Phenomenological Analysis Research Articles

'I never knew it was so prevalent': Experiences and perceptions of student health visitors recognising and responding to domestic abuse in practice placement settings.

Health visitors have a key role in supporting and protecting adults and children affected by domestic abuse. The study aimed to examine the experiences and perceptions of student health visitors recognising and responding to domestic abuse in practice placement settings. Semi-structured interviews were conducted with five student health visitors in the United Kingdom. Interviews were transcribed and analysed using interpretive phenomenological analysis. Four superordinate themes were identified: 'part and parcel of health visiting practice'; 'challenges in identifying domestic abuse'; 'uncertainty and apprehension'; 'strengthening knowledge and confidence'. All participants had engaged in practice activities related to domestic abuse within SCPHN placements, commonly expressing a sense of disbelief at the scale of the issue in practice. Difficulties and unease regarding identification and management of domestic abuse were reported. Access to support and opportunities to reflect and 'talk things through' were found to be important for students regarding this sphere of practice. The findings contribute to the body of knowledge about domestic abuse-related practice within nursing. Recommendations made may contribute to practice development and help inform future teaching and educational strategies within SCPHN programmes.

Navigating protean career paths in medical education: insights from outstanding medical educators in South Korea

BackgroundThis study explored the career development experiences of Korean medical educators who have forged their paths amid dynamic medical education landscapes. Additionally, it explored their career development process by introducing a protean career theoretical framework, that is, an individual-led career development theory.MethodsThis study employed Interpretative Phenomenological Analysis (IPA) to gather in-depth insights regarding the experiences of medical educators who have successfully built their careers in Korea. Semi-structured interviews were conducted with nine medical educators to investigate the significance of these experiences. The emerging themes were categorised based on the protean career theory during data analysis.ResultsThe findings revealed that medical educators navigated their careers in line with the protean career development model, characterised by protean career orientation, process and outcomes. Their experiences in the medical education domain were aligned with eight factors of the protean career model – self-direction, intrinsic work values, awareness, adaptability, agency, subjective career success, objective career success and organisational commitment.ConclusionIn the context of less structured career pathways and a rapidly evolving regional environment, medical educators have developed individual-driven careers with self-direction and intrinsic values, formed their identities and demonstrated flexibility and proactive strategies. Hence, the protean career model successfully explains the characteristics of self-directed career development for medical educators, while emphasising the need for organisational support.

Navigating Societal Stressors Through Yoga in Korea

Modernization in Korea has led to increased psychological tension driven by changes in societal expectations and social norms. The current study explores the role of yoga in promoting stress-related growth in response to psychological stress and trauma within Korean society. We adopted interpretive phenomenological analysis to explore the lived experiences of 12 adults who practiced yoga regularly through in-depth interviews. Reflexive engagement with the data led to the development of the following themes: a) societal stressors in Korea, b) emotional regulation through the mind-body connection, c) self-care and d) manifestation in other dimensions of life. Building on the theoretical foundation of cognitive appraisal theory, our findings revealed that yoga facilitated a shift in perceptions and ability to manage stress by cultivating mindfulness. This research highlights the multifaceted dynamics of yoga in managing societal expectations in Korea and emphasizes its potential to promote psychological well-being and stress-related growth.

Mindfulness meditation among South African psychologists: a pathway to ‘being’ amid existential suffering in contemporary South Africa

Mindfulness is currently regarded as a life skill as well as part of an approach to life that can generate beneficial intrapersonal and relational outcomes. Given the centrality of intrapersonal and relational outcomes in psychotherapeutic encounters, it seems logical that the practice of mindfulness by psychologists would be relevant to explore, especially in contemporary South African contexts where high levels of trauma, interpersonal distress, and resultant existential and intrapsychic struggles prevail. The study seeks to address an identified gap in existing research concerning the experienced relevance of long-term mindfulness meditative practice for counselling psychology and therapeutic practice generally, particularly in the South African context. Located within an interpretivist paradigm and interpretative phenomenological analysis, this study explored the mindfulness and mindfulness meditation practices of 11 South African counselling psychologists and the ways in which these practices informed their being in both personal and psychotherapeutic settings. Each participant was invited to participate in a semi-structured interview and reflexive journalling task as part of the research process. The findings centralise the being capacities afforded to psychologists through a mindfulness practice and identify how the related elements of non-judgement, nonattachment, and (re)connection enable enhanced relational encounters with clients. The findings contribute to the limited literature related to the value of psychologists’ mindfulness practices in relation to the way in which they manage their own responses to clients, as well as the potential for mindfulness practices to help clients manage presenting trauma responses.

