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lived experience of making a difficult decision
Title
The lived experience of making a difficult decision.
Creator
Hogan, Renee LaCroix., Florida Atlantic University, Schoenhofer, Savina
Abstract/Description
The purpose of this study was to generate a structure of the lived experience of making a difficult decision, using Parse's human becoming research methodology. This methodology evolved from the human becoming theory of nursing which includes an existential view of person and the nursing simultaneity paradigmatic view of man and health. The entity for study in this research was the lived experience of making a difficult decision. Parse's methodology was used and includes: participant...
Show moreThe purpose of this study was to generate a structure of the lived experience of making a difficult decision, using Parse's human becoming research methodology. This methodology evolved from the human becoming theory of nursing which includes an existential view of person and the nursing simultaneity paradigmatic view of man and health. The entity for study in this research was the lived experience of making a difficult decision. Parse's methodology was used and includes: participant selection, dialogical engagement, extraction-synthesis and heuristic interpretation. The structure of the experience of making a difficult decision was discovered through the experiences of four participants. This is expressed as living with feelings of self doubt that give way to assurance while searching within and reaching out to others until affirming the circumstances of the chaos generates possibilities and enables perseverance. This study demonstrates Parse's research methodology and broadens nursing's knowledge base.
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Date Issued
1993
PURL
http://purl.flvc.org/fcla/dt/14972
Subject Headings
Decision making, Nursing
Format
Document (PDF)
Commitment - the bridge to caring: The meaning of commitment as lived by critical-care nurses
Title
Commitment - the bridge to caring: The meaning of commitment as lived by critical-care nurses.
Creator
Cutler, Sharon Brown., Florida Atlantic University, Schoenhofer, Savina
Abstract/Description
The aim of this study was to understand the meaning of commitment to nursing from the perspective of critical-care nurses. Phenomenology was the research method. Van Manen's approach guided this study with Munhall's adaptation of existential investigation. Seven nurses participated. All were selected on a voluntary basis provided they were working in critical-care, had two years of critical-care experience, and were willing to talk about the topic of commitment. Several themes emerged as...
Show moreThe aim of this study was to understand the meaning of commitment to nursing from the perspective of critical-care nurses. Phenomenology was the research method. Van Manen's approach guided this study with Munhall's adaptation of existential investigation. Seven nurses participated. All were selected on a voluntary basis provided they were working in critical-care, had two years of critical-care experience, and were willing to talk about the topic of commitment. Several themes emerged as essential to humanistic experience of commitment to nursing. Contextual descriptions of commitment also emerged. The nurses' primary commitment was to the patient and the ethical dilemmas that surfaced when they tried to honor that commitment proved the major source of frustration and dissatisfaction. Commitment was found to be the connection or bridge to caring. Without commitment there was no caring. Implications for nursing administration and education were addressed. Additional questions were raised for future research.
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Date Issued
1993
PURL
http://purl.flvc.org/fcla/dt/14965
Subject Headings
Intensive care nursing, Nurses--Job stress
Format
Document (PDF)
policy implementation analysis: Nurse aide certification in Florida
Title
A policy implementation analysis: Nurse aide certification in Florida.
Creator
Brannon, Pamela Tarquinio, Florida Atlantic University, Schoenhofer, Savina, Clare, Donald A.
Abstract/Description
Policy implementation is recognized as a major component of the public policy process, and an important area for public administration research. The literature calls for the examination of public projects to improve policy design and implementation, for the comparison of expected implementation with actual implementation, and for the examination of the role of states in implementing federal policy. This dissertation addressed those areas by analyzing the implementation of the Omnibus Budget...
Show morePolicy implementation is recognized as a major component of the public policy process, and an important area for public administration research. The literature calls for the examination of public projects to improve policy design and implementation, for the comparison of expected implementation with actual implementation, and for the examination of the role of states in implementing federal policy. This dissertation addressed those areas by analyzing the implementation of the Omnibus Budget Reconciliation Act of 1987 (OBRA '87) which contains federal requirements for certification of nurse aides (nursing assistants) who are employed in Medicare and Medicaid funded nursing homes. The dissertation focused on the state of Florida and three levels of analysis: policies and practices of the state, nursing home operations and procedures, and individuals in the certification process. Multiple methods of data collection and data analysis were used and included: an analysis of the history, development and content of the federal policy, interviews with state administrators, a survey of nursing home administrators, an analysis of state certification statistics, documentary analysis, factor analysis and content analysis. Some of the data indicate that, although Florida has had a nurse aide certification process in place since 1982, there may be some uneven implementation of the certification process at the local level, and that race may have an impact on the certification rate. These areas were recommended for further study. A descriptive model, developed from the research design, outlined three dimensions that should be examined in order to conduct a comprehensive analysis of policy implementation: the origin of the policy, the agent of the policy, and the target of the policy. Additionally, a comprehensive analysis should examine the communication between the dimensions. In this dissertation, the federal legislation was the origin, the state of Florida was the agent, and nursing homes and prospective nurse aides were the targets. The descriptive model can be used for future implementation studies whether the origin of the policy is federal, state or local legislation.
