Hermeneutic phenomenology is a research method used in qualitative research in the fields of education and other human sciences, for example nursing science. The relevant articles in this integrative review were limited to: written in English language, published from the period between 2008 and 2018, articles specifically related to hermeneutic phenomenology, and published in peer-reviewed nursing journals. Therefore, phenomena unique to the practice of professional nursing need investigative approaches suitable to their unique nature  .  conducted a study of responsibility for patient care in perioperative practice; the results shown two main themes: a formal external responsibility, and personal ethical value. 10.1111/j.1471-6712.2007.00566.x. Hermeneutic Phenomenological Research: A Practical Guide for Nurse Researchers. Title: Hermeneutic Phenomenology as a Research Method 1 Hermeneutic Phenomenologyas a Research Method. Phenomenological-hermeneutic approach is essentially a philosophy of the nature of understanding a particular phenomenon and the scientific interpretation of phenomena appearing in text or written word  .  described the preceptors experience of working with new nurses as “being left alone”, with no adequate support from nurse managers and bedside nurses. Furthermore, interpretative hermeneutic phenomenology has been successfully used in a range of nursing and midwifery research studies (Longworth and Kingdon, 2011; Lopez and Willis, 2004; Miles et al., 2013; Smith et al., 2010; Thomson, 2007), thus strengthening the case for using it as a research … Qualitative research methodologies focus on meaning and although use similar methods have differing epistemological and ontological underpinnings, with each approach offering a different lens to explore, interpret or explain phenomena in real-world contexts and settings. Imani et al. Norm Friesen ; Oulu, May 27, 2009; 2. The keywords which have been used were “phenomenology”, “nursing”, “lived experience”, and “hermeneutic”. Participants proposed that they are isolated and excluded from the rest of the healthcare workforce group. Hermeneutic phenomenology is a much broader term (sometimes it can appear alongside the term phenomenological hermeneutics: the differences are philosophically important and it … researchers in analyzing interviews and observations, as part of hermeneutical interpretive phenomenology. Phenomenology has been influenced by multiple philosophical perspectives and theorists, which inform hermeneutic phenomenological research. Furthermore; Porteous & Machin  study; revealed developing undergraduate students own skills of coping and survive with considerable variation in their experience that influenced their motivation and behavior to meet the demands of academic life. The finding revealed is presented in two themes.  shown one main theme: living with ups and downs, with sub-themes: losing calmness, trying to achieve calmness through spirituality, losing health, trying to promote health through modification of lifestyle, perceiving family support, living in fear, and living with a damaged heart. 3.2. Researchers and educators are increasingly implementing qualitative research methods to investigate issues of concern and interest. A new understanding emerged that the operating theatre nurses always have the patient in mind. An Academic Publisher, Hermeneutics in Nursing Studies: An Integrative Review (). Doing Hermeneutic Phenomenological Research . 3.1. While nurses can relate to the phenomenological approach because they see it as sharing the values of nursing, this may not be sufficient on its own to start conducting this kind of research. } ïÀé>`Íhã`&Ý Karimooi et al. Thirteen relevant articles have been reviewed. While Blomberg et al. Hermeneutic‐phenomenology: providing living knowledge for nursing practice. The role of healthcare professionals in the interpretative process should be acknowledged as a conventional and necessary care activity. The study of lived experiences of elderly patients with Coronary Artery Disease of Karimooi et al. The phenomenological approach is increasingly being utilized as the method for nursing research studies because it is comprised of … The second study of Packard and Hoffman  calling the hermeneutic circle: A Place of Belonging to the Pre-Nursing Students shown that themes of longing, belonging, vulnerability, and comfort emerge, in which being in caring circles offers radical possibilities for a pedagogy of being and becoming in nursing education. Heidegger expanded this to include understanding the phenomena of the world, how we go about understanding the world presented to humans, and understanding the being itself  . The result of the reviewed articles, were used as a codes to identify, summaries synthesis and discuss of findings for clarifying the interpretation themes. Due to nursing’s involvement in examining phenomena within a contextual health care framework, phenomenology is not only conducive to the discovery of information but also the development of nursing knowledge essential to the profession. Evidently, practice-related research domain is growing and expanding into various nursing areas, with significant and extensive development of related-researches in education and administration domains. Elizabeth Anne Kinsella. The role of healthcare professionals in the interpretative process should be acknowledged as a conventional and necessary care activity. The scientific method is the most powerful tool for world truths discovering, exploring and validating human inquiry and new theories  . The reviewed studies focused on the following three domains: practice, education, and administration, which used hermeneutic phenomenology to guide nursing experience studies. Maternal and Child Health Nursing Department, School of Nursing, The University of Jordan, Amman, Jordan, Creative Commons Attribution 4.0 International License. 