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Pub Date : 2021-08-19 DOI: 10.1136/ebnurs-2021-103465
R. Heale
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引用次数: 0
Research made simple: using multiperspective interpretative phenomenological analysis to explore healthcare phenomena 研究简单:使用多视角解释现象学分析来探索医疗保健现象
Pub Date : 2021-06-18 DOI: 10.1136/ebnurs-2021-103428
W. McInally, Carol Gray-Brunton
10.1136/ebnurs-2021-103428 Using interpretative phenomenological analysis to explore multiperspectives Interpretative phenomenological analysis (IPA) was originally developed in 1995 by Johnathan Smith as a method to undertake experiential research in psychology and has gained prominence across health and social sciences as a way to understand and interpret topics that are complex and emotionally laden, such as chronic illness experiences. 2 IPA aims to uncover what a lived experience means to the individual through a process of indepth reflective inquiry. The IPA draws on phenomenological thinking, with the purpose to return ‘to the things themselves’ (p168). However, IPA also acknowledges that we are each influenced by the worlds in which we live and the experiences we encounter. Therefore, IPA is an interpretative process between the researcher and researched, influenced predominantly by Heidegger’s interpretive phenomenology, hermeneutics and idiography. Within IPA, it is typical for researchers to select a small homogenous sample to explore the shared perspectives on a single phenomenon of interest. Within IPA studies, the focus has been on individual people living within diverse settings and populations such as chronic or longterm illnesses. The focus is on understandings of rich, lived experiences, and, given the small samples, IPA studies have typically not focused on those connected to the person living with diversity or disease. Recently, there has been an interest within IPA to suggest the value of capturing more complex data through multiple perspectives using designs and processes to address this shortcoming in IPA. This may involve the use of multiple participants and a range of data collection methods such as the use of dyads or focus groups. The aim of this paper is to explore the utility of IPA approaches using multiperspectives through focusing on a specific case study to illustrate this approach.
解释性现象学分析(IPA)最初是由乔纳森·史密斯(Johnathan Smith)于1995年开发的,作为一种进行心理学经验研究的方法,作为一种理解和解释复杂且充满情感的主题(如慢性疾病经历)的方法,在健康和社会科学中获得了突出地位。IPA旨在通过深度反思探究的过程揭示生活经验对个人的意义。IPA利用现象学思维,目的是回归“事物本身”(p168)。然而,国际摄影协会也承认,我们每个人都受到我们生活的世界和我们遇到的经历的影响。因此,IPA是研究者与被研究者之间的解释性过程,主要受到海德格尔解释性现象学、解释学和具象学的影响。在IPA中,研究人员通常选择一个小的同质样本来探索对一个感兴趣的单一现象的共同观点。在IPA的研究中,重点是生活在不同环境和人群中的个人,如慢性或长期疾病。重点是对丰富的生活经历的理解,而且,由于样本小,IPA的研究通常不会关注那些与多样性或疾病有关的人。最近,IPA内部出现了一种兴趣,建议通过使用设计和流程的多角度捕获更复杂的数据,以解决IPA中的这一缺点。这可能涉及使用多个参与者和一系列数据收集方法,例如使用双组或焦点小组。本文的目的是通过一个具体的案例研究来说明这种方法,从多个角度探讨IPA方法的效用。
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引用次数: 4
Resources page 资源页面
Pub Date : 2021-03-04 DOI: 10.1136/ebnurs-2021-103416
R. Heale
4. African Centres, Projects There are now several African research centres and projects focusing on intellectual property, access to knowledge and innovation on the continent. Click here for links to these centres and projects. 5. Literature Several organisations and authors have produced useful articles, reports and submissions on copyright in the digital era in the developing world. Click here for links to this literature.
