48 research outputs found
Suomalaisten naisten kokemuksia kätilöiden kohtaamisesta synnytyksen aikana ja sen jälkeen
No full textTämä opinnäytetyö toteutettiin haastattelututkimuksena, jonka tarkoituksena oli kuvailla synnyttäneiden naisten kokemuksia kätilön kohtaamisesta synnytyksen aikana ja sen jälkeen. Tavoitteena oli tuottaa tietoa kätilötyön- ja koulutuksen kehittämisen tueksi. Työtä ohjaava tutkimuskysymys oli: Millaisia kokemuksia suomalaisilla naisilla on huolehtivasta ja ei-huolehtivasta kohtaamisesta kätilön kanssa synnytyksen aikana ja sen jälkeen. Opinnäytetyö tehtiin osana ISFIN- hanketta, jonka kautta saimme valmiit haastattelukysymykset ja ohjeen analysointiprosessin toteuttamiseen.
Toteutimme haastattelut kevään ja kesän 2019 aikana ja haastattelimme yhteensä neljää naista, jotka olivat synnyttäneet alle kolme kuukautta ennen haastatteluajankohtaa. Analysointi kulki haastattelujen rinnalla. Opinnäytetyössä käytimme fenomenologista menetelmää ja analysointiprosessia ohjasi Vancouverin koulukunnan fenomenologia. Fenomenologiassa keskeinen ajatus on se, että ihmiset kokevat saman asian eri tavoin ja antavat havaitsemilleen ilmiöille erilaisia merkityksiä. Ennen opinnäytetyömme toteutusvaihetta, suljimme pois omat ennakkoajatuksemme, jotta ne eivät vaikuttaisi haastattelumateriaalin analysoinnissa.
Rakensimme tulokset merkityksineen oman tulkintamme kautta. Tavoitteenamme oli saada käsitys elävästä kokemuksesta kokonaisuutena. Äidit olivat tyytyväisiä kohtaamiseen kätilön kanssa synnytyksen aikana, mutta lapsivuodeosastolla kohtaamisessa oli puutteita. Kokosimme äitien kokemusten pohjalta kahdeksan merkitystä, joista viisi kuvasi positiivista- ja kolme negatiivista kohtaamista. Negatiiviset kokemukset liittyivät henkiseen ja fyysiseen turvattomuuteen, kun taas positiiviset kokemukset kokonaisvaltaiseen hoivaan ja turvallisuuden tunteeseen.The purpose of this study was to provide information for midwifes and to support the education of midwifes. The study was conducted as an interview to four mothers who had given birth less than three months prior to the interview. The aim of this study was to describe, how Finnish women experience the encounters with midwifes during birth and at the maternity ward. The study was part of the ISFIN- project and the project provided us the questions which we used at the interview. The research question was: What is the lived experience of Finnish childbearing women of caring and uncaring encounters with midwives during childbearing period (birth and post-partum period).
The interviews were conducted during spring and summer 2019. In our study we used phenomenological approach and our analysing process was from Vancouver school doing phenomenology. The basic idea of phenomenology is that people experience same phenomenon differently and give different meanings for the phenomenon they have experienced. Before we started our study, we wrote down our preconceived ideas and put them aside before interview.
We constructed our findings in to meanings through our own interpretations. Our aim was to get the full picture of the lived experience. The mothers were happy with their encounters with midwifes during labour, but at the maternity ward they felt like their needs had not been answered. We constructed eight different meanings based on the mothers’ answers. Five of the meanings were positive and three were negative. The negative experiences were based on uninsecurity that was emotional and physical. The positive experiences were based on the feeling of full security
The dynamics of the nurse–patient relationship: introduction of a synthesized theory from the patient’s perspective
No full textThe essential structure of a caring and an uncaring encounter with a nurse -- from the client's perspective
No full textThis phenomenological study was designed to explore the essential structure of caring and uncaring encounters, as perceived by recipients of nursing care in their interactions with nurses, with the aim of adding to the knowledge and understanding of these phenomena.
Data were collected through 18 in-depth interviews with nine former recipients of nursing care. The interviews were tape-recorded and transcribed verbatim for each participant. The researcher saw the participants in the study as coresearchers and through inter-subjective interaction, or dialogue, the essential description of a caring and an uncaring encounter was constructed.