2. Theory of caring become evident and implemented in a clinical practice through moments when the participants find a common understanding and consensus on the knowledge of care and caring. The second, gaining insights and moving on, was based on subthemes describing the patients’ search for explanations. When reflecting on experiencing loss, students questioned their own actions, acknowledged the value of relationships and identified ways to cope. Four studies concerned with lived experience in nursing education revealed multiple themes which have significant role in nursing practice. To explore the hermeneutic approach we adopted, we will firstly set the scene for the research, and then introduce the hermeneutic strategy and metaphors we utilized, employing them as the vehicles for When theoretical understanding turns into praxis, knowledge also becomes activity and theory and practice become one. While last study of Liden et al. Methods in Nursing Research. As such, at least for the ancient Greeks, there was a connection… When work activities and professional group identity do not align with role expectations, as can be the case for nursing home nurses, work identity may be compromised. Methods A hermeneutic phenomenological approach was used … From each article the following data have been extracted: domain, title, author, study aim, strength of evidence and findings; all articles presented in Appendix. The undergraduate students of the first year had demonstrated developing self-efficacy and successful transition. The purpose of phenomenology is to describe a particular phenomenon, or the appearance of things as a lived experience; it is both a way of thinking or perspective, that is, a philosophy, and a research method  . Scand J Caring Sci. Abstract. 3.3. Hermeneutic phenomenology and phenomenology have become increasingly popular as research methodologies, yet confusion still exists about the unique aspects of these two methodologies. The qualitative research literature addressing issues uniquely related to nursing administration is limited, possibly because many of the issues that lend themselves to qualitative education in nursing administration overlap with the practice arena  . Aim: To provide insight into how descriptive and interpretive phenomenological research approaches can guide nurse researchers during the generation and application of knowledge.  to the third-year nursing students’ lived experience of caring for the dying; the study findings identified three themes: being caring, unexpectedness in witnessing an expected death and experiencing loss. Incorporating data extracted in the domains of clinical practice, education, and administration can help significantly in improving patient care. While the main themes that have been emerged from Mendes  in the study of the impact of critical illness news on the family; revealed several themes; unexpected news death of the sick person impact the well-being, care of family members, and their ability for analysis and decision making.  study showed personal ethical value by confirming the patient as a person, caring for the patient and preserving the patient’s dignity.  described and interpreted the experiences of learning to live with medically unexplained symptoms as narrated by patients in primary health-care settings. This is achieved by a turn to Philosophy as a methodology for nursing research. The wise choice of the postmodern tradition of hermeneutic phenomenology for nursing research is partly dependent upon an awareness of that tradition's base of philosophical hermeneutics.  found patients’ suffering from MUS constantly engage in a reflective process involving reasoning about and interpretation of their symptoms. … The reviewed studies were initially evaluated through titles and abstracts, duplicated articles were removed.  data reflected participants’ realities and how the researcher related findings of the study to demonstrate and resonate with a construction of overseas volunteering assisted student nurses to reconnect with their empathy and compassion, and explore the humanistic and interpersonal nature of nursing rather than the technical skill-based components of nursing identity. The interpretations of nurses in practice, education, and administration domains can be a remarkable foundation of data that need to be more fully explored and make significant contribution to body of nursing knowledge. Members of the treatment team, especially nurses should provide self-care education for to make them be having successfully in this field. It has become a major philosophy and research method in the humanities, human sciences … Education Domain: The study of Ranse et al. Findings: A final review of 13 studies that used hermeneutic phenomenology as a philosophical background and research methods was done.  study findings of nurses’ work activities and professional group identity influence their work identity. The authors declare no conflicts of interest regarding the publication of this paper. Key components of qualitative research include hermeneutics and phenomenology. published between 2008 and 2018; all of the nursing studies were guided by hermeneutic phenomenology. Regarding the second part of practice; phenomenology as a qualitative research method has been used to realize a variety of practice-related experiences and enables understanding of personal interactive experiences      . In this review, relevant articles that have been published from the period between January 2008 and November, 2018 were reviewed by the researcher using different international databases including EBSCO, SCOPUS, CINAHL, and PUBMED databases host. The participants reported their experience of delivering healthcare in the context of a developing country forced them to get creative and “think outside the box”. Hermeneutics is described as “an attempt to show the pre-philosophical understanding of human in the world that is basic to various disciplines so that this understanding can become the basis of philosophical reflection”  (p. 145). Eleven key research studies were selected for the integrative literature review. Hermeneutics Hermeneutics is essential a method of interpretation of a text. The early philosophers of phenomenology were faced with several questions, including what is true (epistemology) and what it means to be alive or not alive ontology)  . An experience is directed toward an object by virtue of its content or meaning (which represents the object) together with appropriate enabling conditions  . On the hand, the preceptors were critiqued for shortcomings and errors caused by new nurses. Also, the students demonstrated family-centered care but recounted unexpectedness in both the dying trajectory and physical changes in the dying patient. Phenomenology is also considered a careful examination of the human experience, and understanding the essential qualities of the experience in turn can illuminate the experience for others.  to student nurses volunteering in Nepal: have their experiences altered their understanding of nursing.  