Accessing an assisted death from the UK: Navigating the legal ‘grey’ area

Assisted dying is available in many countries globally but remains illegal in the UK, where there are ongoing debates about its legal status. Britons seeking an assisted death must travel to Switzerland. This article explores the experiences of UK-based individuals considering an assisted death and family members of those who have completed an assisted death. We recruited 11 participants across two qualitative studies, analyzing data using Interpretative Phenomenological Analysis. These results indicated four themes: the "burden" of illness; the value of autonomy and control over death; the difficulties of talking about assisted dying; and the barriers associated with pursuing an assisted death. The findings suggest there are individuals in the UK who will seek an assisted death, despite its illegality. Those involved in these journeys are not currently able to access support and more needs to be done to ensure their needs are met.

Unveiling the Core Competencies in Neuroscience Nursing Within the Context of Italy: A Qualitative Phenomenological Analysis.

Background: In 2008, the European Association of Neuroscience Nursing (EANN) initiated the NeuroBlend™ project, which aimed to delineate the roles and competencies of neuroscience nurses across Europe. This project resulted in the development of the European Competence Profile (ECP), intended to standardize educational pathways and professional recognition for this specialized field. Aim: This study examines the relevance of neuroscience nursing practices to the competencies outlined in NeuroBlend™ across different Italian care settings, including multiple sclerosis, pediatric neurosurgery, pediatric neurology, Alzheimer's disease, and substance addiction. Methods: A phenomenological approach was employed, utilizing focus groups to gather the perspectives of nurses on the competencies defined by the NeuroBlend™ model. The focus groups were conducted from May 2022 to September 2022. The data collected from the focus groups were analyzed using thematic analysis. Results: Thirty nurses participated in the focus groups. Thematic analysis revealed the core competencies, such as communication, empathy, flexibility, and reflective skills, as critical in all care settings. The main themes that emerged were relationships with patients and families, personalized care, and continuity of care. Conclusions: The competencies outlined in the NeuroBlend™ framework are vital to the role of neuroscience nurses in the settings studied and remain highly relevant in the context of Italian healthcare.

Equitable food and nutrition security initiatives for farmers and fisher folks in Masbate, Philippines

Loss of income among Filipino farmers and fisher folks caused by the pandemic resulted to food and nutrition insecurity in their respective households. Their low level of education limited their source of livelihood into small scale farming, fishing, or both thus also limiting their income and opportunity to find additional sources of income. Descriptive statistics was used alongside Smith’s Interpretative Phenomenological Analysis to analyze the data and understand the respondents’ lived experiences. The pandemics negative effect to their source of livelihood prompted them to institute drastic coping mechanisms for survival. Despite the dire situation the respondents still possess a positive outlook in life and have shown their usual resiliency to disasters. Life lessons drawn from them aided in the formulation of personal and organizational development policies in the context of the province of Masbate, Philippines. Finally, the Smart Sirungan Framework for a Food and Nutrition Secure Future was created and presented for possible utilization and further studies.

‘The most stressful thing…was never the content, really’: The emotional impact PICS practitioners experience during consultation and formulation

The Psychologically Informed Consultation Service (PICS), based in Merseyside and Cheshire, aims to help Probation Practitioners develop a psychological understanding of people on probation who are assessed as high risk and have been reported to have personality disorder traits. A role of high importance and benefit, but one that also sometimes involves exposure to highly emotive content. It is vital to consider PICS Practitioners’ emotional wellbeing. This research aims to explore the emotional impact PICS Practitioners experience during the consultation and formulation processes. Semi-structured interviews were conducted with seven PICS Practitioners and Interpretative Phenomenological Analysis was used to analyse the data. Five Experiential Themes were identified: Changes within PICS impacted Practitioners’ experiences of the role; advantages and disadvantages to being a removed service; high workload having negative impact on consultation and formulation process; emotional impact of the role; and an overall sense of gratitude for the role and appreciating its purpose.

A new identity: Enhancing life skills and work-readiness for those with a sexual offending history

The purpose of this research was to examine the experiences of individuals, with a sexual offending history, who have engaged with a community-based life skills and work-readiness programme. With a view to understand the impact of such programmes on their rehabilitation and to inform a growing body of research around the approaches needed for promoting rehabilitation within this group. Semi-structured interviews were conducted with four participants about their experiences of accessing a community-based charity and three themes were identified using Interpretive Phenomenological Analysis: “a place to belong without fear or judgement;” “creating an identity away from offending;” and “space and time to realise own potential.” These findings were discussed in relation to the Good Lives Model; previously identified protective factors for people with a history of sexual offending; and desistance research. The research offers a number of recommendations for practice which can be used by organisations to help them develop an inclusive and meaningful approach to supporting individuals with a history of sexual offending.

