Doing descriptive phenomenological data collection in sport psychology research

Researchers in the field of sport psychology have begun to highlight the potential of phenomenological ap-proaches in recognising subjective experience and the essential structure of experience. Despite this, phenom-enology has been used inconsistently in the sport psychology literature thus far. Therefore, the aim of this paper is to provide theoretically informed practical guidelines for researchers who wish to employ the descrip-tive phenomenological interview in their studies. The recommended guidelines will be supported by under-pinning theory and brief personal accounts. An argument will also be presented for the potential that descrip-tive phenomenology holds in creating new knowledge through rich description. In doing so, it is hoped that this method will be utilised appropriately in future sport psychology research to not only strengthen and diver-sify the existing literature, but also the knowledge of practitioners working within the applied world of profes-sional sport

Keeping vigil over the profession: a grounded theory of the context of nurse anaesthesia practice

<p>Abstract</p> <p>Background</p> <p>Nurse anaesthetists in the US have faced continued, repeated challenges to their profession. Regardless, they have met these challenges and have established themselves as major anaesthesia care providers. In this paper we address the research question: How do certified registered nurse anaesthetists (CRNAs) manage the socio-political context in which they provide care for their patients?</p> <p>Methods</p> <p>Grounded theory was used to explore how nurse anaesthetists protect and promote their profession. Purposive, snowball, and theoretical sampling was used and data were collected through participant observation and interviews conducted at a conference of the professional association, an educational program, by telephone, email exchanges, and time spent in operating rooms and an outpatient surgical clinic. Analysis included coding at increasingly abstract levels and constant comparison.</p> <p>Results</p> <p>The basic social process identified was Keeping Vigil Over the Profession, which explains how nurse anaesthetists protect and promote their profession. It is comprised of three contextual categories: Establishing Public Credibility through regulatory and educational standards, Political Vigilance and taking action in governmental and policy arenas, and Tending the Flock through a continuous information loop between local and administrative/political levels.</p> <p>Conclusions</p> <p>From our study of the context of nurse anaesthesia practice, it is clear that CRNAs are dedicated to protecting their ability to provide high quality patient care by maintaining constant vigilance over their profession.</p

Identifying barriers and improving communication between cancer service providers and Aboriginal patients and their families: the perspective of service providers

BACKGROUND: Aboriginal Australians experience poorer outcomes from cancer compared to the non-Aboriginal population. Some progress has been made in understanding Aboriginal Australians’ perspectives about cancer and their experiences with cancer services. However, little is known of cancer service providers’ (CSPs) thoughts and perceptions regarding Aboriginal patients and their experiences providing optimal cancer care to Aboriginal people. Communication between Aboriginal patients and non-Aboriginal health service providers has been identified as an impediment to good Aboriginal health outcomes. This paper reports on CSPs’ views about the factors impairing communication and offers practical strategies for promoting effective communication with Aboriginal patients in Western Australia (WA).METHODS: A qualitative study involving in-depth interviews with 62 Aboriginal and non-Aboriginal CSPs from across WA was conducted between March 2006 - September 2007 and April-October 2011. CSPs were asked to share their experiences with Aboriginal patients and families experiencing cancer. Thematic analysis was carried out. Our analysis was primarily underpinned by the socio-ecological model, but concepts of Whiteness and privilege, and cultural security also guided our analysis.RESULTS: CSPs’ lack of knowledge about the needs of Aboriginal people with cancer and Aboriginal patients’ limited understanding of the Western medical system were identified as the two major impediments to communication. For effective patient–provider communication, attention is needed to language, communication style, knowledge and use of medical terminology and cross-cultural differences in the concept of time. Aboriginal marginalization within mainstream society and Aboriginal people’s distrust of the health system were also key issues impacting on communication. Potential solutions to effective Aboriginal patient-provider communication included recruiting more Aboriginal staff, providing appropriate cultural training for CSPs, cancer education for Aboriginal stakeholders, continuity of care, avoiding use of medical jargon, accommodating patients’ psychosocial and logistical needs, and in-service coordination.CONCLUSION: Individual CSPs identified challenges in cross-cultural communication and their willingness to accommodate culture-specific needs within the wider health care system including better communication with Aboriginal patients. However, participants’ comments indicated a lack of concerted effort at the system level to address Aboriginal disadvantage in cancer outcomes

Supporting activity engagement by family carers at home: maintenance of agency and personhood in dementia