found; little is known about nursing home nurses’ perceptions and experiences of working within this context. The forth study of Porteous & Machin  , to the lived experience of first year undergraduate student nurses. Hermeneutic phenomenology is a research method used in qualitative research in the fields of education and other human sciences, for example nursing science. Background: Phenomenology is a major philosophy and research method in the humanities, human sciences and arts disciplines with a central goal of describing people's experiences. Hermeneutics has risen as an option for the qualitative research paradigm particularly after the 1970s. Valizadeh et al. The phenomenological approach is increasingly being utilized as the method for nursing research studies because it is comprised of … Participants’ responses suggested that nurses are required to modify their care activities to account for career differences. The central structure of an experience is its intentionality, its being directed toward something, as it is an experience of or about some object. The three subthemes were: resorting to spiritualties, self-protection and intelligent resilience. These nurses may attempt to change work practices to strengthen their work identity. Methods in Nursing Research: Hermeneutic phenomenological research: A practical guide for nurse researchers Thousand Oaks, CA: SAGE Publications, Inc. doi: 10.4135/9781452232768. Phenomenology is a philosophy, which can be applied as a methodological research approach. This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License. All of the articles are presented in Appendix.  has provided insight into the experiences of third-year nursing students preparing for the transition to practice as graduate nurses. Hermeneutic Phenomenology in Nursing Practice. Copyright © 2020 by authors and Scientific Research Publishing Inc. Qualitative research methodologies focus on meaning and although use similar methods have differing epistemological and ontological underpinnings, with each approach offering a different lens to explore, interpret or explain phenomena in real-world contexts and settings. Practice Domain: Experience of working with new nurses, working experiences with chronic daises ill patients, adapting to new strategies as emotional intelligence in nursing practice are central phenomenon to nursing practice that can be enriched when examined from a qualitative lens. This field of philosophy is then to be distinguished from, and related to, the other main fields of philosophy: ontology (the study of being or what is), epistemology (the study of knowledge), logic (the study of valid reasoning), and ethics (the study of right and wrong action)  . The first study of Thompson et al. Evidence, knowledge, and facts in nursing studies are ascertained and concluded as a result of using different scientific research approaches. Due to nursing’s involvement in examining phenomena within a contextual health care framework, phenomenology is not only conducive to the discovery of information but also the development of nursing knowledge essential to the profession. Utilizing hermeneutic phenomenology for nursing practice, education, and administration has made a significant contribution to the substantive body of nursing knowledge. Hermeneutic Phenomenology in Nursing Education. Van Manen  highlighted that phenomenological writing can help find meaning to all actions. The key studies met the inclusion criteria of phenomenology, nurses, human science method, clinical practice, and van Manen. Therefore, the main aim of this review is to highlight the use of Hermeneutics in nursing studies in the three domains of practice, education, and administration. Claire Feeley, Freebirthing: a case for using interpretative hermeneutic phenomenology in midwifery research for knowledge generation, dissemination and impact, Journal of Research in Nursing, 10.1177/1744987118809450, 24, 1-2, (9-19), (2019). While the third study of Coatsworth et al. The first, feeling that the symptoms overwhelm life. The study of Valizadeh et al. Abu Ali, F. and Abushaikha, L. (2019) Hermeneutics in Nursing Studies: An Integrative Review.  indicated that the coronary artery disease led patients to experience ups and downs for the participations. However, Bright  had explored and examined the phenomenon of nursing presence through the hermeneutic lenses. Their study aimed to understand how one group of undergraduate nursing students perceived their experiences of the transition into higher education and nursing. Hermeneutic Phenomenology: Hermeneutic phenomenology offers a different approach to qualitative understanding through the interpretive process of the written and spoken word  . The second study of Packard and Hoffman  to the students’ reflections and shared conversations; become human science text for this hermeneutic phenomenological exploration of the lived experience of pre-nursing students. Article PubMed Google Scholar Pre-publication history Hermeneutics and Critical Hermeneutics: Exploring Possibilities Within the Art of Interpretation. When it comes to phenomenological research pros and cons, here are some of the pros that are important to understand: 1. Grounded in real world research, it integrates philosophy, methodology and method in accessible ways, helping you realize the potential of using phenomenology to guide research. The study themes were student nurses experienced: growth of their nursing capabilities; volunteering as building empathy, compassion and caring; education and health promotion within their nursing identity; the need to use creativity in overcoming barriers to delivering health care effectively, and experienced gaining new capabilities to utilize in Australia. Phenomenology is a form of qualitative research that focuses on the study of an individual’s lived experiences within the world. All of the articles are presented in Appendix . profession. of using hermeneutic phenomenology in practice domain; and 2 articles argued the outcomes of using hermeneutic phenomenology in administration domain. tary nurses often go untold. In view of the requirements for information, it was verified that the information transmitted allowed them to become aware of themselves, to become empowered in their daily lives and to alleviate the emotional burden experienced. The wise choice of the postmodern tradition of hermeneutic phenomenology for nursing research is partly dependent upon an awareness of that tradition's base of philosophical hermeneutics.
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