Transformative Vengeance: Unveiling the Intricacies of Revenge as a Catalyst for Change within Family Dynamics

Background: The present study is looking at how young adults comprehend and execute revenge against their parents. Despite convincing evidence that the combination of profound emotional attachment and high degrees of interdependence with competitiveness and power struggles almost invariably leads in an enhanced ability to harm and be harmed, the question of revenge has received little attention among family academics. Aim: The goal of this study was to contribute to the growing body of research about how different groups perceive, execute, and experience vengeance. Method and material: For this study, the transcript of 4 semi-structured video interviews was analysed using Interpretive Phenomenological Analysis (IPA). The IPA identified three superordinate themes (1) Revenge as a catalyst for change (2) From comparative suffering to mutual understanding (3) Towards a more adaptive homeostasis. Result: The findings challenge traditional views of revenge as solely punitive, highlighting its strategic role as a mechanism for change inside family dynamics. The study also emphasizes the interplay between emotion and cognition in revenge decisions. Several motivations were identified, assert autonomy, competence, and improve emotional connections within the family. The findings also suggest that revenge seeks to establish communication through comparative suffering. Conclusion: In summary, this study finds revenge to be a multifaceted emotional response, capable of serving as a strategic tool for instigating positive change. The findings provide new insights into revenge, demonstrating its potential as a catalyst for transformation within family dynamics.

Peculiarities of choreographic education in higher education establishments in Ukraine during the covid-19 pandemic: A phenomenological analysis

This article presents a phenomenological analysis of the impact of the COVID-19 pandemic on choreographic education processes in higher education establishments in Ukraine. The research is based on a systematic study of the experiences of teachers of choreography in Ukraine during the pandemic, focusing on the changes brought about in the educational process by the restrictions imposed in response to the global crisis. The authors conducted qualitative research, including interviewing teachers and analyzing the collected data. They investigated how teachers adapted their teaching methods to ensure continuity in the educational process despite the transition to distance learning. The article explores different aspects of this process: changes to the organization of the educational process; psychological aspects of pandemic teaching, stress, and teachers' adaptation to new conditions; innovative approaches to education, the use of digital technologies and virtual tools to enhance the educational experience, and the creation of new formats for practical classes. In conclusion, the authors summarize their study findings and discuss the potential implications of these changes for the future of choreographic education in higher education. They also highlight possible limitations and the necessity for further research in this area.

Leading with AI in critical care nursing: challenges, opportunities, and the human factor

IntroductionThe integration of artificial intelligence (AI) in intensive care units (ICUs) presents both opportunities and challenges for critical care nurses. This study delves into the human factor, exploring how nurses with leadership roles perceive the impact of AI on their professional practice.ObjectiveTo investigate how nurses perceive the impact of AI on their professional identity, ethical considerations surrounding its use, and the shared meanings they attribute to trust, collaboration, and communication when working with AI systems.MethodsAn interpretive phenomenological analysis was used to capture the lived experiences of critical care nurses leading with AI. Ten nurses with leadership roles in various ICU specializations were interviewed through purposive sampling. Semi-structured interviews explored nurses’ experiences with AI, challenges, and opportunities. Thematic analysis identified recurring themes related to the human factor in leading with AI.FindingsThematic analysis revealed two key themes which are leading with AI: making sense of challenges and opportunities and the human factor in leading with AI. The two main themes have six subthemes which revealed that AI offered benefits like task automation, but concerns existed about overreliance and the need for ongoing training. New challenges emerged, including adapting to new workflows and managing potential bias. Clear communication and collaboration were crucial for successful AI integration. Building trust in AI hinged on transparency, and collaboration allowed nurses to focus on human-centered care while AI supported data analysis. Ethical considerations included maintaining patient autonomy and ensuring accountability in AI-driven decisions.ConclusionWhile AI presents opportunities for automation and data analysis, successful integration hinges on addressing concerns about overreliance, workflow adaptation, and potential bias. Building trust and fostering collaboration are fundamentals for AI integration. Transparency in AI systems allows nurses to confidently delegate tasks, while collaboration empowers them to focus on human-centered care with AI support. Ultimately, dealing with the ethical concerns of AI in ICU care requires prioritizing patient autonomy and ensuring accountability in AI-driven decisions.