The essential structures of both caring and uncaring encounters are composed of three basic components: the approach by the nurse, the presence or absence of relationship formation, and finally, the patient responses to the encounter. The first component in the essential structure of a caring encounter with a nurse — from the client's perspective, is the professional caring nurse approach. The nurse is perceived to be competent, administering her care with genuine concern for the patient as a person, giving him full attention when with him, and constituting a cheerful presence for the patient. The coresearchers reported that these characteristics, which were perceived by them as evidence of caring, had promoted in them a feeling of trust, which had facilitated a development of a nurse-patient relationship. The development of a nurse-patient relationship, or professional attachment, comprises the second essential component of a caring encounter. Developing a nurse-patient relationship was conceptualized in this study as a process involving five phases: initiating attachment, consisting of reaching out and responding by both nurse and patient; mutual acknowledgement of personhood, where nurse and patient recognize each others as persons; acknowledgement of attachment, involving confirmation of attachment; professional intimacy, when the patient feels safe enough in the relationship to reveal to the nurse particulars about his present condition and how he feels about them; and finally negotiation of care, when the nurse works collaboratively with the patient and truely takes his perspective into account when giving nursing care. Throughout the attachment development the professional nurse keeps a distance, an important dimension of professional attachment which the coresearchers clearly articulated had to be present in order to keep the nurse-patient relationship within the professional domain. This combination of intimacy and distance is referred to as nurse-patient attachment with professional distance.
The professional caring nurse approach and the resulting nurse-patient attachment with professional distance form the essential structure of professional caring. The patient responses to professional caring comprise the last component in the structure of a caring encounter with a nurse. Five themes were identified in the coresearchers' accounts: sense of acceptance and self-worth; sense of encouragement and support; sense of confidence and control; sense of well-being and healing; and finally sense of gratitude and liking.
The essential structure of an uncaring encounter with a nurse — from the client's perspective is also comprised of three basic components: the nurse's approach to the patient, which is perceived by the patient as indifference to him as a person; the resulting nurse-patient detachment with total distance between the nurse and the patient; and finally patient responses to uncaring.
Four dimensions of an uncaring nurse approach were identified in the data, characterized by increased indifference, inattentiveness, and insensitivity to the patient and his needs: apathetic inattention, unconcerned insensitivity unkind coldness, and harsh inhumanity. Perceived nurse indifference to the patient as a person makes the patient distrustful of the nurse. The patient often perceives the nurse as an authoritarian person with a need to control, and the patient's encounter with her is characterized by a lack of professional attachment, limited verbal communication, negative nonverbal communication by the nurse, and a lack of collaboration and negotiation of care. This is referred to as nurse-patient detachment with total distance.
It was the core searchers' unanimous perception that uncaring encounters with nurses were very discouraging and distressing experiences for them as patients. The coresearchers responses to the uncaring encounters were many-sided. Seven major themes were identified in their accounts: puzzlement and disbelief; anger and resentment; despair and helplessness; feelings of alienation and identity-loss; feelings of vulnerability; perceived effects on healing; and finally long-term effects of uncaring encounters. It was the coresearchers' unanimous perception that the uncaring encounters made an indelible impression on them, had a longer lasting effect than caring encounters, and tended to be both acid edged and memorable unresolved experiences.Applied Science, Faculty ofNursing, School ofGraduat
Fourteen Main Obstacles on the Journey to Post-Traumatic Growth as Experienced by Female Survivors of Intimate Partner Violence: “It Was All So Confusing”
No full textIn this study, we identified 14 obstacles experienced by female survivors of intimate partner violence who had, nonetheless, reached post-traumatic growth (PTG), which is a positive psychological change by a person following serious difficulties or traumatic events. Intimate partner violence (IPV) is such a trauma. The purpose of this study was to analyze the obstacles to PTG as experienced by women who have succeeded in reaching PTG following traumatic IPV. Participants were twenty-two women aged 23–56 who self-reported their PTG according to the working definition used. The participants reported feelings of diminished self-worth that had negatively influenced their lives and how these negative feelings delayed their PTG. The overriding theme of the study was “It was all so confusing”, which expressed the essence of the participants’ feelings when describing the obstacles they encountered on their journey to PTG. Most of those obstacles were intrapersonal, i.e., negative personal feelings and negative perspectives towards themselves. Other obstacles reported by participants were physical and psychological health problems, challenging personal circumstances, and the perpetrator, as well as laws, regulations, and institutional social systems. This study reveals the broad range of obstacles encountered by women on their journey to PTG following IPV, emphasizing the necessity of an interdisciplinary approach when holistically considering their situation and supporting them on their journey towards PTG
