To be present, share and nurture: a lifeworld phenomenological study of relatives’ participation in the suicidal person’s recovery

Source at http://dx.doi.org/10.1080/17482631.2017.1287985 In today’s health care, participation is acknowledged as important. However, there is limited research on how relatives of patients at risk of suicide experience their opportunities to participate in care during periods when their close ones are subject to inpatient care. The aim of this study was to describe the phenomenon of participation, as experienced by relatives of persons who are subject to inpatient psychiatric care due to a risk of suicide. The study was conducted through a reflective lifeworld research (RLR) approach, based on phenomenological philosophy. Eight relatives of patients receiving care from professionals in a psychiatric specialist health care context in Sweden participated in phenomenon-oriented interviews. Data were analysed to elucidate a meaning structure of the phenomenon. The findings show that the phenomenon of participation was more associated with patients’ recovery processes than with the caring process, and means “being actively involved in a process in which the person regains the desire to live”. The meaning of participation is further described by its meaning constituents: struggling for being able to be present for the person at risk of suicide, being able to share everyday life, and nurturing sources for vitality. These insights into the meaning of participation highlight the importance of allowing supportive relatives to be a part of the patient’s life, while the person is cared for in an inpatient hospital setting. Thus, participation enables relatives to be acknowledged as resourceful human beings in the patient’s recovery process, and thereby facilitates a sense of being able to manage and share life itself together with the person. This means that mental health nurses need to recognize individual variations of relatives’ participation processes, and take on the responsibility of acknowledging relatives’ lifeworlds

Ett miljöanpassat informationssamhälle 2020

Rapport från regeringens IT-politiska strategigrupp

Malt in Combination with Lactobacillus rhamnosus Increases Concentrations of Butyric Acid in the Distal Colon and Serum in Rats Compared with Other Barley Products but Decreases Viable Counts of Cecal Bifidobacteria123

Several substances, including glutamine and propionic acid but in particular butyric acid, have been proposed to be important for colonic health. β-Glucans lead to the formation of comparatively high amounts of butyric acid, and germinated barley foodstuff obtained from brewer’s spent grain (BSG), containing high amounts of β-glucans and glutamine, has been reported to reduce the inflammatory response in the colon of patients with ulcerative colitis. The present study examines how 3 barley products, whole grain barley, malt, and BSG, affect SCFA in the hindgut and serum of rats and whether the addition of Lactobacillus rhamnosus 271 to each of these diets would have further effects. Amino acids in plasma and the cecal composition of the microbiota were also analyzed. The butyric acid concentration in the distal colon and serum was higher in the malt groups than in the other groups as was the serum concentration of propionic acid. The concentrations of propionic and butyric acids were higher in the cecum and serum of rats given L. rhamnosus than in those not given this strain. The proportion of plasma glutamine and the cecal number of bifidobacteria were lower in the malt groups than in the other groups. L. rhamnosus decreased the number of cecal bifidobacteria, whereas plasma glutamine was unaffected. We conclude that malt together with L. rhamnosus 271 had greater effects on propionic and butyric acid concentrations in rats than the other barley products. This is interesting when developing food with effects on colonic health

Rest : A Health-Related phenomenon and concept in Caring Science

Rest is a health-related phenomenon. Researchers have explored the phenomenon of rest, but further concept development is recommended. The aim of my study was to develop and describe a concept of rest, from interviews with a total of 63 participants about their lived experiences of rest. I performed the developing process in two stages: first with descriptive phenomenology and second with a hermeneutic approach. The concept of rest is comprised of the essences of both rest and “non-rest,” and there is a current movement between these two conditions in peoples’ lives. The essence of rest is being in harmony in motivation, feeling, and action. The essence of non-rest is being in disharmony in motivation, feeling, and action. The essences reveal some meaning constituents. Health care professionals and researchers can use the concept as a frame of reference in health care praxis and in applied research