4. 现在有几个非洲研究中心和项目侧重于非洲大陆的知识产权、获取知识和创新。请按此连结浏览这些中心及计划。5. 一些组织和作者就发展中国家数字时代的版权问题发表了有用的文章、报告和提交的材料。点击这里查看相关文献的链接。
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引用次数: 0
Compounded creams no better than placebo creams for localised chronic pain 对于局部慢性疼痛,复合面霜并不比安慰剂面霜好
Pub Date : 2020-06-25 DOI: 10.1136/ebnurs-2019-103128
Jiale Hu
Commentary on: Brutcher RE, Kurihara C, Bicket MC, et al . Compounded topical pain creams to treat localized chronic pain: a randomized controlled trial. Ann Intern Med 170:309–18. doi: 10.7326/M18-2736.The use of compounded topical creams for localised chronic pain has increased dramatically. The participants in this study, military personnel, are one of the populations who might benefit from this treatment as opioid therapy may have a negative effect on their judgement and motor skills. In 2015, the Centers for Medicare and Medicaid Services spent >500 million dollars on compounded …
评论:Brutcher RE, Kurihara C, Bicket MC等。复合局部疼痛膏治疗局部慢性疼痛:一项随机对照试验。Ann Intern Med 170:309-18。doi: 10.7326 / m18 - 2736。局部慢性疼痛的复合局部面霜的使用急剧增加。这项研究的参与者,军事人员,是可能从这种治疗中受益的人群之一,因为阿片类药物治疗可能对他们的判断和运动技能产生负面影响。2015年,医疗保险和医疗补助服务中心在复合……
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引用次数: 0
Resources page 资源页面
Pub Date : 2020-03-20 DOI: 10.1136/ebnurs-2020-103258
R. Heale
4. African Centres, Projects There are now several African research centres and projects focusing on intellectual property, access to knowledge and innovation on the continent. Click here for links to these centres and projects. 5. Literature Several organisations and authors have produced useful articles, reports and submissions on copyright in the digital era in the developing world. Click here for links to this literature.
4. 现在有几个非洲研究中心和项目侧重于非洲大陆的知识产权、获取知识和创新。请按此连结浏览这些中心及计划。5. 一些组织和作者就发展中国家数字时代的版权问题发表了有用的文章、报告和提交的材料。点击这里查看相关文献的链接。
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引用次数: 1
Primary care suicide screening: the importance of comprehensive clinical assessment 初级保健自杀筛查:临床综合评估的重要性
Pub Date : 2019-12-05 DOI: 10.1136/ebnurs-2019-103201
Nicola Clibbens
Commentary on: Richards JE, Hohl SD, Whiteside U, et al . If you listen, I will talk: the experience of being asked about suicidality during routine primary care. J Gen Intern Med 2019;34:2075–82. doi: 10.1007/s11606-019-05136-x.Suicide is preventable yet worldwide ~800 000 people die by suicide every year. Suicide prevention is a global public health priority1 and primary care providers are important gatekeepers in identifying people experiencing suicidal thoughts. Factors influencing the accuracy of suicide assessment include stigma preventing disclosure and fear of consequences of disclosure. Suicidal thoughts are rarely constant, varying in their presence and severity, and may therefore …
评论:Richards JE, Hohl SD, Whiteside U等。如果你听我说,我将谈谈在日常初级保健中被问及自杀的经历。[J] .中华医学杂志,2019;33(4):559 - 561。doi: 10.1007 / s11606 - 019 - 05136 - x。自杀是可以预防的,但全世界每年约有80万人死于自杀。预防自杀是一项全球公共卫生重点1,初级保健提供者在确定有自杀念头的人方面是重要的看门人。影响自杀评估准确性的因素包括阻止披露的耻辱感和对披露后果的恐惧。自杀的想法很少是固定不变的,其存在和严重程度各不相同,因此可能……
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引用次数: 1
Paying attention to cultural context matters in advance care planning and palliative care 在预先的护理计划和姑息治疗中,注意文化背景很重要
Pub Date : 2019-12-05 DOI: 10.1136/ebnurs-2019-103206
S. Russell
Commentary on: Lin CP, Evans CJ, Koffman J, et al . What influences patients' decisions regarding palliative care in advance care planning discussions? Perspectives from a qualitative study conducted with advanced cancer patients, families and healthcare professionals. Palliat Med 2019; Epub ahead of print Aug 1. doi:10.1177/0269216319866641.Advance care planning is largely derived from Western countries,1 with a reliance on Western concepts of autonomy and decision making.2 Much advance care planning research is from the USA, UK and Europe,3 despite significant international cultural differences in the concept of autonomy and decision making.4 5 …