Objective: An explorative paper to describe how family carers, through the caregiving journey, reaffirm and promote the agency of people with dementia. Agency is an important concept in dementia care; and is crucial to the promotion of wellbeing and the delivery of person-centred care. This article is based on one of the key findings of a study that explored family carers’ experiences of engaging their relatives in daily activities in domestic settings. Method: Following research governance and ethical approval, 30 in-depth interviews (initial and follow-up) were carried out with 15 resident-carers of people with dementia who were recruited via local community mental health teams. Then five focus groups were conducted with 21 participants accessed through carers support groups. Interviews and focus groups were transcribed, coded and analysed using a grounded theory method. Results: Findings showed the process in which family carers encouraged and sustained a sense of autonomy and control (agency) in their relative’s daily activities. Key strategies used by carers included: being non-judgemental; facilitating a sense of worth; taking calculated risks; maintaining the continuity of their relative’s identity; enhancing a sense of connection with their relative’s role and identity, using enjoyable activities; preventing inactivity and attending to the bodily source of the agency. Lack of support for carers could ultimately pose a risk to the maintenance of the agency of people with dementia. Conclusion: This study provides a deeper insight into the process used by home carers to support the agency of people with dementia. This is essential if practitioners are to identify and develop more realistic intervention strategies and to work in effective partnership with family carers. The implications for the creation of dementia-friendly communities are discussed

Improving palliative care outcomes for Aboriginal Australians: Service providers' perspectives

Background: Aboriginal Australians have a lower rate of utilisation of palliative care services than the general population. This study aimed to explore care providers’ experiences and concerns in providing palliative care for Aboriginal people, and to identify opportunities for overcoming gaps in understanding between them and their Aboriginal patients and families. Methods: In-depth, qualitative interviews with urban, rural and remote palliative care providers were undertaken in inpatient and community settings in Western Australia. Interviews were audio-recorded, transcribed verbatim and coded independently by two researchers with QSR NVivo 10 software used to help manage data. Data analysis was informed by multiple theoretical standpoints, including the social ecological model, critical cultural theories and the ‘cultural security’ framework. Thematic analysis was carried out that identified patterns within data. Results: Fifteen palliative care providers were interviewed. Overall they reported lack of understanding of Aboriginal culture and being uncertain of the needs and priorities of Aboriginal people during end-of-life care. According to several participants, very few Aboriginal people had an understanding of palliative care. Managing issues such as anger, denial, the need for non-medical support due to socioeconomic disadvantage, and dealing with crises and conflicts over funeral arrangements were reported as some of the tensions between Aboriginal patients and families and the service providers.Conclusion: Early referral to palliative care is important in demonstrating and maintaining a caring therapeutic relationship. Paramount to meeting the needs for Aboriginal patients was access to appropriate information and logistical, psychological and emotional support. These were often seen as essential but additional to standard palliative care services. The broader context of Aboriginal history and historical distrust of mainstream services was seen to impinge on Aboriginal people’s willingness and ability to accept care and support from these services. This context needs to be understood and acknowledged at the system level. More cultural safety training was requested by care providers but it was not seen as replacing the need for an Aboriginal worker in the palliative care team

A before-after implementation trial of smoking cessation guidelines in hospitalized veterans

Abstract Background Although most hospitalized smokers receive some form of cessation counseling during hospitalization, few receive outpatient cessation counseling and/or pharmacotherapy following discharge, which are key factors associated with long-term cessation. US Department of Veterans Affairs (VA) hospitals are challenged to find resources to implement and maintain the kind of high intensity cessation programs that have been shown to be effective in research studies. Few studies have applied the Chronic Care Model (CCM) to improve inpatient smoking cessation. Specific objectives The primary objective of this protocol is to determine the effect of a nurse-initiated intervention, which couples low-intensity inpatient counseling with sustained proactive telephone counseling, on smoking abstinence in hospitalized patients. Key secondary aims are to determine the impact of the intervention on staff nurses' attitudes toward providing smoking cessation counseling; to identify barriers and facilitators to implementation of smoking cessation guidelines in VA hospitals; and to determine the short-term cost-effectiveness of implementing the intervention. Design Pre-post study design in four VA hospitals Participants Hospitalized patients, aged 18 or older, who smoke at least one cigarette per day. Intervention The intervention will include: nurse training in delivery of bedside cessation counseling, electronic medical record tools (to streamline nursing assessment and documentation, to facilitate prescription of pharmacotherapy), computerized referral of motivated inpatients for proactive telephone counseling, and use of internal nursing facilitators to provide coaching to staff nurses practicing in non-critical care inpatient units. Outcomes The primary endpoint is seven-day point prevalence abstinence at six months following hospital admission and prolonged abstinence after a one-month grace period. To compare abstinence rates during the intervention and baseline periods, we will use random effects logistic regression models, which take the clustered nature of the data within nurses and hospitals into account. We will assess attitudes of staff nurses toward cessation counseling by questionnaire and will identify barriers and facilitators to implementation by using clinician focus groups. To determine the short-term incremental cost per quitter from the perspective of the VA health care system, we will calculate cessation-related costs incurred during the initial hospitalization and six-month follow-up period. Trial number NCT00816036http://deepblue.lib.umich.edu/bitstream/2027.42/112349/1/13012_2009_Article_190.pd

