• Title/Summary/Keyword: Phenomenological

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The Lived Experiences of Inpatients' Families in the Intensive Care Units (중환자실 입원환자 가족의 경험)

  • Hwang, Hye Nam;Kim, Kwuy Bun
    • Korean Journal of Adult Nursing
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    • v.12 no.2
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    • pp.175-183
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    • 2000
  • The study was done by applying a phenomenological study, which is qualitative research methods, in order to understand the meaning of the lived experiences, to confirm and describe the meaning structure, and to prepare nursing interventive strategies centering around the meanings of the inpatients' families in the intensive care units. In the study, the family members were the main important nursing providers for in the inpatients' who were admitted in the neurosurgical intensive care unit in K-university hospital and who agreed to participate in the study after being given on explanation about the purpose of the study. The data were collected from the seven participants who had feelings of trust and intimacy favorable toward the researcher as they were families of patients who had been cared for by the researcher in the ICU where the researcher has been assigned. The data were collected from April to October, 1999. The participants described their experiences as candidly as possible. The researcher described closely the lived experiences with their own words and the observations of the researcher. A tape recorder was used with the consent of the participants to prevent nursing information and communication. The analysis of the data was made through the phenomenological analytic method suggested by Giorgi; as an unit of description, which include the participants' expressions and the researcher's observations, the analysis was used based on the data described from the expressions of the participants and the details of observations of the researcher. The conclusions of the study were as follows : The meanings of the lived experience of the inpatients' families in the ICU was confirmed by indepth interviews and observations including these of the participatants : (1) Psychological impact: confusion, impatience, surprise, insensibility; (2) Physical suffering: fatigue, discomfort, indigestion; (3) Psychological suffering: heartbreaking emotion, anxiety, annoyance, fear, compassion, grief; (4) Economical suffering: economical difficulties; (5) Psychological disagreement: escape from reality, personnel avoidance, grudge, powerlessness, carefulness, transposition of life-tract, abandonment, role-crisis, hope, lack of understanding, regret, feeling of ambivalence(progressive process, medical personnel interest); (6) Psychological dependency; self-reliance group support, family support, religious support; (7) Psychological acceptance; acquaintance, gratitude, reassurance; The study will offer better understanding of experiences therefore, based on the experiences confirmed by the study, it may facilitate more appropriate nursing interventive strategies for health maintenance and to prevent occurrence of possible problems with the inpatients' families in the ICUs.

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A Study on the Childbirth Experience in Primiparas (출산경험에 대한 연구)

  • Kim, Hyun-Kyung
    • Women's Health Nursing
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    • v.1 no.1
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    • pp.81-96
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    • 1995
  • This study was intended to provide women who are supposed to experience childbirth with effective nursing care exploring the childbirth experience. The purpose of this paper is to give an answer to the question of what the childbirth experience is, and phenomenological method has been used for that purpose. 17 primiparous mothers right after delivery in one university hospital of J city were served as subjects for this research. Data were collected June to October, 1993 through in depth interview with subjects using unstructured and open questions about the childbirth experience. Van Kaam's phenomenological analysis method was used for the analysis of the data. The results of the study are summarized as follows : The contents of the experience which primiparous mothers had undergone through childbirth were pain, fear, worry, relief, lightness, thankfulness, unsatisfactory, unreality, holiness for a new life, identifying the meaning of life, becoming a mother. 1. Experience before delivery Mothers experienced pain, fear, worry, unsatisfactory, relief, and thankfulness before delivery. Subjects' descriptions about the pain appeared to be various ; unbearable pain, bearable pain, anticipated pain. And their reactions were also various ours ; some endured pain, sought alternative method i.e., surgery, didn't want to reexperience it, or accepted it as women's fate. Subjects experienced fear for anticipated pain, suffering pain, and possible delayed delivery progress and were worried about delivery progress and baby wellbeing. Also, Subjects were unsatisfied with professionals' unfaithful attitude, their spouses' absence, and the ignorance of their pain. But subjects became relieved at the accustomed surroundings, good progress of delivery, support of family, care of professionals and support of other family. And they expressed their thanks to the professionals and family members for doing their best and also to their mothers who gave birth to them. 2. Experience after delivery Subjects experienced lightness, thankfulness, unsatisfactory, worry, unreality, holiness for a new life, identifying the meaning of life, becoming a mother after delivery. Mothers experienced lightness from the fact that it is over, and freshness right after delivery. They were thankful that they delivered vaginally and had an easy delivery. Subjects who delivered female baby were unsatisfied and some were worried about rearing the baby. By confessing, "I have no specific feeling, I am very confused, It is unrealistic, I feel strange", they expressed the unrealistic aspect of childbirth experience. Subjects felt holiness for a new life for novelty and birth of life. They identified the meaning of life from the fact that they felt worthy, fulfilled their duty, had their own baby, accomplished an important affair. After they experienced what it is to be a mother, they realized with it is being a mother and had a rearing expectation for the baby. The results of the study will provide basic data for caring the childbearing women.