Navigating the social world with neck dystonia: An interpretative phenomenological analysis.

Neck dystonia is a neurological condition, characterised by involuntary movements of the neck muscles, causing twisted head positions and often pain and head tremor. Ten participants with neck dystonia were interviewed and the data was analysed using an interpretative phenomenological analysis approach. Three themes were constructed: (1) dismissed by others for having an unfamiliar condition; (2) negotiating a new social identity; and (3) managing the stigma of a visible condition. It is proposed that psychological support could benefit people with neck dystonia who experience difficulties arising from identity management and stigma. Systemic interventions, such as education campaigns, are also proposed to help address stigmatising attitudes.

What are the experiences of pregnancy for women living with Inflammatory Bowel Disease?

BackgroundInflammatory Bowel Disease (IBD) is a long-term condition affecting the digestive tract and is an umbrella term for two main conditions: ulcerative colitis (UC) and Crohn's Disease (CD), which can cause diarrhoea, anaemia, weight loss, rectal bleeding and abdominal pain. Approximately 500,000 people live with IBD in the UK, with half being diagnosed before the age of 35 years (Ferguson, Mahsud-Dornan, and Patterson 2008). IBD increases the risk of pregnancy complications, with symptoms being unpredictable during pregnancy. MethodsA mixed methods study was undertaken exploring what shaped the experiences of pregnancy for women living with IBD, including an on-line survey and one-to-one interviews. Data from the interviews were analysed using Interpretative Phenomenological Analysis. FindingsExpectations, control and care emerged as key themes which shape the experiences of pregnancy. These included expectations about pregnancy and of those providing care during pregnancy, the positive and negative impact of experienced lack of control and the effects of primary care providers during pregnancy. ConclusionThis novel study enabled women living with IBD to share what shaped their experiences of pregnancy and recommendations about midwifery care to be made. Midwives need to be mindful of the additional risks for women and their babies, and ensure care involves multidisciplinary specialists.

From classroom to collaboration: how pre-graduation interprofessional learning shapes health professional graduates’ interactions in practice

ABSTRACT Interprofessional education (IPE) aims to prepare health professional students with the knowledge, attitudes and skills required for collaborative healthcare practice. Although positive outcomes have been documented at the completion of university-based IPE experiences, or longitudinally across health care degrees, the literature is unclear on how university-based IPE influences graduate practice. This study therefore explores how health professional graduates experience interprofessional interactions in practice and how these may be connected to their university-based IPE experiences. Interviews with seven health professional graduates who had participated in an 11-week IPE course as part of their pre-licensure degrees were analyzed using interpretative phenomenological analysis. The participants were able to articulate instances of effective and less effective collaboration from their professional experiences, making sense of these experiences with explicit reference to the themes of role understanding, collaborative working relationships, interprofessional communication, patient-centered care and contextual influences; all ideas introduced in their university-based IPE. They connected their understanding of roles, collaborative working relationships and interprofessional communication explicitly to their prior university-based IPE, identifying these learnings as foundational knowledge. This connection was not as explicit for patient-centered care and contextual issues. These findings highlight the critical importance of IPE in preparing health professionals for high-quality contemporary practice.

A Phenomenological Approach to Financial Toxicity: The-Economic-Side Effect of Cancer.

The economic burden of chronic diseases such as cancer could negatively impact patients' health and quality of life. The daily management of the disease results in economic needs that patients often face directly, which may lead to real toxicity, just defined as financial toxicity. This study aims to explore cancer patients' experiences, emotions, opinions, and feelings related to the phenomenon of financial toxicity. A phenomenological qualitative descriptive study was conducted through face-to-face interviews with adult oncological patients. The sample (n = 20) was predominantly composed of females (with a meanly 58 years old) with breast cancer and in chemotherapy treatment. The most relevant topics that emerged from the patients' experiences were the impact on work, the distance from the treatment centre, the economic efforts, the impact on the quality of life, and the healthcare workers' support during the healthcare pathway. From the phenomenological analysis of the interviews, three main themes and seven related subthemes emerged. This study provided a phenomenological interpretation of financial toxicity in adult cancer patients and underlines that this issue involves families or caregivers, too. Financial problems appear relevant for those who experience cancer and should be included in a routine assessment by healthcare professionals.