Vila och lärande om vila. En studie på livsvärldsfenomenologisk grund

The aim of this dissertation has been to develop a tentative theory about rest and the learning of rest, by proceeding from people' slived experience of rest. The aim also has be'en to develop a model for learning how to rest, where the mutuality between the learning content, the people learning and the conditions for learning are considered. Three research questions have been used as a guide in the issertation work: What is the meaning of rest? How do individuals learn to rest? How can conditions be created to help people learn how to rest? In society, there is a tendency that both the pace of life and the production process is expected to function as quickly as possible, so that the time can be used as effectively as possible. Individuals are finding it problematical to relate to and deal with these changes. An accelerated tempo and an increased consciousness of time are signs of this. This creates ill health, which can be partly understood as an inability to rest. Therefore, it becomes a pedagogical question for people to learn how to rest, which can be described as to accquire a skill or an art. A skill is situated in between theory and practice. Knowledge and action me insepmably alhed with each other in skills. The research questions were studied with a life-world phenomenological approach, and intenriews were chosen as method for collecting data. In the interviews, the researcher was guided by concepts significant for human science research: openness, immediacy, intersubjectivity, meaning, uniqueness. In the analysis of the data a descriptive henomenological methodology was used, with searching for essence. A general structure of the phenomenon of rest, implies a duality between rest and nonrest. The essence of rest is a harmony in feeling, action and motivation. The fonnation of rest develops when people's inner reality, conceming need and longing, correspond to the shape and character of their extemal reality. The constituents for tlIe essence of rest is: rest rhythm in life, atmosphere of beauty and comfort, to be accepted without judgment, a relation involving mutual interests, freedom from anxiety and compulsion, a state of detachment and relaxation, enjoyable experiences and challenges. The essenee of non-rest is a dishannony in motivation, feelings and action. This experience of disharmony, drains people of energy, which becomes more obvious the longer the period of non-rest continues. The constituents for the essence of non-rest is: to be motivated but not be able to, be able to yet not be motivated, to be motivated but not be able to feel. To leam how to rest involves becoming conscious of a rytm in one's way of life, to allow for a rhythm in life, and to find or create sources where energy can be drawn. The model for learning how to rest is constituted by three dimensions: learning about rest, learning through rest and learning in rest. Learning about rest can be related to ideas about life-world, lived body, time and space, circularity and intentionality. Knowledge about learning through rest can be related to ideas about health, and knowledge ab out learning in rest can be related to ethics and aesthetics

Developing Concepts in Caring Science Based on a Lifeworld Perspective

Concept development is a significant form of inquiry to expand and develop the knowledge base in caring science. The authors’ aim in this article is to illuminate the possibility of working with concept development, based on a life world perspective, especially Merleau-Ponty’s philosophy of language, wherein phenomenological, semiological, and pragmatic dimensions are included. The theoretical discussion shows that it is possible to create methodological principles for concept development based on epistemological foundations that are consistent with ontological assumptions in caring scienc

Photo-elicited conversations about therapy dogs as a tool for engagement and communication in dementia care: a case study

Understanding the inner life of people with dementia can be challenging and there is aneed for new and dierent approaches. Previous research shows that people with dementia canexperience emotions such as harmony, closeness, and joy as well as sadness and concern wheninteracting with a therapy dog. Simultaneously, memories of past episodes are brought back to lifewhen the person interacts with the dog. This raises questions about whether photos of interactionwith a dog can evoke memories or support people with dementia in communicating emotions in acorresponding way. The aim of this study was to explore photo-elicited conversations as a tool forengagement and communication in dementia care. Repeated video observations of photo-elicitedconversations between a woman with dementia and a dog handler/assistant nurse were used tocollect data. The video recordings were analyzed with a phenomenological hermeneutical method.The role of photo-elicited conversations as a tool for engagement and communication in dementiacare is that the conversations can help the person with dementia to feel a sense of being situatedand recall feelings of liveliness and belongingness, and thus supporting the person’s sense of self.The results can be used to deepen nursing sta’s understanding of using photo-elicited conversationsin dementia care

Conceptions of healthy aging held by relatives of older persons in Isan-Thai culture : a phenomenographic study

In Thailand, family nurses are expected to provide support for older persons and their family members to promote healthy aging. Family bonds are strong, and relatives are expected to take care of their older family members. However, there is limited research on how older persons’ family members perceive healthy aging. This study aimed to describe the conceptions of healthy aging held by the children and grandchildren of older persons in northeast Thailand. In a phenomenographic study, 14 interviews were performed to qualitatively analyze different conceptions of healthy aging. Four descriptive categories emerged: being independent, not being afflicted by diseases or illnesses, being a giver and a receiver, and being wise. The conceptions of healthy aging entail both autonomy and interdependence. The relative’s perspective needs to be considered when policies relating to healthy aging are implemented in the community and when family nurses provide support to families to promote healthy aging. © 2018 Pornpun Manasatchakun et al