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Lived Experience of Women체s Urinary Incontinence in Small Island (도서지역여성의 요실금 체험)

  • 이명희;신경림
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.799-812
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    • 2000
  • This study adopts the phenomenological approach in order to explore the experience of urinary felt by the small island women and to find the meaning and structure of their experience, for the further understanding of them. This study succeeded in detecting five topics and three basic structure from eight participants, and followings are the comprehensive statement of them. The five topics include neglect of care after childbirth, unavoidable life in the tidal flat, shame which cannot be expressed even to their husbands, endless anxiety toward the expected future, and sad(dilemmatic) lived experience. The basic structure is that small island women who have urinary incontinence are apt to regard their disease as a natural destiny of women who fail to get adequate care after childbirth, and something to be endured to live in the seashore. They think of urinary incontinence as something so shameful that they cannot reveal it even to their husband and family. They believe that it even changes their personality since they must always stay alert in order to cope with the situation; for example, when it takes place unexpectedly, like too often to go to toilet, to change the underwears, to wake up in the middle of the night to go to toilet, to try not to laugh loudly, or to have showers. In addition, they accept it as a natural process of aging and incurable disease, and they consider themselves already ruined on the way of becoming uglier. They show dilemmatic abandonment: give it up unwillingly but at the same time think it is natural for others too. The unique experience of small island women with urinary incontinence implied in those statement are inseparable with the specific conditions for survival in the island. Unlike other diseases, it is considered the result of traditionally poor care after childbirth. However this misunderstanding that it is a natural phenomena for all the women who experience childbirth and aging and thereby incurable leads to an undesirable attitude toward urinary incontinence. According to the analysis, environmental conditions specific for small islands make the women there have distinct and unique experience concerned with urinary incontinence. Consequently, the future nursing plan for urinary incontinence in the small island area must be made and enforced with the consideration of these specific phenomenological meanings. Modern Korean nursing has basically been centered to hospital or urban areas. Besides, nursing intervention has long depended upon the research of western countries. This research, however, shows how greatly the regional and cultural characteristics influence the understanding of a certain disease, and is expected to make more specific and in-depth nursing approach enable for those who have urinary incontinence in small islands.

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A Phenomenological Study on Orphans′ Lived Experience of Their Parents (육아시설 청소년의 부모 체험 연구)

  • 이양숙
    • Journal of Korean Academy of Nursing
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    • v.30 no.2
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    • pp.452-462
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    • 2000
  • There are currently 214 orphanages in Korea which house approximately 13,873 orphans aged between 3 and 18; this accounts for about 0.12% of all children in the same age range. Some have lost their parents, but most have come after their parents divorced or broke up. This means majority of the children in Child Care Centers have parents. Traditional virtue of obedience to parents (Hyo) was regarded as one of the highest value in Korea. Also the interaction between parents and their children was regarded as basic human nature that parents look after, both physically and spiritually, their children until they become one of the matured social member. Raised without having a chance to realize their filial duty and not having been cared for by their parents, most orphans feel that they lack something in their lives when compared with friends. In the end, they live their lives longing for their parents and go through mental discord about their parents. This paper is focused on understanding orphans' experience and views on parents. I approached the issue by applying van Manen's Hermeneutic Phenomenological Approach. The interviews, along with other reference material were phenomenologically reflected to draw essential themes as follows; 1. Orphans of pre-school age hazily long for parents without having any practical image of their parents. 2. They occasionally dream meeting their parents with image that can only last in their dreams, and this continues up through middle school. 3. At the age of elementary school, they crave the image of parents as they see their friends with their parents. 4. They start to despise their parents for having abandoned them when they reach puberty. 5. Meanwhile, as their vague image of parents fade away, they attempt to give up their thoughts toward their parents. 6. Highteens start to think in terms of fate. 7. They don't long for their parents anymore as they used to, but still wishes to meet them at least once. However, they don't want to start any kind of a relationship with them. 8. They fear that they will also fail in raising families of their own, and making their children orphans too, just like their parents have. They simply don't want to follow their footsteps. 9. Thinking that they were abandoned by their parents, they are reluctant to believe other people.