Enhancing the student learning experience: the perspective of academic staff

Original article can be found at: http://www.informaworld.com/ Copyright Taylor & FrancisBackground: Quality enhancement in higher education is essentially a planned process of change that leads to continuous improvement in the effectiveness of the learning experience of students and the students' experience of higher education. Published literature that explores the concept in the reality of practice is sparse. Purpose: The overall aims of this study were to explore academic staffs' experience of enhancing the student learning experience and gain an understanding of the factors which create opportunities for, and barriers to, the promotion of quality enhancement activity. Design/method/sample: A qualitative research design was employed to capture a range of academic staffs' views from within one faculty in a higher education organisation. Data was collected by way of three digital voice recorded focus group interviews (n=26). Informants were from a range of subject disciplines and professional groups including nursing, midwifery, social work, radiography, physiotherapy, psychology, pharmacy and life sciences. A modified version of the data analysis method advocated by Chenitz and Swanson (From practice to grounded theory: Qualitative research nursing; Sydney: Addison-Wesley, 1986) was used to analyse the data. Findings: The analysis suggests the existence of three conceptual categories: 'Establishing Readiness', and 'Connecting with the Students' and 'Developing a Work and Learning Environment'. The emergent categories are discussed and considered within the broader context of higher education and extant literature.Peer reviewedFinal Accepted Versio

The oxidation behaviour of ruthenium in the presence of platinum and its effect on the electrocatalytic activity of Pt-Ru fuel cell catalysts

Pt-Ru electrocatalysts are commonly applied anode materials for low-temperature fuel cells, as the addition of ruthenium improves the CO tolerance of the otherwise CO-sensitive platinum catalysts, either by an electronic effect or by electro-oxidation via oxygen-containing adsorbates in the so-called bifunctional mechanism. However, since bulk ruthenium oxidation already takes place at potentials of less than 1.0V vs. RHE and hydrous ruthenium oxide is suggested to be the active species in the bifunctional mechanism, the amount and specific nature of ruthenium oxides play an important role in fuel cell catalysis. Two Pt-Ru catalyst systems with distinctly different Pt-Ru separation have been studied: a carbon-supported Pt-Ru alloy electrocatalyst (Pt-Ru) and a mixture of carbon-supported Pt and carbon-supported Ru (Pt/Ru). Controlled heat-treatment experiments were carried out in air atmosphere at 100°C and 500°C to study the effect of deliberate ruthenium oxidation on the catalyst structure and electrochemical performance. At a heat-treatment temperature of 100°C, the Pt-Ru alloy appears less sensitive towards oxidation than the Pt/Ru mixture, although its lattice parameter increases from about 3.880Å to 3.907Å indicating that part of the ruthenium is pulled out of the alloy phase to form a (amorphous) ruthenium oxide. After heat-treatment at 500°C in air, X-ray patterns of the Pt-Ru alloy and the Pt/Ru mixture look almost alike. However, transmission electron micrographs reveal a distinctly different separation between the Pt and the Ru oxide phase with the Pt-Ru alloy system having many more Pt/Ru neighbour sites available. Complementary XPS measurements show a higher share of electrocatalytically inactive ruthenium oxide in the Pt/Ru mixture catalyst heat-treated at 100°C. The onset of the methanol oxidation reaction (MOR) for the different catalysts increases in the order Pt-Ru < Pt/Ru < Pt independent of the treatment underlining the importance of Pt/Ru site distribution and ruthenium oxide content for the electrocatalytic activity

Structure-to-Property Relationships in Non-Platinum Group Fuel Cell Catalysts: Examination of Length Scale Correlations

Hydrogen fuel cells provide a means for direct electrical generation without the need for a mechanical-work intermediate. They are efficient and produce only water as a product Fuel cells require catalysis to oxidize hydrogen and reduce oxygen at the anode and cathode, respectively. Current fuel cells rely on platinum as a catalyst, which is expensive and is a fundamentally limited resource Catalyst performance is not dependent simply on chemical species or total surface area. There is a complex interplay between concentrations of different chemical moieties and morphology on different length scales. While the fact that the chemistry plays a crucial role seems self-evident, the roles of morphology are less straight-forward. Pore size and surface roughness length scales determine the efficiency and types of diffusion that allow fuel to be delivered to the catalyst surface and for removal of products This presentation focuses on elucidation of catalyst morphology on different length scales. Surface morphology is explored using digital image processing (DIP) of SEM and AFM images. Previous DIP work has used high and low pass filtering to separate images by length scales Refinement of filtering techniques has yielded specific correlations between morphology and macroscopic properties across a range of Fe-N-C catalysts. The sample set shown in Acknowledgment