A reflective journal as learning process and contribution to quality and validity in interpretative phenomenological analysis

Vicary, Sarah; Young, Alys; Hicks, Stephen

doi:10.1177/1473325016635244

Cited by 52 publications

(37 citation statements)

References 27 publications

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“…As discussed previously in Table 2 , memos were written after each interview in order to demonstrate reflexivity [ 83 ]. I would argue that my reflexivity enhances the reader’s understanding of my own values and therefore adds confirmability and validity to this study [ 84 , 85 ].…”

Section: Discussionmentioning

confidence: 70%

The Frontline Nurse’s Experience of Nursing Outlier Patients

Cheung

West

Boughton

2020

IJERPH

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The frontline nurses’ experience of nursing with overstretched resources in acute care setting can affect their health and well-being. Little is known about the experience of registered nurses faced with the care of a patient outside their area of expertise. The aim of this paper is to explore the phenomenon of nursing the outlier patient, when patients are nursed in a ward that is not specifically developed to deal with the major clinical diagnosis involved (e.g., renal patient in gynecology ward). Using a hermeneutic phenomenological approach, eleven individual face-to-face in-depth interviews were conducted with registered nurses in New South Wales, Australia. The study identified that each nurse had a specialty construct developed from nursing in a specialized environment. Each nurse had normalized the experience of specialty nursing and had developed a way of thinking and practicing theorized as a “care ladder”. By grouping and analyzing various “care ladders” together, the nursing capacities common to nurses formed the phenomenological orientation, namely “the composite care ladder”. Compared to nursing specialty-appropriate patients, nursing the outlier patient caused disruption of the care ladder, with some nurses becoming less capable as they were nursing the outlier patient. Nursing the outlier patient disrupted the nurses’ normalized constructs of nursing. This study suggests that nursing patients in specialty-appropriate wards will improve patient outcomes and reduce impacts on the nurses’ morale.

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Section: Discussionmentioning

confidence: 70%

The Frontline Nurse’s Experience of Nursing Outlier Patients

Cheung

West

Boughton

2020

IJERPH

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“…Transparency and a critical reflective stance were maintained through the keeping of a detailed audit trail [28] and reflective diary [29] at each step of the process.…”

Section: Discussionmentioning

confidence: 99%

Experiences of living with dystonia

Morgan

Eccles

Greasley

2019

Disability and Rehabilitation

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Purpose: Dystonia is a chronic and incurable movement disorder. This qualitative study aimed to enhance understanding of the condition by exploring the experience of living with dystonia. Method: Interpretative phenomenological analysis was used to analyse data gathered through semi-structured interviews. Eight participants were recruited via a UK based dystonia charity. Results: Three superordinate themes emerged from the data: (1) Dealing with ignorance and uncertainty: navigating health services with a rare, poorly understood condition; (2) The challenge of social isolation: overcoming barriers to positive social identity; and (3) Fear of psychological explanations: the impact of stigmatised attitudes towards psychological explanations for dystonia symptoms. Conclusion: Coping with a rare and chronic condition led to participants feeling isolated and stigmatised by health care services and their communities. Participants were able to overcome this challenge to their identities through the use of social support, particularly from other people with dystonia. Recommendations for reducing the stigmatising experiences of people with dystonia can help to ease the process of adjustment to the illness and enable people to pursue meaningful lives and positive identities. Recommendations for research are aimed at increasing knowledge about these processes.

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“…It also made it easier to ask pertinent questions and interpret jargon and technical data more accurately. The use of journalling helped to explicate the interpretative process and was particularly useful when exploring the discomfort or challenges presented by data that contradicted her own assumptions or personal experiences (Vicary et al., 2016).…”

Section: Using Ipa To Explore Paramedic Decision Makingmentioning

confidence: 99%

Unlocking intuition and expertise: using interpretative phenomenological analysis to explore clinical decision making

Anderson

Slark

Gott

2019

Journal of Research in Nursing

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Background: Clinical decision making is a complex, but important, research area. Decisionmaking theories have evolved to recognise that, although heuristics and biases can lead to error, expert clinician decision makers can also use intuition to good effect. More research is needed to understand how nurses and other clinicians make sense of complexity and uncertainty. Aim: This paper discusses the utility of interpretative phenomenological analysis to elucidate clinical decision making, expertise and intuition. Methods: A narrative review of published interpretative phenomenological analysis studies exploring clinical decision-making, and discussion of an exemplar study. Results: A limited number of interpretative phenomenological analysis studies have been published in this area. By seeking out descriptions of real-world decision making, interpretative phenomenological analysis research provides ecologically valid insights into what it is like to make time-critical, high-stakes decisions with limited information. Conclusion: Contributing to the study of complex clinical decision making in combination with other research approaches, interpretative phenomenological analysis research has significant

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A reflective journal as learning process and contribution to quality and validity in interpretative phenomenological analysis

Cited by 52 publications

References 27 publications

The Frontline Nurse’s Experience of Nursing Outlier Patients

The Frontline Nurse’s Experience of Nursing Outlier Patients

Experiences of living with dystonia

Unlocking intuition and expertise: using interpretative phenomenological analysis to explore clinical decision making

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