The challenging journey from trauma to post‐traumatic growth: Lived experiences of facilitating and hindering factors
No full textBACKGROUND: Many people experience psychological trauma during their lifetime, often negatively affecting their mental and physical health. Post‐traumatic growth is a positive psychological change that may occur in an individual after having processed and coped with trauma. This journey, however, has not been studied enough. AIM: The purpose of this phenomenological study was to explore people's experience of suffering psychological trauma, the personal effects of the trauma and the transition from trauma to post‐traumatic growth. METHODS: A purposeful sample of seven women and five men, aged 34–52, were selected whose backgrounds and history of trauma varied, but who had all experienced post‐traumatic growth. One to two interviews were conducted with each one, in all 14 interviews. RESULTS: This study introduces a unique mapping of the challenging journey from trauma to post‐traumatic growth through lived experiences of people who have experienced trauma as well as post‐traumatic growth. Participants had different trauma experience, but their suffering shaped them all as persons and influenced their wellbeing, health and view of life. Participants described post‐traumatic growth as a journey, rather than a destination. There was a prologue to their journey which some described as a hindering factor while others felt it was a good preparation for post‐traumatic growth, i.e. to overcome difficulties at an early age. Participants described six main influencing factors on their post‐traumatic growth, both facilitating and hindering ones. They also described the positive personal changes they had undergone when experiencing post‐traumatic growth even though the epilogue also included heavy days. A new theoretical definition of post‐traumatic growth was constructed from the findings. CONCLUSION: The results suggest that the journey to post‐traumatic growth includes a recovery process and certain influencing factors that must be considered. This information has implications for professionals treating and supporting people who have suffered traumas
Silent, invisible and unacknowledged: experiences of young caregivers of single parents diagnosed with multiple sclerosis.
No full textTo access publisher's full text version of this article click on the hyperlink at the bottom of the pageMost people diagnosed with multiple sclerosis (MS) choose to live at home without known consequences for their children.To study the personal experience of being a young caregiver of a chronically ill parent diagnosed with MS.Phenomenology was the methodological approach of the study since it gives an inside information of the lived experience.The study was approved by the National Bioethics Committee and reported to the Data Protection Authority.We explored in 21 interviews the lived experience of 11 young caregivers who had cared for single chronically ill parents, diagnosed with MS.The participants felt silent, invisible and unacknowledged as caregivers and received limited professional assistance. They were left to provide their parents with intimate physical and emotional care and support that was demanding, embarrassing and quite difficult while feeling unsupported, excluded and abandoned. Their caring responsibilities lead to severe restrictions in life as their parents' disease progressed and they lived without a true childhood; left to manage far too many responsibilities completely on their own and at a young age. At the time of the interviews, most of the participants had left their post as primary caregivers. They were learning to let go of the emotional pain, some of them with a welcomed partner. Most of them were experiencing a healthy transition and personal growth, existentially moving from feeling abandoned towards feeling independent. However, some of them were still hurting.In choosing participants for the study a sampling bias may have occurred.Health professionals are urged to provide information, support and guidance for young carers in a culturally sensitive way and to take on the leading role of helping and empowering children and adolescents in similar situations
Screaming Body and Silent Healthcare Providers: A Case Study with a Childhood Sexual Abuse Survivor
No full textPublisher's version (útgefin grein)Stressful early life experiences cause immune dysregulation across the lifespan. Despite
the fact that studies have identified childhood sexual abuse (CSA) survivors as a particularly
vulnerable group, only a few attempts have been made to study their lived-experience of the
physical health consequences of CSA. The aim of this study was to explore a female CSA survivor’s
lived-experience of the physical health consequences of CSA and how she experienced the reactions of
healthcare providers. Seven interviews were conducted with this 40-year-old woman, Anne, using a
phenomenological research approach. Anne was still a young child (two to three years old) when her
father started to rape her. Since her childhood, she has experienced complex and widespread
physical health consequences such as repeated vaginal and abdominal infections, widespread
and chronic pain, sleeping problems, digestive problems, chronic back problems, fibromyalgia,
musculoskeletal problems, repeated urinary tract infections, cervical dysplasia, inflammation of the
Fallopian tubes, menorrhagia, endometrial hyperplasia, chlamydia, ovarian cysts, ectopic pregnancies,
uterus problems, severe adhesions, and ovarian cancer. Anne disclosed her CSA experience to several
healthcare providers but they were silent and failed to provide trauma-informed care. Anne’s
situation, albeit unique, might reflect similar problems in other female CSA survivors.Peer reviewe
To discipline a "dog": the essential structure of mastering diabetes
No full textTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fieldIn this article we describe the findings of a study in which the essential structure of mastering diabetes was explored from the patient's viewpoint, emphasizing the lived experience of adhering and not adhering to a complex treatment regimen for diabetes
