically, we draw from the hermeneutic concept of "world disclosure" to illuminate the dementia experience in three ways: through an artwork of the brain and dementia; through concrete description of the lived relation of caregiving; and through an epochal perspective on the significance of contemporary caregiving in dementia...
January 1, 2018: Dementia
Jarl Sigaard, Birthe Dinesen
Background Placebo effects are positive treatment effects that occur because of the psycho-social context around the therapy. Such effects are well documented in pain treatment, as well as in the treatment of other common symptoms. Specialized Palliative Care focuses on the relief of pain and other symptoms in terminally ill cancer patients. Aims The aim of this study was to explore whether and/or how a Specialized Palliative Care Team might contribute to the creation of placebo effects. Methods The study was conducted as a qualitative study using a phenomenological/hermeneutic approach...
December 29, 2017: Scandinavian Journal of Pain
May Aasebø Hauken, Bibbi Hølge-Hazelton, Torill M B Larsen
BACKGROUND: Cancer in young adults is rare but young adult cancer patients (YACPs) are at an increased risk of severe physical and psychosocial impairments during cancer treatment and survivorship. However, little is known about the onset of this process. OBJECTIVE: The aim of this study was to explore how young cancer survivors experience the process of being diagnosed with cancer. METHODS: A qualitative method founded on a phenomenological-hermeneutical approach was used and included in-depth interviews with 20 young adult survivors (aged 24-35 years) with different cancer diagnoses, analyzed by Systematic Text Condensation...
June 1, 2018: Cancer Nursing
José Granero-Molina, Francisco Sánchez-Hernández, Cayetano Fernández-Sola, María Del Mar Jiménez-Lasserrotte, Laura Helena Antequera-Raynal, José Manuel Hernández-Padilla
The aim of this study was to understand the experiences of family caregivers in the process of diagnosing hereditary angioedema. An interpretive and qualitative research methodology based on Gadamer's philosophical hermeneutics was carried out. Data collection took place between May 2015 and August 2016 and included a focus group and in-depth interviews with 16 family caregivers. Two themes define the experiences of family caregivers: "Family life focuses on identifying the problem" and "Discovering and coping with a complex diagnosis...
June 1, 2018: Clinical Nursing Research
Jón Snorrason, Páll Biering
Inpatient violence is a widespread problem on psychiatric wards often with serious consequences, and psychiatric hospitals have set up teams to de-escalate and restrain patients with aggression (D-E&R teams) which are specially trained to respond to it in a safe manner. Successful de-escalation and restraining of patients with aggression depend not only on the methods learned in training but also on the confidence of the team. Therefore, it is of great importance to understand the factors that enhance D-E&R teams' competence in managing patients with aggression in a successful and safe manner...
June 4, 2018: International Journal of Mental Health Nursing
Randi G Sokol, Allen F Shaughnessy
INTRODUCTION: Continuing medical information courses have been criticized for not promoting behavior change among their participants. For behavior change to occur, participants often need to consciously reject previous ideas and transform their way of thinking. Transformational learning is a process that cultivates deep emotional responses and can lead to cognitive and behavioral change in learners, potentially facilitating rich learning experiences and expediting knowledge translation...
April 2018: Journal of Continuing Education in the Health Professions
Behzad Imani, Sima Mohamad Khan Kermanshahi, Zohreh Vanaki, Anoshiravan Kazemnejad Lili, MohammadReza Zoghipaydar
Emotional intelligence can help nurses improve their clients' satisfaction and health. The aim of this hermeneutic phenomenological study was to explore Iranian hospital nurses' lived experiences of emotional intelligence. Data collection was done through holding ten in-depth semi-structured interviews with ten hospital nurses. Participants were recruited from hospitals affiliated with Hamedan University of Medical Sciences, Hamedan, Iran. Data analysis was done using Van Manen's ( 1997 ) six-step approach and resulted in the development of the main theme of normative interactive management and the following three subthemes of resorting to spiritualities, self-protection, and intelligent resilience...
May 31, 2018: Issues in Mental Health Nursing
Derek Strijbos, Gerrit Glas
This article provides a philosophical framework to help unpack varieties of self-knowledge in clinical practice. We start from a hermeneutical conception of "the self," according to which the self is not interpreted as some fixed entity, but as embedded in and emerging from our relating to and interacting with our own conditions and activities, others, and the world. The notion of "self-referentiality" is introduced to further unpack how this self-relational activity can become manifest in one's emotions, speech acts, gestures, and actions...
June 2018: Journal of Personality Disorders
Nirmala Arunasalam
BACKGROUND: The interpretive paradigm and hermeneutic phenomenological design are the most popular methods used in international cross-cultural research in healthcare, nurse education and nursing practice. Their inherent appeal is that they help researchers to explore experiences. The ethnographic principle of cultural interpretation can also be used to provide meaning, clarity and insight. AIM: To examine the use of hermeneutic phenomenology and the ethnographic principle of cultural interpretation in a research study conducted with Malaysian nurses on part-time, transnational, post-registration, top-up nursing degree programmes provided by one Australian and two UK universities...
May 21, 2018: Nurse Researcher
Māra Grīnfelde
During the last few decades, many thinkers have advocated for the importance of the phenomenological approach in developing the understanding of the lived experience of illness. In their attempts, they have referred to ideas found in the history of phenomenology, most notably, in the works of Edmund Husserl, Martin Heidegger, Maurice Merleau-Ponty and Jean-Paul Sartre. The aim of this paper is to sketch out an interpretation of illness based on a yet unexplored conceptual framework of the phenomenology of French thinker Jean-Luc Marion...
May 24, 2018: Medicine, Health Care, and Philosophy
Ana Luíza Barreto de Oliveira, Tânia Maria de Oliva Menezes
OBJECTIVE: To understand the meaning of religion/religiosity for the elderly. METHOD: A qualitative, phenomenological study, based on Martin Heidegger. Thirteen older women registered in an Urban Social Center of Salvador, Bahia, Brazil aged between 60 and 84 years participated in the study. The collection of testimonies was carried out from November 2013 to May 2014 through phenomenological interviews. RESULTS: Hermeneutics has unveiled the unit of meaning: Meanings of religion/religiosity in the daily life of the elderly...
2018: Revista Brasileira de Enfermagem
Silvia Grosso, Elisa Ambrosi, Carla Benagli, Luigina Mortari, Federica Canzan
INTRODUCTION: Elderly Quality of life (QoL) is vulnerable because of the decline in physical and mental capacity, discharge from work, rupture of the family and isolation. Many QoL Scales are made for adults: there is little research investigating how older people perceive QOL. AIM: This study aims to explore and understand the perceptions that older people have about their QOL. METHOD: A qualitative research hermeneutics-phenomenological was done...
January 2018: Professioni Infermieristiche
Susan Monaro, Sandra West, Jana Pinkova, Janice Gullick
AIMS AND OBJECTIVES: To illuminate the hospital experience for patients and families when major amputation has been advised for critical limb ischaemia (CLI). BACKGROUND: CLI creates significant burden to the health system and the family, particularly as the person with CLI approaches amputation. Major amputation is often offered as a late intervention for CLI in response to the marked deterioration of an ischaemic limb, and functional decline from reduced mobility, intractable pain, infection and/or toxaemia...
May 18, 2018: Journal of Clinical Nursing
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