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Nursing Students' Experiences on Team-Based Learning (팀 기반 학습을 수강한 간호대학생의 경험)

  • Kim, Hyeonah
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.30-41
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    • 2018
  • This phenomenological study aims to explore Nursing Students' Experiences who have experienced team-based learning (TBL). The purpose of this study is to contribute to fostering professional nurses required in the clinical field by improving the learning outcomes by applying the TBL classes. The study participants were seven students of the nursing department who took TBL classes in adult nursing classes. The data were collected through participating observations and in-depth interviews, and analyzed using Colaizzi's phenomenological methods. As a result of the study, nine conceptual descriptions and five theme clusters were derived. The major theme clusters for the experiences of students were 'Dedication to best results', 'Self-led learning attitudes are formed', 'Becoming a communal knowledge creator', 'Active class time', and 'Meaningless peer evaluation'. Nine conceptual descriptions were 'Doing one's best to fulfill one's role', 'Preparing for the class with the pre-learning', 'Forming confidence through pre-learning', 'Solving problems through interaction with friends', 'Becoming a mentor to each other', 'Working together to resolve issues', 'Intimacy formed', 'A lively class', and 'Peer evaluation with familiarity'. This study contributes to the improvement of the learning outcomes of the nursing students by enabling learner-centered classes and self-led learning, thereby contributing to fostering the professional nursing manpower required in the clinical field.

Analysis of Nurturing Experiences Mothers whose Children have Borderline Intellectual Functioning Disorder (경계선 지적기능 아동을 둔 어머니의 양육 경험에 관한 연구)

  • Choi, Malok
    • Korean Journal of Social Welfare
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    • v.66 no.1
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    • pp.191-219
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    • 2014
  • The major purpose of this study was to explore care giving experiences of mothers, who have their children with borderline intellectual functioning disorder. The core analytical strategy was to find out the essential meaning of caring their children. For this purpose, eight mothers were participated in depth interview, which conducted during October, 2011 through July 2012. The face-to-face interview repeated two or three times based on phenomenological perspective. The interview suggested two major findings: changing mother's view from raising retarded children to caregiving a child with growing-up substantially slow speed; the essence of nurturing experiences for mothers, whose children have borderline intellectual functioning, was to watching with attention rather than advocating ownership. This result can be also found in Barshow's concept of 'watching' rather than 'possession', which is suggested by Tennyson. However, the essential meaning of this concept was associated with 'watching with care', which was originated form Goethe's notion of 'existence'. Mother's of children with borderline intellectual functioning have reached a point of view: when creating a parent-child relationship, it was essential that the child was not 'my child', but was 'a child' per se. This type of parent-child relationship was a result of giving up a desire that the child raised within mother's boundary. It was also a result of psychological warfare and conflict in mother's mind. To internalized this view, it is recommended that the mothers implement the following three perspectives: first, the mothers put down overly-pushed motive toward their children; second, they enhance their level of understanding toward their child; third, it is necessary that the mothers build a new sense of existence through matching their level of concern with their children.

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The Lived Experience of Children of Alcohol Dependent Fathers (알코올중독 아버지와 사는 자녀의 경험에 관한 연구)

  • Kim Myung Ah
    • 한국보건간호학회:학술대회논문집
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    • 2002.10a
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    • pp.224-227
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    • 2002
  • Alcoholism affects not only the individuals who depend on it, but also their families. Children who have an alcohol dependent parent have various problems and need help, but little attention has been given to them. Many references report only negative characteristics of these children. In order to help the children of alcohol dependent parents, health professionals need more information. A wholistic understanding and analysis of these children is needed as a basis for the development of suitable programs of help them. A phenomenological methodology was used to identify the experience of children whose fathers were addicted to alcohol. The findings portray the essence of the lived experience of children of alcohol dependent fathers. Nine adolescents participated in in-depth inverviews and observation with the researcher, done between October and December 2001. The data were recorded on audio tape and transcribed. Sampling was continued until the data were theorectically saturated. The Colaizzi's method was used for data analysis. The results of this study are as follows. Three themes and twenty six meanings were identified. The first theme is Living Alone: living abusively as partner to an alcohol dependent father, living dangerously like an explosive fury, living as an object that ha no self, living with rejection of fatherly being, living with felt responsibility but having no power to help mother who suffers patiently with pain and abuse, living along with no shoulder to lean on, and living with the prejudice of sex discrimination. The second theme is Paradoxical Coping in Life. The meanings are obsessive behavior as a way to control father's behavior, always on the defensive due to anxiety and tension, being afraid of life alone due to paranoid thoughts, contradictory expectation about father's drinking behavior due to life with chronic tension, stress becoming familiar and life being boring and tendious without stimulation, life that is fake and filled with misinterpretations about reality, affection sought from others due to loneliness, compensatory life within peer group, negative expectation about the future due to negative experiences, controling others to protect ego, denial of real emotion to protect self from hurt, life of regretting self, and strong need for approval from others. The third theme is sustaining life. The meanings are ambivalence between revenge on father and pity, struggle for desirable self against fear of gather-like image, understanding father through self reflection, hope to find fatherly being through father's recovery, being able to stand through emotional control and cognitive restructuring, nurturing the seed of hope for the future while in a situation of desperation. The contribution of this study is to give a wholistic understanding of the empirical reality of children of alcohol dependent parents and to develop substantive theory in nursing knowledge. In nursing practice, the results of this study can provide a foundation for the development of programs for children of alcohol dependent parents.

