Journal of Korean Academy of Nursing Administration
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v.7
no.2
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pp.237-251
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2001
It is important for nursing managers to understand the lived experience of nursing care for dying patients in clinical nurses for the effective management of them. The purpose of this Phenomenological study was to explore the lived experience of nursing care for the dying patients in clinical nurses and identify the meaning and structure of their lived experience. This study was conducted from 1 of June, 2000 to 1 of November, 2000. Data were collected with several in-depth interviews until data were fully saturated, from 1 of June, 2000 to 10 of September, 2000. The Subjects were five nurses who had more than three-year job experience in caring for dying patients, three protestant christians and two atheists, one married and four unmarried persons. The range of their age was from 28 to 36. Data were analysed by the Colaizzi's methodology. Ten themes were extracted from fifty-one fomulated-meanings. Fomulated-meanings were extracted from the restatements and the significant-statements which were deriven from the raw data. Finally ten themes took form of five structures. Five structures of 'The lived experience of nursing care for the dying patients in clinical nurses' were : 1. Experiencing guilty feeling and anger due to their and other's manneristic and ignored attitude toward dying patients 2. Feeling heartily the necessity of the education of hospice care because of their incompetence due to lack of knowledge of hospice care 3. Recognizing the human rights of dying patient's thinking themselves and their families 4. Felling satisfaction with their nursing accomplishments and reflecting their life through nursing care of the dying patients 5. Experiencing low self-respect due to the other's negative perspective toward their job The results of the study would give useful information to nursing managers to understand the lived experience of nursing care for dying patients in clinical nurses and establish adequate strategies to support them.
Purpose: The research aims to understand the lived experience of the caregivers of chronic renal failure(CRF) patients and its essential meaning. The results of the study can be used as basic materials for developing comprehensive intervention methods of care givers of CRF patients. Method: The research used van Manen's hermeneutic and phenomenological research methods in order to describe the lived experience and to understand its meaning. It concentrates on the understanding the essence of experience and consists of existential survey, hermeneutic and phenomenological reflection and hermeneutic writings. Participants in this research were five women care givers of CRF patients who had hemolysis at C university hospital in a metropolitan city, the period of data collection was from July 27 to Sep. 4, 2004 and major data of results in the following 5 essential themes. "sole responsibility for the patient enduring everything", "creating their own field", "heavy and painful life without hope of their private life", "wishing not to be inherited and consoling each other". Conclusion: The above findings point out that the experience of care givers of CRF patient affected and changed all parts of an individual life and his or her family life. Therefore, it suggests that total family nursing care must be considered in order to provide the holistic caring for CRF patients and their care givers.
Purpose: The purpose of this study is to investigate the perception of nursing students' on-site clinical experience at intensive care unit(ICU), which will help on developing fundamental tool to enhance the effect of their clinical practice. Method: Van Manens hermeneutic-phenomenological method has been used to analyze the data. Participants consisted of 74 third-year nursing students who performed the clinical practice at an ICU in C university hospital. The students got the group interviews and kept the clinical diaries. Data was collected from series of group interviews and contents of the students clinical diaries. Result: Major concerns related to students clinical practice were found as follows : "being nervous about unfamiliar machines and situations", "being frustrated about the patients", "feeling of helplessness", "being stupefied from witnessing a death", "realizing the importance of health", "realizing individual patient's precious value through family's love", "realizing the importance of treating a patient as humanbein g", "realizing the differences between theory and practice", "modelizing two aspects of nursing: professional and personal", "readiness to become a capable nurse". Conclusion: We are able to obtain in-depth understandings about the nursing students lived experience of clinical practice at the ICU. Based upon this, there is a need to develop a better nursing intervention enhance the effectiveness of the nursing students clinical practice.
Purpose: The purpose of this study was to deepen understanding the nature of the care experience by the mothers with adult children in persistent vegetative state. Methods: Participants were 7 mothers caring for their adult children in persistent vegetative state. Data were collected individually through in-depth interviews on their lived experiences. Also texts were included as data from literary works, novels, movies, essays, and arts containing on patients with persistent vegetative state and their mothers. Data were analyzed by van Manen's phenomenological methodology. Results: The essential themes of caring experiences of the mothers were as follows. The theme in relation to lived time has shown as back to the past and caring experience related lived body has emerged as locked the body in children. The theme related lived space was getting into the swamp and the theme in lived others was derived as lonely struggle into. Conclusion: The nature of mothers' caring experiences for adult children in persistent vegetative state is summarized as 'Do not off hand of hope in a locked state'. This study suggests long-term supports are necessary for mothers to care persistent vegetative state children.
This study was to explore lived experience of middle-aged women with aging. The ultimate purpose of this inquiry was to discover the essence of middle-aged women's experience of aging and to promote understanding. Method: This inquiry was performed by using Van Manen's hermeneutical phenomenological approach to make more plausible interpretation of experience. First-handed experiences were explored through multi-stage in-depth interview with 6 women aged between 40 and 64. Second- handed experiences were explored with text such as essay, novel, and photographs. Result: As the process of reflecting and analysing the data of experience were performed, essential themes were emerged: striking onset of event, discomfort and tired body and mind, everything in ones mind, age of harvest gaining much more than loss. Conclusion: This inquiry would be a cornerstone for humanistic nursing care for the mid-aged women.
