The state of Danish nursing ethnographic research: flowering, nurtured or malnurtured – a critical review

Uhrenfeldt, Lisbeth; Martinsen, Bente; Jørgensen, Lene Bastrup; Sørensen, Erik Elgaard

doi:10.1111/scs.12466

Cited by 4 publications

(4 citation statements)

References 59 publications

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“…Question 6 requesting the researcher to locate oneself culturally or theoretical, was only done by nearly half of the studies [8,9,14,[22][23][24][25]. These results based on a critical appraisal contributed with an additional insight in the reflexive nature or the rigor of the study and the primary study author's reflections (or missing reflections) of their own relationship to the actual research setting [28,29]. The findings illustrate the SOs' experiences of their transitions influenced as they are by the organizational culture during hospitalization and discharge and the psycho-social and existential issues within this period of time.…”

Section: Discussionmentioning

confidence: 99%

Significant others’ experience of hospitalized patients’ transfer to home: A systematic review and meta-synthesis

Uhrenfeldt

Fegran

Aagaard

et al. 2018

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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Background: Significant others are individuals representing family members or neighbors, friends, colleagues or members of the same household, who act as relatives or surrogates. Significant others play an important role when patients are transferred or discharged after hospitalization. Objective: The objective of this review is to identify, appraise and synthesize the best available evidence exploring significant others' experiences of the discharge or transfer of adult patients after hospitalization. Methods: A qualitative comprehensive systematic review and meta aggregation.Types of participants: Participants of this review are the 'significant other(s)'; persons who are important or influential to the patient's life. Phenomena of interest: How the significant others' experience hospitalized patients' transitions and the psychosocial and existential issues during transfer from hospital to home. Context: Studies that investigate the organizational culture during hospitalization. Types of studies: Studies that focus on qualitative data including, but not limited to, designs such as phenomenology, grounded theory, ethnography, action research and feminist research. Search Strategy: The search aimed at finding published and unpublished studies in English, German, Danish, Swedish and Norwegian, and was unrestricted by time. Eleven electronic databases and eleven websites were searched. Critical appraisal: Methodological validity of the qualitative papers was assessed independently by two reviewers using the standardized critical appraisal instruments from the Joanna Briggs Institute Qualitative Assessment and Review Instrument. Data Extraction: Data were extracted from papers included in the review using the standardized data extraction tool from the Joanna Briggs Institute Qualitative Assessment and Review Instrument. Data Synthesis: Qualitative research findings were synthesized. Results: A total of 189 findings from twelve studies were aggregated into three categories. An aggregated finding was generated based on the primary studies: SOs existential strength is linked to preparations for the discharge including care planning meeting(s) and learning-by-doing care activities led by health care providers during hospitalizations. Conclusions:The studies in this review provided useful and credible statements from caregivers' voices that are not previously aggregated nor presented. The findings enlighten both positive and burdensome experiences in the everyday life of caring for a significant other after discharge.

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Section: Discussionmentioning

confidence: 99%

Significant others’ experience of hospitalized patients’ transfer to home: A systematic review and meta-synthesis

Uhrenfeldt

Fegran

Aagaard

et al. 2018

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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“…One of the included studies [62] even referred to standard quantitative analysis methodology for qualitative analysis. Overall, the lack of arguments for the selection of methodology and self-reflection on the researcher’s influence contributes to the descriptions of Uhrenfeldt [43], who identified weaknesses in this area, even in qualitative research.…”

Section: Discussionmentioning

confidence: 99%

Healthcare middle managers’ experiences of developing capacity and capability: a systematic review and meta-synthesis