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Study on 'Good Death' that Korean Aged People Recognize - Blessed Death - (노인이 인지하는 '좋은 죽음' 의미 연구 - '복(福) 있는 죽음' -)

  • Kim, Mee-Hye;Kwon, Kum-Ju;Lim, Yeon-Ok
    • Korean Journal of Social Welfare
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    • v.56 no.2
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    • pp.195-213
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    • 2004
  • The purpose of this study is to explore and understand the meaning of 'Good Death' that the Korean aged people are generally thinking based on their values and the sentiments. For this purpose, we carried out individual and in-depth interviews with 40 aged persons living in Seoul taking their genders and social-economic status into consideration from March to May 2003. We applied qualitative research method to this study. Eight graduate students were responsible for the interviews. They majored in gerontology or had experiences of field work with old persons. It took an average of one and a half hour and maximum of two hours for each of the interviews. All of the processes of each interview were tape-recorded under the agreement with each interviewee. The main and sub themes from the data can be classified to seven categories according to the Phenomenological Approach designed by Colaizzi(1978). The main theme of good death that most of the interviewees considered was 'Blessed Death', very similar to 'Death Fortune' in the five good fortunes found in Korean tradition and the Confucianism. Also, the main concept is classified to seven sub-themes: (1) Not seeing their children's death; (2) Dying in front of their children; (3) Not to be a burden of their children during their lives; (4) Dying after doing all of their duties as parents; (5) Dying with no pain; (6) Completing the natural span of their lives; and (7) Prepared death. Thus, 'Blessed Death' that Korean aged people consider seems to be very closely related with the lives, health, happiness and success of their children. Based on the findings, we concluded that both social policy makers and social service providers are required to keep in mind the meanings of 'Good death' that most of the Korean aged people consider in order to help them enjoy successful aging during their remaining lives.

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A Phenomenological Study of the Experience of User-Centered Services - Focusing on the Users of Comprehensive Care Service for the Aged - (이용자 중심(User-Centered) 서비스 경험에 관한 현상학적 연구 -노인돌봄종합서비스 이용자를 대상으로-)

  • Jung, Se Hee;Jung, Jin Kyung
    • Korean Journal of Social Welfare
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    • v.65 no.1
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    • pp.325-346
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    • 2013
  • This study aimed to have an understanding of how the users of comprehensive care service for the aged experience the user-centered services. For this, this study placed focus on the essential aspects of the experience of using the service including the meaning of the choice of users being emphasized as practical principles in user-centered services as well as the real context of such a choice. The research methods suggested by Giorgi in phenomenological studies were adopted for data analysis, and intensive interviews were conducted for 10 users living in Seoul who are over 65 years of age. According to the results of the analysis, the interviewees' experience of the service as users were categorized into the elements of "restricted choice of service", "unstrengthened right for the users", "ambivalent emotion about the service", and "awareness of the importance of the relationship with the caregiver", and the essential phenomenon in their experience of the service was "the importance of relationship within restricted choice". This study found out that the choice or self-determination of users was still restricted in the usage of user-centered services. It also found out that the users think it more important to have a positive relationship with the caregiver than the choice of the service granted to them. On the basis of such research results, political implications are proposed to help the establishment of user-centered services.

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Phenomenological Study on Husband's Role in Rural Multicultural Family (농촌 다문화가정 여성의 남편역할 인식과 경험에 대한 질적연구)

  • Cho, Hae Sun;Ryu, Jin A
    • Journal of Agricultural Extension & Community Development
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    • v.20 no.1
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    • pp.265-297
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    • 2013
  • This study performed quality study to examine cognition and experience as it is about husband role of wife's perception in rural multicultural family. Specifically the results of in-depth interviews with 13 females in rural multicultural family was analyzed through phenomenological method. The results were as followings: first, wife's cognition about husband role in rural multicultural family, they were 'nice and warm man', 'no special thought', 'clean and cool looking man', 'man without straitening wife', 'husband taking care of housekeeping', 'having independent family' and 'strong responsibility to children'. Females in rural multicultural family did not deeply think about husband's role at international marriage, but it could be known that vague longing for rich country, Korea by Korean wave and its expectation continued to expectation on husband. Second, they were 'good-tempered and nice to me', 'adjust to me', 'irresponsibility and apathy', 'cannot lean to him', 'no housekeeping', 'intermediate role between his family', 'more taking care of children, parents and relatives', 'drink, gambling and violence'. The experience of husband role was little different from cognition of husband role by females in rural mulitcultural family.