Using naturalistic inquiry to inform qualitative description

Cutler, Natalie Ann; Halcomb, Elizabeth; Sim, Jenny

doi:10.7748/nr.2021.e1788

Cited by 5 publications

(5 citation statements)

References 17 publications

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“…This qualitative study used a naturalistic inquiry research design situated in a constructivist world view. The constructivist paradigm views reality as multiple and bound by context, and truth as subjective and formed by each individual's unique experience (Cutler et al, 2021; McInnes et al, 2017). The aim of this study was to explore the experience of PR during mechanical ventilation.…”

Section: The Studymentioning

confidence: 99%

“…The aim of this study was to explore the experience of PR during mechanical ventilation. Therefore, naturalistic inquiry was fitting as it provided scope to explore the multiple perspectives of patients and families while not disturbing their natural setting (Appleton & King, 1997; Cutler et al, 2021). This research not only valued the experiences of each group of participants, but also the commonalities and differences of each individual in each participant group which provided greater insight into the complexities that exist in the practice of PR use in ICUs.…”

Section: The Studymentioning

confidence: 99%

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Being tied down—The experience of being physically restrained while mechanically ventilated in ICU

Perez

Murphy

Wilkes

et al. 2022

Journal of Advanced Nursing

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Aims To explore the experience of physical restraints during mechanical ventilation in intensive care from the perspectives of patients and family members. Design This research was a qualitative study with a naturalistic inquiry framework adhering to the Consolidated Criteria for Reporting Qualitative Research guidelines. Method In‐depth, semi‐structured conversations were conducted with five patients and six family members who had either personally experienced or witnessed their loved ones being physically restrained during mechanical ventilation in intensive care. Data collection occurred between March 2018 and June 2019. These conversations were audio‐recorded and transcribed. Reflexive thematic analysis was used to analyse the data. Results Three major themes emerged from the data. These themes were: Being tied down; Feeling helpless; and Finding light in the darkness. Conclusion The experience of physical restraints during mechanical ventilation in intensive care leads to traumatic experiences which can impact patients and families long after their ICU stay. Holistic care, which considers the physical, emotional and psychological needs of patients and families, should be more thoroughly explored when managing treatment interference to minimize harm. Impact This study gained insight into the physical, emotional and psychological consequences of applying physical restraints to patients who are mechanically ventilated as an intervention for preventing treatment interference. The findings of this study have the potential to improve ICU patient and family outcomes by influencing current physical restraint practices. Recommendations from this research can contribute to practice change by informing policy, shifting workplace culture and norms about restraints, and encouraging education and training.

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Section: The Studymentioning

confidence: 99%

Section: The Studymentioning

confidence: 99%

Being tied down—The experience of being physically restrained while mechanically ventilated in ICU

Perez

Murphy

Wilkes

et al. 2022

Journal of Advanced Nursing

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“…More specifically, the study utilized naturalistic inquiry in order to study the phenomena of moral dilemmas which gave rise to moral distress within the context in which it occurred ( Guba & Lincoln, 1982 ). Within naturalistic inquiry, there is an acceptance that the interactions between participants and the researcher are mutually beneficial in constructing meaning ( Cutler et al, 2021 ).…”

Section: Methodsmentioning

confidence: 99%

Identifying Sources of Moral Distress Amongst Critical Care Staff During the Covid-19 Pandemic Using a Naturalistic Inquiry

et al. 2023

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Introduction Moral distress can have a significant impact on the mental health and well-being of practitioners. Causes of moral distress in critical care have been identified as futile treatment, conflict between family members and staff, lack of resources, and dysfunctional teams. Objectives This study explores the sources of moral distress during the COVID-19 pandemic and the meaning that staff attached to these events. The study aims to examine whether the sources of moral distress are similar, or different, to those that commonly occur in critical care departments. Methods Naturalistic inquiry using semi-structured individual interviews with 17 participants drawn from nursing ( n = 12), medicine ( n = 3), and the allied health professions ( n = 2). The interviews were recorded and transcribed verbatim. The transcripts were analyzed using reflexive thematic analysis. Results The results suggested that while there were some similar sources of moral distress including caring for dying patients and not being able to provide the usual standard of care, the nature of the disease trajectory and frequency of death had a significant impact. In addition, the researchers found that providing care which was counter-intuitive, concerns about the risks to the staff and their families and the additional burdens associated with leading teams in times of uncertainty were identified as sources of moral distress. Conclusion This study explored the potential sources of moral distress during the pandemic and the meaning that practitioners attached to their experiences. There were some similarities with the sources of moral distress in critical care which occur outside of a pandemic. However, the frequency and intensity of the experiences are likely to be different during a pandemic, with staff describing high volumes of deaths without family members present. In addition, new sources of moral distress related to uncertainty, counter-intuitive care and concerns about personal and family risk of infection were identified.

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“…This interpretivist study used a qualitative descriptive methodology, which enabled a meaningful understanding of participants’ experiences and perceptions of gout remission. This drew on the principals of naturalistic inquiry, which requires analysis of the data to be reflected in the descriptions given by participants and the findings to be reported using participants’ own words and quotes (9). An inductive approach to analysis allowed the data to determine the themes.…”

Section: Methodsmentioning

confidence: 99%

The Patient Experience of Gout Remission: A Qualitative Study

Tabi‐Amponsah,

Stewart,

Hosie

et al. 2023

ACR Open Rheumatology

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ObjectivePreliminary remission criteria for gout have been developed. However, the patient experience of gout remission has not been described. This qualitative study aimed to understand the patient experience of gout remission and views about the preliminary gout remission criteria.MethodsSemistructured interviews were conducted. All participants had gout, had not had a gout flare in the preceding 6 months, and were on urate‐lowering medication. Participants were asked to discuss their experience of gout remission and views about the preliminary remission criteria. Interviews were audio recorded and transcribed verbatim. Data were analyzed using a reflexive thematic approach.ResultsTwenty participants with gout (17 male participants, median age 63 years) were interviewed. Four key themes of the patient experience of remission were identified: 1) minimal or no gout symptoms (absence of pain due to gout flares, good physical function, smaller or no tophi), 2) freedom from dietary restrictions, 3) gout is “not on the mind”, and 4) multifaceted management strategies to maintain remission (regular urate‐lowering therapy, exercise, healthy eating). Participants believed that the preliminary remission criteria contained all relevant domains but considered that the pain and patient global assessment domains overlapped with the gout flares domain. Participants regarded 12 months as a more suitable time frame than 6 months to measure remission.ConclusionPatients experience gout remission as a return to normality with minimal or no gout symptoms, dietary freedom, and absence of mental load. Patients use a range of management strategies to maintain gout remission.

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Using naturalistic inquiry to inform qualitative description

Cited by 5 publications

References 17 publications

Being tied down—The experience of being physically restrained while mechanically ventilated in ICU

Being tied down—The experience of being physically restrained while mechanically ventilated in ICU

Identifying Sources of Moral Distress Amongst Critical Care Staff During the Covid-19 Pandemic Using a Naturalistic Inquiry

The Patient Experience of Gout Remission: A Qualitative Study

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