Ethnography and Epistemology: Generating Nursing
                    Knowledge

Aamodt, Agnes M.

doi:10.4135/9781483349015.n6

Cited by 51 publications

(34 citation statements)

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“…Ethnography attempts to learn what knowledge people use to interpret experience and mold their behavior within the context of their culturally constituted environments (Aamodt, 1991). The goal for nurse ethnographers is to continually seek out the meanings in the native's view in cultural and multicultural settings and search for ways of linking these understandings with concepts, processes and models for intervention in nursing care delivery systems (Aamodt, 1982).…”

Section: Theoretical Foundations Of Ethnographymentioning

confidence: 99%

“…Tacit knowledge is outside of a person's awareness. As a participant observer, the ethnographer is introduced to the linguistic expressions that convey the meaning of objects and events (Aamodt, 1991). Ethnography is an inclusive research endeavor which involves the researcher as a resident of the group over an extended period of time where participant observation is requisite to obtain first-hand knowledge of the native's organizations and functions (Fetterman, 1998;Shimahara, 1984;Spradley & McCurdy, 1972;Spradley, 1980).…”

Section: Theoretical Foundations Of Ethnographymentioning

confidence: 99%

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An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

Cummings¹

2013

Journal of Pediatric Health Care

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Rationale for the Study: Despite the exponential growth in pharmacological and nonpharmacological methods for the treatment of pediatric procedural pain there remains a gap between available interventions and actual practice in the emergency department clinical setting. Researchers have recommended the examination of unit culture since culture is proposed to be a major factor that affects the implementation of pain management practices. Method:Ethnography was employed to gain access to the beliefs and practices of healthcare participants in a Northeastern non-pediatric emergency department. Data were collected for 5 months with over 100 hours of observation. Six key informants were interviewed and 44 pediatric procedural interactions with 27 healthcare providers during the treatment of children two to eight years of age undergoing procedures were observed.Other information gathered included documents from the institution, and pain related information from the patient's medical record. All interviews were recorded and transcribed verbatim. Data were managed using the Ethnograph 6.0 and analyzed using the procedure developed by Leininger and McFarland (2006). Results:Seven major themes with categories were discovered that included assessment, ii procedural pain, treatment of pain, communication related to comfort, fragmentation of care in the emergency department, healthcare provider attitudes, and environmental issues and policies. Conclusion:The results of this study suggest that practice environment of the emergency department and organizational culture exerted a significant degree of influence over healthcare providers' pediatric pain management practices. Nurses' did not use pain measurement tools as they were intended to be used and instead improvised measurement by observing the child's behavior. The management of children during painful procedures consisted of an array of behaviors and practices. The use of physical restraint during painful procedures was a common practice. Participants continue to hold many assumptions and misconceptions about pediatric pain assessment and management. The findings of this study provide insight to the everyday practice of emergency department healthcare providers for pediatric pain in a non-pediatric setting.iii Acknowledgments and Dedication

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Section: Theoretical Foundations Of Ethnographymentioning

confidence: 99%

Section: Theoretical Foundations Of Ethnographymentioning

confidence: 99%

An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

Cummings¹

2013

Journal of Pediatric Health Care

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“…Therefore, critical reflexivity is necessary to maintain rigor in ethnographic research by providing reflexive accounts that promote flexibility throughout the research process (Carspecken, 1996). Reflexivity refers to the ethnographer's ability to reflect on how their understanding of the Self and culture affects the research process (Aamodt, 1991;Davies, 1999). referred to this continual process of self-examination by the investigator as "critical consciousness".…”

Section: Critical Reflexivitymentioning

confidence: 99%

“…Critical reflexivity refers to the ethnographer's ability to reflect on how their understanding of the Self and culture affects the research process by focusing on the dialectic relationship between the researcher and the Other, which is shaped by a researcher's historical, sociocultural, economic, and political positions (Aamodt, 1991;Anderson, 1989;Davies, 1999).…”

Section: Critical Reflexivitymentioning

confidence: 99%

Understanding social determinants of healthcare access from the perspective of Hispanic Latino immigrants in Louisville, Ky.

Edward¹

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“…Shaped by the findings from Phase One, Phase Two utilised a focused ethnographic approach, during which the researcher undertook observation within the community under study as a means to explore local acute aphasia management practices and the meanings underlying these, embedded in the social and cultural life. As suggested by Aamodt (1991), "the context of a culturally constituted environment provides the meaning, and makes ethnographic knowledge different from every other form of knowledge generated" (p. 52) in healthcare research. The combination of interpretive phenomenology and ethnography has previously been used in stroke research (Doolittle, 1994;Norris, Allotey, & Barrett, 2012) and nursing (Rapport & Maggs, 1997).…”

Section: Rationale For Combining Research Strategies: Interpretive Phmentioning

confidence: 99%

“Communication is taking a back seat”: An exploration of aphasia management in acute hospital settings

Foster¹

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While in the past the focus of speech pathologists working in the acute hospital setting has been service provision to people with communication disorders and their families, their primary role is now in dysphagia. In the limited literature regarding aphasia management in acute hospital settings, there is a lack of consistency regarding the type and amount of intervention being provided to people with aphasia; however, there is consensus that current practice is inconsistent with bestpractice recommendations. Given that aphasia intervention has been identified as being central to improved communicative outcomes, an increased capacity to effectively communicate healthcare needs, a decrease in hospital negative events, and an increased sense of satisfaction for people with aphasia, this is of concern. Little is known about the reasons underlying this evidence-practice gap.The overall aim of this thesis was to provide an understanding of current acute aphasia management practice and the factors that influence it. Specifically, the research aimed to: (a) provide an in-depth understanding of the current aphasia management pathway in the acute hospital setting; (b) explore acute speech-language pathologists' conceptualisation, experiences, and perceptions of post-stroke aphasia management, and provide a greater understanding of the factors that influence their practice; and, (c) understand the factors that influence acute aphasia management from the perspectives of speech pathologists, people with aphasia, and their close others, through a cultural lens.In order to address the research aims, the empirical aspects of this research were conducted in two Phases. Phase One, an interpretative phenomenological investigation, aimed to provide a deep understanding of aphasia management from the perspective of acute speech pathologists. Semistructured, in-depth interviews were undertaken with 15 Australian speech pathologists working with people with aphasia (one of which was later excluded resulting in a total n=14). Interviews were transcribed verbatim, and data were analysed using a thematic analysis. Key themes identified included: role perception; competing priorities; the de-prioritisation of aphasia; and, the sense of disempowerment experienced by speech pathologists as a result of their relationship with evidencebased practice for acute aphasia management. In addition, a qualitative content analysis was undertaken to describe the current aphasia management pathway. Grounded within the guiding construct, First contact with the profession, the findings represented the significant diversity in the ii pathways of care for people with aphasia and their families in the acute hospital setting. Overall, analysis revealed the complex, diverse, and multi-faceted nature of the phenomenon.Phase Two was designed based on the findings of Phase One. It examined the culture of acute aphasia management by speech pathologists in depth, through the use of focused ethnography in a single acute stroke unit. Three participant triads...

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Ethnography and Epistemology: Generating Nursing Knowledge

Cited by 51 publications

References 0 publications

An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

Understanding social determinants of healthcare access from the perspective of Hispanic Latino immigrants in Louisville, Ky.

“Communication is taking a back seat”: An exploration of aphasia management in acute hospital settings

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