Hartviksen

Aspfors

Uhrenfeldt

2019

BMC Health Serv Res

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Background Healthcare middle managers play a central role in reducing harm, improving patient safety, and strengthening the quality of healthcare. The aim of this systematic review was to identify the present knowledge and critically discuss how healthcare middle managers experienced to develop the capacity and capability for leadership in a healthcare system characterized by high complexity. Methods This comprehensive systematic review provided evidence of healthcare middle managers’ experiences in developing the capacity and capability for leadership in public healthcare. The three-step literature search was based on six databases and led by a PICo question. The review had a critical hermeneutic perspective and was based on an a priori published, protocol. The methods were inspired by the Joanna Briggs Institute and techniques from Kvale and Brinkmann. The results were illustrated by effect size, inspired by Sandelowski and Barroso. Results Twenty-three studies from four continents and multiple contexts (hospitals and municipal healthcare) published from January 2005–February 2019 were included. Based on experiences from 482 healthcare middle managers, 2 main themes, each with 2 subthemes, were identified, and from these, a meta-synthesis was developed: Healthcare middle managers develop capacity and capability through personal development processes empowered by context. The main themes included the following: 1. personal development of capacity and capability and 2. a need for contextual support. From a critical hermeneutic perspective, contrasts were revealed between how healthcare middle managers experienced the development of their capacity and capability and what they experienced as their typical work situation. Conclusions This review provides evidence of the need for a changed approach in healthcare in relation to criticisms of present organizational structures and management methods and suggestions for how to strengthen healthcare middle managers’ capacity and capability for leadership in a healthcare system characterized by high complexity. Evidence of how leadership development affected the clinical context and, thus, the quality of healthcare was found to be a field requiring further research. PROSPERO registration number CRD42018084670

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“…The design of the study was based on narrative ethnography, focusing on both narratives and the social context that condition narrative production [26]. In nursing research, ethnographic design has been used in the study of human actions and cultures [28]. The argument for using narrative ethnography is that it allows us to move attention beyond the stories to the narrative practice of storytelling and thereby explore what conditions stories, how they are used and with what consequences.…”

Section: Methodsmentioning

confidence: 99%

‘Staying cool, calm and positive’: A dialogical narrative analysis of emotional reactions in narratives about operable lung cancer

Schoenau,

Missel,

Holen

2024

Scandinavian Caring Sciences

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BackgroundPatients with lung cancer suffer from physical, psychosocial and particularly emotional challenges. Twenty‐five percent of patients with lung cancer are offered surgery as a potential cure. Nevertheless, 40% of surgically treated patients will experience recurrence. Paradoxically, research shows a dominant narrative of operable lung cancer patients ‘being lucky’, which silences other narratives about suffering, worries and emotional challenges.AimTo explore narratives about operable lung cancer, particularly emotional reactions to illness and suffering in these narratives.MethodsA qualitative design was applied. Six women and four men diagnosed with operable lung cancer were included from one university hospital in Denmark and interviewed 1 month after surgery using active interviews. The interviews were subject to dialogical narrative analysis. The theoretical foundation is social constructivism, with socio‐narratological inspiration.FindingsA typology of three emotional narratives emerged: ‘staying cool’, ‘staying calm’ and ‘staying positive’. All three types of narrative are characterised by managing emotional reactions. Staying cool is characterised by not showing emotional reactions; staying calm narratives acknowledge emotional reactions, but that they need to be managed so that they do not burden relatives; and the last, staying positive, is characterised by managing emotional reactions in a positive direction. Together this typology of three emotional narratives revealed that operable lung cancer patients are under normative pressure from these socially preferred narratives of ideal emotional reactions to lung cancer.ConclusionA typology of three emotional narratives were identified and can be called ‘feeling rules’ that guide patients after lung cancer surgery to manage their emotions. Consequently, if patients do not live up to these three emotional narratives of staying cool, calm and positive, they may be socially isolated and restricted from access to support.

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The state of Danish nursing ethnographic research: flowering, nurtured or malnurtured – a critical review

Cited by 4 publications

References 59 publications

Significant others’ experience of hospitalized patients’ transfer to home: A systematic review and meta-synthesis

Significant others’ experience of hospitalized patients’ transfer to home: A systematic review and meta-synthesis

Healthcare middle managers’ experiences of developing capacity and capability: a systematic review and meta-synthesis

‘Staying cool, calm and positive’: A dialogical narrative analysis of emotional reactions in narratives about operable lung cancer

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