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Date Issued
1993
PURL
http://purl.flvc.org/fcla/dt/40751
Subject Headings
Nurses' aides--Certification--Florida, Nursing home care--Florida
Format
Document (PDF)
patient perspective of caring expressed by nurses through patient explaining (teaching)
Title
The patient perspective of caring expressed by nurses through patient explaining (teaching).
Creator
Kearney, Carol Lynne., Florida Atlantic University, Schoenhofer, Savina
Abstract/Description
Nursing researchers studying the concept of caring in nursing have identified patient teaching as a valued nurse caring behavior. However, no research has been conducted that examines patient teaching as an expression of caring. The purpose of this study was to examine and describe the patient perspective of caring expressed by nurses through patient teaching. Twelve patients in a hospital setting shared their thoughts and feelings about caring expressed by nurses through 'explaining', as the...
Show moreNursing researchers studying the concept of caring in nursing have identified patient teaching as a valued nurse caring behavior. However, no research has been conducted that examines patient teaching as an expression of caring. The purpose of this study was to examine and describe the patient perspective of caring expressed by nurses through patient teaching. Twelve patients in a hospital setting shared their thoughts and feelings about caring expressed by nurses through 'explaining', as the participants preferred to call 'teaching,' during open-ended tape-recorded interviews or in writing. A qualitative descriptive content analysis method was used to analyze the descriptions. Twenty-six subcategories that emerged from the coded data were grouped into four broad categories defined as: Nurse's Way of Being; Nurse's Doing For Patient; Nurse's Being With Patient; and Nurse's Caring Affects Patient.
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Date Issued
1991
PURL
http://purl.flvc.org/fcla/dt/14758
Subject Headings
Nurse and patient, Caring, Nursing--Philosophy
Format
Document (PDF)
Threshold of awakening: Hearing the call for nursing
Title
Threshold of awakening: Hearing the call for nursing.
Creator
Biondolillo, Monique, Florida Atlantic University, Schoenhofer, Savina
Abstract/Description
The aim of this investigation is twofold: first, to describe the lived experience of hearing the call for nursing, from the perspective of the nurse; and, second, to illuminate nursing knowledge through an interpretation of the phenomenon's meaning in nursing practice. Phenomenological hermeneutical inquiry, as applied by van Manen (1990) and modified by Munhall (1990) guided the investigation. Expressions of the lived experience of seven participants were ultimately captured by the...
Show moreThe aim of this investigation is twofold: first, to describe the lived experience of hearing the call for nursing, from the perspective of the nurse; and, second, to illuminate nursing knowledge through an interpretation of the phenomenon's meaning in nursing practice. Phenomenological hermeneutical inquiry, as applied by van Manen (1990) and modified by Munhall (1990) guided the investigation. Expressions of the lived experience of seven participants were ultimately captured by the researcher in the form of hermeneutic phenomenologic writings. The findings of the research are discussed with their subsequent relevance, implications, and significance for the art and science of nursing practice. Hearing being mutually sharing meaning with human vulnerability revealing feeling nursing.
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Date Issued
1993
PURL
http://purl.flvc.org/fcla/dt/14995
Subject Headings
Nursing--Philosophy, Nurses--Attitudes
Format
Document (PDF)
AIDS as a call for nurse caring: A phenomenological perspective
Title
AIDS as a call for nurse caring: A phenomenological perspective.
Creator
Madayag, Tomas Mina Jr., Florida Atlantic University, Schoenhofer, Savina, Christine E. Lynn College of Nursing
Abstract/Description
The question that laid the basis for this study is: What is the meaning of nurse caring for patients with AIDS? This experience was unearthed through the phenomenological approaches of Van Manen and Munhall. The existential lived worlds provided the guide in amplifying the situatedness of participants. Through hermeneutical analysis, these themes emerged: being-with for another, knowing as a source of understanding and compassion, AIDS as stigma, AIDS as a call for nurse caring, connecting...
Show moreThe question that laid the basis for this study is: What is the meaning of nurse caring for patients with AIDS? This experience was unearthed through the phenomenological approaches of Van Manen and Munhall. The existential lived worlds provided the guide in amplifying the situatedness of participants. Through hermeneutical analysis, these themes emerged: being-with for another, knowing as a source of understanding and compassion, AIDS as stigma, AIDS as a call for nurse caring, connecting-severing, fear as a cause of dissonance, attachment by proxy, the experience of feeling for, corporeal vulnerability, the nurse as spiritless body, death as solace, and living time as hope. These findings were integrated with Roach's theory of nursing as the deliberate affirmation of caring as the human mode of being.
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Date Issued
1993
PURL
http://purl.flvc.org/fcla/dt/14955
Subject Headings
Health Sciences, Nursing
Format
Document (PDF)