Perspectives and experiences of health sciences academics regarding ChatGPT: A qualitative study

Purpose This study aimed to explore the perspectives and experiences of healthcare academics regarding the impact of ChatGPT, an artificial intelligence (AI)-supported language model, on education and research. Sample and methods This qualitative study employed a phenomenological analysis approach. The study sample consisted of nine academics from the Faculty of Health Sciences at a university in Türkiye, selected through purposive sampling method. Data were collected through semi-structured interviews, coded using the MAXQDA software, and analyzed using content analysis. Results The participants highlighted that while ChatGPT offers rapid access to information, it occasionally fails to provide current and accurate data. They also noted that the students’ misuse of ChatGPT for assignments and exams has a negative effect on their critical thinking and information retrieval skills. The academics reported that there is a need for expert oversight and verification of the data generated by ChatGPT. Conclusion While ChatGPT offers significant benefits such as enhanced efficiency in academic research and education, it also presents challenges, including accuracy and ethical concerns. Institutions should integrate ChatGPT with clear guidelines to maximize its benefits while maintaining academic integrity. Future studies should explore the long-term impacts of AI tools, such as ChatGPT, on educational outcomes and their application across various disciplines.

"We didn't even have time to worry about our mental health." Long-term impact of the pandemic on nursing professionals' experiences.

Explore the experiences of nursing professionals during the COVID-19 pandemic and the impact these experiences continue to have on their personal and professional lives. This qualitative study utilized interpretative phenomenological analysis with nine nursing professionals from southern Brazil. Two main themes and five subthemes were developed. The first theme, "Ongoing trauma response," had three subthemes: (a) Fear of dying and family dying, (b) Loneliness and isolation, and (c) My emotions don't matter. The second theme highlights the "Continued problems with the larger healthcare system" and is made up of two subthemes: (a) We are humans, not superheroes, and (b) We are still invisible. Symptoms of trauma response continued to be a significant challenge among nursing professionals even after the end of the pandemic. Recommendations for improving working conditions and making mental health services more readily available are discussed.

The role of mind-body interventions in traumatised refugees’ primary care: A qualitative exploration of professionals’ experiences in a dedicated programme in Geneva

Post-traumatic physical and psychological symptoms are pervasive among refugees. Primary care staff face numerous challenges and often seek innovative ways of addressing their refugee patients’ physical and mental health needs. A nascent body of literature suggests that mind-body interventions (MBIs11Mind-body interventions) have a positive effect on post-traumatic symptoms in this population. But the quality of evidence is still poor, and little is known about the role MBI could play in the primary care of refugees. Following the implementation of two different kinds of MBI in a dedicated primary care unit, this study aimed to explore staff members’ perceptions and prescribing habits for MBI. Given the paucity of information about this topic, we used a qualitative design combining ethnography and discourse analysis providing in-depth insight into professionals’ experiences of MBI. Data collected over five-months of non-participative observation and the transcription of twelve interviews were analysed following the Interpretative Phenomenological Analysis method (IPA) yielding four main results: (1) Generally poor initial understanding of MBI; (2) A variety of conditions and situations where MBIs appeared acceptable and helpful; (3) A persistent lack of experience and knowledge about the indications for MBI, hindering prescription; (4) The importance of articulating MBIs with mental health services. These results, in the light of the existing literature, suggest that stronger evidence for MBI efficacy for refugees is required, a key to improving professionals’ understanding of MBI, providing them with explicit prescription criteria, and encouraging stakeholders to implement these innovative interventions.

Knocking on locked doors; a qualitative investigation of parents’ experiences of seeking help for children with eating disorders

ABSTRACT Objective The impact of eating disorders in adolescents extends to the whole family, particularly the parents. These parents are uniquely positioned as their children’s case manager, feeder, and advocator, often with little experience or training to guide them. This investigation aimed to develop an in-depth understanding of the experience of parents seeking help for children with eating disorders. Method Semi-structured interviews were conducted with eight parents who had accessed treatment for their child’s eating disorder within the past 3 years through the Australian health system. Interpretative phenomenological analysis was used to understand their experience. Results Two main themes and six subthemes were identified: Parental Gauge on High (“trusting parental instincts”, “desperation for a compass and map” and “discarded expertise”), and Disappointment in the Healthcare System (“GP’s casual responses to serious cases”, “treatment lucky dip” and “the whirlwind of re-engagement”). Conclusions The findings highlight the difficulties in identifying symptoms and seeking initial help as well as the ongoing toll on parents to navigate the health system and support their children. Findings of the study suggest a need for ongoing, inclusive, and holistic support to help parents navigate care for their children.