评论:Lin CP, Evans CJ, Koffman J,等。在预先护理计划讨论中,是什么影响患者对姑息治疗的决定?对晚期癌症患者、家属和医疗保健专业人员进行的定性研究的观点。Palliat Med 2019;Epub, 8月1日出版。doi: 10.1177 / 0269216319866641。提前护理计划主要来源于西方国家,依赖于西方自主和决策的概念许多先进的护理计划研究来自美国、英国和欧洲,尽管在自主和决策的概念上存在显著的国际文化差异。4 5……
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引用次数: 1
Nursing interventions improve preparedness, competence, reward and burden of family caregivers in end-of-life care at home 护理干预措施提高家庭护理人员在家庭临终关怀中的准备、能力、奖励和负担
Pub Date : 2019-12-03 DOI: 10.1136/ebnurs-2019-103141
Despina Anagnostou
Commentary on: Becque YN, Rietjens JAC, van Driel A, et al . Nursing interventions to support family caregivers in end-of-life care at home: a systematic narrative review. Int J Nurs Stud 2019;7:28–39. https://doi.org/10.1016/j.ijnurstu.2019.04.011Informal family caregivers play a crucial role in end-of-life care, especially in the community. However, family caregivers are known to have high needs and psychological morbidity,1 including fatigue, sleep problems, depression, anxiety and burnout. Palliative care aims to provide psychosocial support to patients and families facing terminal illness. Interventions that aim to support family caregivers are increasing and have been reported in the literature.2 Nurses are in a unique position to …
评述:Becque YN, Rietjens JAC, van Driel A,等。护理干预,以支持家庭照顾者在家中临终关怀:系统的叙述回顾。国际护理学杂志2019;7:28-39。https://doi.org/10.1016/j.ijnurstu.2019.04.011Informal家庭照顾者在临终关怀中发挥着至关重要的作用,特别是在社区中。然而,众所周知,家庭照顾者有很高的需求和心理发病率,包括疲劳、睡眠问题、抑郁、焦虑和倦怠。姑息治疗旨在为面临绝症的病人和家属提供社会心理支持。旨在支持家庭照顾者的干预措施正在增加,并已在文献中报道护士处于一个独特的地位……
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引用次数: 0
One size does not fit all: mental health services access for people with intellectual/learning disability requires individualised planning and education/training programmes for health and social care providers 一刀切不能放之四海而皆准:智力/学习障碍者获得精神卫生服务需要为保健和社会保健提供者提供个性化规划和教育/培训方案
Pub Date : 2019-11-26 DOI: 10.1136/ebnurs-2018-103035
A. Maestri-Banks
Commentary on : Whittle E, Fisher K, Reppermund S, et al . Access to mental health services: the experiences of people with intellectual disabilities. J Appl Res Intellect Disabil 2018;32;1–12.The most relevant themes identified and to enable a more effective access to health provision in practice are
评述:Whittle E, Fisher K, Reppermund S,等。获得精神卫生服务:智力残疾者的经历。中华精神病杂志2018;32;1-12。所确定的最相关主题以及在实践中使更有效地获得保健服务的主题是
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引用次数: 1
Bridging anticoagulation therapy with low molecular weight heparin in patients with atrial fibrillation following a stroke is associated with adverse events 卒中后房颤患者低分子肝素桥接抗凝治疗与不良事件相关
Pub Date : 2019-11-26 DOI: 10.1136/ebnurs-2019-103190
Rachel Kennedy
Commentary on: Altavilla R, Caso V, Bandini F, et al . Anticoagulation after stroke in patients with atrial fibrillation. Stroke 2019;508:2093–100.Patients with cardioembolic stroke and non-valvular atrial fibrillation are at a high risk of early stroke recurrence.1 Oral anticoagulation therapy (OAC) in the form of vitamin K antagonists (VKAs) and non–vitamin-K oral anticoagulants (NOACs) are the medical therapy of choice in the secondary prevention of …
注释:Altavilla R, Caso V, Bandini F,等。房颤患者脑卒中后抗凝。中风508:2093 2019;100年。心源性卒中和非瓣膜性房颤患者是卒中早期复发的高危人群口服抗凝治疗(OAC)形式的维生素K拮抗剂(VKAs)和非维生素K口服抗凝剂(NOACs)是二级预防…
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