Purpose: To explore the lived experience of home health nurses' role conflicts and the associated meaning of those as perceived by the home health nurses. Methods: This qualitative study was conducted between November 2021 and January 2022 among five home health nurses who were recruited. Data were collected through in-depth interviews and inductively analyzed using Colaizzi's descriptive phenomenological inquiry. Results: The participants' lived experience of role conflicts were grouped into four main categories, namely role conflicts due to shortage of qualified home health nurses, role conflicts exacerbated by the COVID-19 pandemic, interpersonal relationship conflicts, and conflicts with existing systems and their solutions. Conclusion: Knowledge developed from the experiences of the participants indicated various role conflicts, both interpersonal and systematical, while they recognized the significance of their role as the home health nurses. In the future, support systems should be established at the organizational and systematical levels to ensure a better workforce environment for home health nurses.
Purpose: The purpose of this qualitative study was to explore the meaning of the experience of Korean immigrant nurses working in US hospitals. Methods: Purposive sampling yielded 15 Korean immigrant nurses who had more than one year of clinical experience in US hospitals. Data were collected from March to August 2012 through in-depth interviews and thematic analysis was conducted using van Manen's hermeneutic phenomenological approach. Results: The findings were classified into eight themes: 'struggling from staff at workplace being territorial to outsiders', 'feeling oppressed due to language barrier', 'accepting rational and horizontal relationships at work', 'staying alert in the environment where lawsuits are rife', 'feeling a sense of stability from the social system that values human dignity', 'maintaining self-confidence from prominent nursing practices and senior Korean nurses' professional reputation', 'performing essential comprehensive nursing care', 'promoting self-development to be equipped with professionalism.' Conclusion: The findings indicate that the Korean immigrant nurses were able to excel in their workplace when their clinical experience at US hospitals was combined with the lived space in US politics and environment, lived time of patience, lived body to be alert, and lived others with multi cultural characteristics.
Women’s experience of abortion are not only widespread but also significant event in their lives. But this experience has not been a concern for professional care by health care providers, especially nurses. As professional nurses should have holistic approaches to clients, need to understand the lived experience of abortion from women’s perspectives. These Nurses must identify unique means for improving the quality of life of women. This study identified the meaning and structure of the lived experience of abortion. The participants were residents of Seoul and Kwang ju who were recruited through personal recommendation. Colaizzi’s method was used for the phenomenological analysis. The research question was aimed at revealing the covert meaning of abortion. The 14 women who had a spontaneous abortion and /or an artificial abortion and who argeed to participate in the study were informed of the purpose of the study, the possible risks and benefits of participation, the data generation method and they were assured of privacy and confidentiality. The investigator conducted in-depth unstructured interviews which were audiotaped with the permission of the participants. The investigator read the data repeatdly to identify and categorize themes and basic structural elements. Eight themes of abortion as experienced by these participants were : 1) complicated feelings about the anticipated abortion 2) feelings of fear and anxiety about the operation and complications 3) grieving related loss and injury 4) feelings of lonliness in perceiving no supportive person, 5) attributing the cause of the abortion to siginificant others or to self, 6) guilt feelings and resentment, 7) vacillating between regretting and not regretting, 8) struggling to a responsible person. Five basic structures identified were : 1) Complicated feelings 2) Feelings of loss and need for caring 3) Attributings to cause to significant others 4) Paradoxical emotion 5) Struggling to be a responsible being The significes of this study for nursing are : 1) It enables nurses and other health care providers understand more clearly the lived experience of abortion 2) It provides information which can be used in for women who experience abortion.
The Journal of Korean Academic Society of Nursing Education
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v.10
no.1
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pp.161-171
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2004
Purpose: The purpose of the study is to investigate the reality of nursing students lived experience of clinical practice nursing of dementia patients, which will provide the basic research material to enhance the effect of their clinical practice. Method: Van Manens hermeneutic-phenomenological method has been used to analyze the data. Participants consisted of 8 second-year nursing students who did the clinical practice at a dementia unit in C hospital. Data was collected from in-depth face to face interviews. Result: $\ulcorner$being confused by the unfamiliar environment of nursing practice$\lrcorner$, $\ulcorner$being disordered about the patients' duality behaviour$\lrcorner$, $\ulcorner$perceiving necessity to accept patients' behaviors$\lrcorner$,$\ulcorner$feeling personal connections likely to grandmother$\lrcorner$, $\ulcorner$realizing the patients affection of their family$\lrcorner$,$\ulcorner$being frustrated by the patients' hopelessness$\lrcorner$,$\ulcorner$lessening biased view on dementia$\lrcorner$, $\ulcorner$feeling the anxiety about the unsecured future$\lrcorner$, $\ulcorner$realizing the necessity of the gradual and individual care$\lrcorner$,$\ulcorner$understanding the nursing of dementia as comprehensive nursing$\lrcorner$Conclusion: We are able to obtain an in-depth understanding about the nursing students lived experience of clinical practice nursing of dementia patients. Based upon this, there is a need to develop a better nursing intervention in order to enhance the effect of the nursing students clinical practice.
Purpose: This study was done to describe the essential structure of the lived experience of working women raising children. Method: Data were collected from 10 employed women with children who were under 2 years of age. The analysis of the data was done using the phenomenological analytic method suggested by Colaizzi (1978). Results: In this study, 6 essential themes were extracted: 'knowing by intuition child-rearing is difficult', 'having guilt-conscious of not being able to perform duties as a mother', 'hard work of maintaining two jobs', 'Lost self', 'realizing that one has become amother', 'thirsting for a social support system'. Conclusion: With a rapidly increasing number of working women, the significance of this study in the field of nursing is in understanding the child-rearing experience of working women. The findings indicate the need for a systemic and emotional support system for working women raising children.
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