Heideggerian hermeneutic phenomenology as method: modelling analysis through a meta-synthesis of articles on Being-towards-death

Gullick, Janice; West, Sandra

doi:10.1007/s11019-019-09911-9

Cited by 4 publications

(2 citation statements)

References 57 publications

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“…Heidegger's philosophy provides a framework for the exploration of existential experiences, nonetheless, there is ambiguity about its operationalisation into specific analytical methods (Gullick & West, 2020 ). Most participants in this study were male, possibly introducing a gender bias.…”

Section: Discussionmentioning

confidence: 99%

The living experience of surviving out‐of‐hospital cardiac arrest and spiritual meaning making

et al. 2023

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Aim To understand the meaning of surviving out of hospital cardiac arrest and its aftereffects among Greek‐speaking survivors. Design Hermeneutical phenomenological method based on Martin Heidegger's philosophy. Methods Eight Greek‐speaking out of hospital cardiac arrest survivors were recruited using purposive sampling method. Data collection and analysis using the seven stages of hermeneutic analysis described by Diekelman. Data were collected through semi‐structured personal interviews with open‐ended questions. Results Analysis revealed five themes: ‘The unexpected attack’, ‘Experiencing a different world: Transformation of Body, Time, Emotion and Sensation’, ‘Restoration of the re‐embodied self’, ‘Life transformation’ and ‘Personal transformation’. The themes are commensurate with transcultural components of Near‐Death Experiences. Surviving out of hospital cardiac arrest was perceived as a ‘divine gift’ and a chance to continue ‘living in a more conscious and meaningful way’. Despite participants' physical and psychosocial challenges, the narratives highlighted a newly acquired deep appreciation for the joy of life, living and others. Construction of meaning and a heightened spirituality seem central in reconstructing life after out of hospital cardiac arrest survivors. Patient or Public Contribution Out of hospital cardiac arrest survivors reflected and described in‐depth on their lived experiences of out of hospital cardiac arrest through a 60‐ to 90‐min interview. In addition, the participants provided their feedback on the interpretation of the findings, confirmed the study findings, and ensured that the analysis reflected aspects of their individual experiences and were true to them.

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Section: Discussionmentioning

confidence: 99%

The living experience of surviving out‐of‐hospital cardiac arrest and spiritual meaning making

et al. 2023

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“…Many studies have used Heidegger as a philosophical framework to explore illness experience. In particular, his philosophical touch points relating to death have been useful in exploring life‐limiting illnesses (Gullick & West, 2019). This paper will report an in‐depth interpretation of the experience of CLTI using Heidegger's existential structures to develop understandings of patient and family experience data in a backwards and forwards analysis between participants' expression of ‘Being’ and ‘Being‐towards‐death’.…”

Section: Methodsmentioning

confidence: 99%

Chronic limb‐threatening ischaemia and reframing the meaning of ‘end’

Monaro

West

Gullick

2020

Journal of Clinical Nursing

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Introduction The possibility of amputation and/or death from chronic limb‐threatening ischaemia (CLTI) is real, and deeper understandings of the person and family's capacity and preparedness for limb loss and clinical interventions (active or palliative) are required. Background The lead‐in period to the surgeon's recommendation for amputation for CLTI may be sudden or protracted; the number/invasiveness of previous revascularisation interventions varies, and limb loss and end‐of‐life considerations frame the experience. Method This prospective, longitudinal, interpretative phenomenological study in three vascular surgical units involved 19 CLTI journeys. Participants were interviewed when making decisions about amputation (15 patients, 12 family members) and, where applicable, 6‐months postamputation (8 patients, 7 family members). Hermeneutic interpretation using Heidegger's philosophical construct of Being‐towards‐death guided the analysis. The COREQ checklist ensured rigour in research reporting. Findings Some participants were unable to face the possibility of death and metaphorically ‘fled’, either through productive optimism or through hoping for more time (Heidegger's inauthentic positioning towards death). For others, authentic positionings of Being‐towards‐death were understood as: the confrontation of the certainty of their death by making choices about how to die; the indefiniteness of death where treatment choices influenced timing, yet the time for death remained unknown; the nonrelational nature of death, as the journey could only be lived by the person; and death as not to be outstripped, where for some, there was a freeing of oneself for amputation and/or death. Discussion The term ‘end of limb’ to denote the futility of the limb is a useful marker that emphasises the noncurative nature of CLTI. This may help to instigate and support discussions about end of life to support palliation care planning and the person and family's existential preparation for death. Conclusion Death frames the experience of CLTI. Using ‘end‐of‐limb’ and ‘end‐of‐life’ terminology may facilitate a family/patient‐centred approach to possible amputation and other conservative or palliative strategies. Relevance to Clinical Practice Understanding of CLTI illness experience. Decisions about revascularisation, amputation or conservative care. End‐of‐life care for CLTI.

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Heideggerian structures of Being-with in the nurse–patient relationship: modelling phenomenological analysis through qualitative meta-synthesis

Gullick

Reid

et al. 2020

Med Health Care and Philos

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Heideggerian hermeneutic phenomenology as method: modelling analysis through a meta-synthesis of articles on Being-towards-death

Cited by 4 publications

References 57 publications

The living experience of surviving out‐of‐hospital cardiac arrest and spiritual meaning making

The living experience of surviving out‐of‐hospital cardiac arrest and spiritual meaning making

Chronic limb‐threatening ischaemia and reframing the meaning of ‘end’

Heideggerian structures of Being-with in the nurse–patient relationship: modelling phenomenological analysis through qualitative meta-synthesis

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