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Social- and Health-Care Professionals' Meetings with Multiple-Birth Families--Challenges and the Need for More Training and Education
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作者 Heinonen Kristiina 《Journal of Health Science》 2017年第6期310-328,共19页
Background: A systematic literature review shows there is a need to study how professionals work with multiple-birth families in different kinds of nursing contexts. Objective: The aim is to describe public-health n... Background: A systematic literature review shows there is a need to study how professionals work with multiple-birth families in different kinds of nursing contexts. Objective: The aim is to describe public-health nurses' (n = 8) experiences of supporting multiple-birth families and to contribute to the understanding of working with such families. Methodology: The qualitative research study is guided by the phenomenological hermeneutic and van Manen's methods have been used. The phenomenon was described through the concept of lifeworld: time, body, relations, and space. The data include participants' interviews and written documents, as well as the researcher's notes. Results: The phenomena of supporting multiple-birth families, as described by public-health nurses, can be expressed by "Recognizing the strain", "Lightening the load of daily life" and "Targeting special needs". Conclusions: The social-and health-care professionals met challenges in supporting multiple-birth families, and disclosed their need for training and education. There is a need for more understanding of the unique relevant needs and life situations of such families. Wellbeing and caring involves giving guidance and providing the parents with the special knowledge they need. Further research could concentrate on how evidence-based research guides the work of professionals in multi-professional teams. 展开更多
关键词 Phenomenology hermeneutic van Manen LIFEWORLD multiple-birth offspring family nursing social and healthcare professionals
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The Hermeneutic Circle Helps to Accumulate Knowledge and Understanding: An Empirical Example of Public Health Nurses' Experiences of Supporting Multiple-birth Families
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作者 Heinonen Kristiina 《Journal of Health Science》 2017年第5期227-235,共9页
In phenomenological research, the reduction is a complex reflective attentiveness required for phenomenological understanding. A literature review revealed that little research has been done on health care professiona... In phenomenological research, the reduction is a complex reflective attentiveness required for phenomenological understanding. A literature review revealed that little research has been done on health care professionals working with multiple-birth families. Van Manen's method has been variously used in nursing science. The aim of this article is to describe the hermeneutic circle and the method of reduction, providing an empirical example of the experiences of public health nurses working with multiple-birth families. The data consisted of open interviews (n = 38) with three participant groups--parents of twins, nurses, and family care workers--written output from them and the researcher's notes. The phenomena of the lifeworld of multiple-birth families as described by nurses can be expressed as: "recognizing the strain", "targeting special needs", and "lightening the load of daily life". Reduction enables in-depth phenomenological hermeneutic research, helping to see the research stages both as parts and as a whole and the hermeneutic circle that accumulates understanding. Social and health care professionals need to listen more to parents' voices to better understand the needs and situation of multiple-birth families. More education and training is needed to empower parents of twins. This article can stimulate discussion on phenomenology, hermeneutic research and reduction. 展开更多
关键词 Phenomenology HERMENEUTIC van Manen reduction LIFEWORLD hermeneutic circle social and health care professionals family care nursing multiple-birth families.
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