Existential aspects of living with addiction – Part II: caring needs. A hermeneutic expansion of qualitative findings

Wiklund, Lena

doi:10.1111/j.1365-2702.2008.02357.x

Cited by 44 publications

(51 citation statements)

References 67 publications

(124 reference statements)

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“…Currently, the conceptual understanding of spirituality has expanded to include connections amongst human beings, with nature and with their God [3,4] . This definition implies that, while spirituality is related to personal discovery and self-reflection, it also encompasses the ability to see beyond the self and become more than the physical person.…”

Section: Introductionmentioning

confidence: 99%

Motivations driving spiritual engagement based on a phenomenological study of spirituality amongst palliative care clients and caregivers

Penman

2012

JNEP

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Objective: The attention given to spirituality has dramatically increased, especially in contemporary western society, because of its significant link to good health and well-being. Spirituality has relevance for individuals with life-limiting conditions. It is heightened when individuals encounter this predicament. The purpose of this research was to determine the essence of the lived experience of spirituality and spiritual engagement from the perspective of palliative care clients and caregivers. One of the objectives was to understand the reasons why they engage in spiritual matters and this is the focus of the paper. Methods:A qualitative approach, based on van Manen's theoretical framework of hermeneutic phenomenology, was chosen for this research. This approach enabled human experience to be studied as it was lived and examined to the fullest breadth, depth and extent through a dynamic interplay of several research activities. In-depth interviews of four (4) palliative care clients and ten (10) caregivers from regional and rural Australia provided rich experiential discourse of what motivated them to engage in spiritual matters. Results:The driving force that motivated the study participants to engage in spirituality was the benefits they might derive in the process of spiritual engagement. The motivations for spiritual engagement could be categorised as intrinsic and/or extrinsic. Intrinsic motivation, defined as the innate propensity to engage one's interest in spirituality and satisfy spiritual needs, included "to have peace and acceptance", "to seek healing", "to be able to cope", and "to find positive meaning in illness and suffering". Extrinsic motivation, which comes from external influences and events that constitute the incentives and consequences to pursue spirituality, included "to communicate love and concern", "to better care for the loved one", "to build intimate relationships", and "to provide comfort to others". Once the drive or motivation arose, behavior was energised to engage in spiritual matters, reaping both self-serving and altruistic benefits.Conclusions: Spirituality provided many real and potential benefits for those who engaged in it. Simply put, it helped participants cope. It becomes imperative for nurses and other health professionals to pay attention to these phenomena. The implications of this study relate to clinical practice and the educational preparation of nurses and other health professionals involved in caring for people with life-limiting conditions.

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Section: Introductionmentioning

confidence: 99%

Motivations driving spiritual engagement based on a phenomenological study of spirituality amongst palliative care clients and caregivers

Penman

2012

JNEP

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“…Being active, whether sober or drunk, gave the men meaning in life. A recent study found that a sense of meaning in life is a central part of the recovery process in individuals suffering from substance dependency disorders (Wiklund, 2008). Furthermore, it has been pointed out that men suffering from AD felt they were being cared for when professionals gave them room to actively combat temptations of alcohol and to expand the life sphere themselves (Thurang, Rydström, Bengtsson-Tops, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…Wiklund (2008) pointed out that in order to make the life comprehensible and manageable, individuals suffering from substance dependency need to have their life under control in the recovery process. Exercising self-control is connected to power and is a part of the hegemonic masculinity (Connell, 2007).…”

Section: Discussionmentioning

confidence: 99%

Experiences of Everyday Life in Men with Alcohol Dependency—A Qualitative Study

Thurang¹,

Palmstierna

Tops

2014

Issues in Mental Health Nursing

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The aim of the present study is to describe and understand the meaning of living with alcohol dependency (AD) as a man. Studies point out a high prevalence of AD in men and the reasons for, and consequences of, that are complex. However, today there is a lack of knowledge about men's lived experiences of having AD. In-depth interviews were conducted with 15 alcohol dependent men and analyzed using a phenomenological-hermeneutic approach. In the comprehensive understanding, findings from the naïve understanding and the structural analysis were interpreted with help from both gender and caring theoretical perspectives. "A Fallible Man" and "A Man with Powerfulness" were disclosed as two main gender formations influencing senses of well-being. A Fallible Man involved varying experiences of restrictions, being in control, and meaninglessness. Being in control promoted a sense of well-being. A Man with Powerfulness involved energetic activity, and the development and maintaining of interests as well as risk-taking. Being powerful diminished feelings of meaninglessness, cravings, and social alienation. The results show, among other things, that the men live an incompatible life and, because of that, need support and guidance to find a more meaningful life. This can be accomplished if caregivers allow men to be in focus and involved in planning their own care. To avoid limiting the men while they are in treatment, the health care professionals also need to focus on the men's everyday life. This focus involves acknowledging the men's individual experiences of what enriches and limits their everyday lives.

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“…From a nursing perspective it is of importance both in practice and research to focus on the individual patient's suffering, well-being, and needs of care (Benner, 1984;Eriksson, 2006). In line with this perspective, previous studies within the area of treatment of individuals suffering from alcohol dependency have pointed out the necessity of capturing both the lived experiences of being cared for (Smith, 1998;Thurang, Palmstierna, Fagerberg, & Bengtsson-Tops, 2010;Wiklund, 2008) and issues related to aspects of gender (Bloomfield, Gmel, & Wilsnack, 2006;John, Alwyn, Hodgson, & Phillips, 2008). According to Skeggs (2000) and Connell (2007) gender is performed and constructed at the breakpoint of individual, societal, cultural, and economical aspects of the lived life.…”

mentioning

confidence: 93%

“…All these factors contribute to an ongoing process of circulation to various formations of gender both between and within individuals (Connell, 2007). Currently, there is a lack of studies that investigate the lived experiences of patients with alcohol dependency being cared for by advanced nursing professionals (Wiklund, 2008). The aim of the present study was to explore and illuminate the meaning of caring in advanced nursing for men with alcohol dependency, as narrated by men themselves.…”

mentioning

confidence: 99%

Being in a Safe Haven and Struggling Against Alcohol Dependency. The Meaning of Caring for Male Patients in Advanced Addiction Nursing

Thurang

Rydström

Tops

2011

Issues in Mental Health Nursing

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The aim of the present study was to explore and illuminate the meaning of advanced nursing caring for men with alcohol dependency, as narrated by the men themselves. Ten male patients were interviewed in-depth and data were subjected to a phenomenological-hermeneutic analysis. Caring meant having the opportunity to rest in a safe haven together with professional caregivers, to struggle for liberation from dependency, and to expand the life-sphere by starting to accept oneself and broaden social participation. The findings illuminate various patterns of masculinity and point to the importance for caregivers to be open to challenging stereotypical gender assumptions.

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Existential aspects of living with addiction – Part II: caring needs. A hermeneutic expansion of qualitative findings

Abstract: Understanding and being able to identify patients' caring needs associated with existential aspects of living with addiction will enable nurses to provide professional care and promote patient's recovery.

Cited by 44 publications

References 67 publications

Motivations driving spiritual engagement based on a phenomenological study of spirituality amongst palliative care clients and caregivers

Motivations driving spiritual engagement based on a phenomenological study of spirituality amongst palliative care clients and caregivers

Experiences of Everyday Life in Men with Alcohol Dependency—A Qualitative Study

Being in a Safe Haven and Struggling Against Alcohol Dependency. The Meaning of Caring for Male Patients in Advanced Addiction Nursing

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