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- Berndtsson, Inger, 1957, et al.
(författare)
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Issues about thinking phenomenologically while doing phenomenology
- 2007
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Ingår i: Journal of Phenomenological Psychology. - : Brill Academic Publishers. - 0047-2662 .- 1569-1624. ; 38:2, s. 256-277
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Tidskriftsartikel (refereegranskat)abstract
- This methodological article explores issues related to having the ontological ground for phenomenological empirical research present throughout the research process. We discuss how ontology needs to be taken into consideration regarding the phenomena to be studied and how ontological aspects of phenomena need to be highlighted during various data collection and analysis procedures. Here, we discuss how philosophical works can be used in the context of specific research projects. In illustrating our statements, we present four empirical examples connected to the themes of life changes and learning processes with the purpose of exemplifying and discussing how general lifeworld ontology can be integrated as an active resource in empirical phenomenological research.
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| 2. |
- Carlsson, Eva, 1959, et al.
(författare)
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Development and validation of the preparedness for Colorectal Cancer Surgery Questionnaire: PCSQ-pre 24
- 2016
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Ingår i: European Journal of Oncology Nursing. - : Elsevier BV. - 1462-3889 .- 1532-2122. ; 25, s. 24-32
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Tidskriftsartikel (refereegranskat)abstract
- Purpose The aims of the study were to develop and psychometrically evaluate a patient-reported outcome instrument for the measurement of preoperative preparedness in patients undergoing surgery for colorectal cancer. Methods This study was conducted in two stages: a) instrument development (item generation, construction of items and domains), empirical verification and b) instrument evaluation. A questionnaire with 28 items measuring preparedness for surgery was developed covering four domains and was tested for content validity with an expert panel and with patients. Psychometric testing of the questionnaire was conducted on 240 patients undergoing elective surgery for colorectal cancer. Results The scale content validity index of the preparedness items was 0.97. The final version consisted of 24 items measuring 4 subscales: Searching for and making use of information, Understanding and involvement in the care process, Making sense of the recovery process and Support and access to medical care. Confirmatory factor analysis revealed good model fit with standardized factor loadings ranging from 0.58 to 0.97. A well-fitting second-order factor model provided support for a total preparedness score with second-order factor loadings ranging from 0.75 to 0.93. The ordinal alpha values of the four latent factors ranged from 0.92 to 0.96, indicating good internal consistency. The polyserial correlations with the total score were 0.64 (p<0.01) for the overall preparedness question and 0.37 (p<0.01) for overall well-being. Conclusion The Swedish Preparedness for Colorectal Cancer Surgery Questionnaire for use in the preoperative phase demonstrated good psychometric properties based on a sound conceptualization of preparedness. © 2016 Elsevier Ltd
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| 3. |
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| 4. |
- Carlsson, Eva, 1959, et al.
(författare)
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Structure and content in consultations with patients undergoing surgery for colorectal cancer
- 2013
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Ingår i: European Journal of Oncology Nursing. - : Elsevier BV. - 1462-3889 .- 1532-2122. ; 17:6, s. 820-826
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To explore the structure and content of pre-planned consultations as part of the care and treatment of patients undergoing surgery for colorectal cancer. Methods: The study was based on 50 transcripts of audio-recorded pre-planned consultations between seven patients and 36 healthcare professionals from the time of diagnosis, pre-operative consultation, discharge consultation and pathology report in a colorectal unit. Results: The spread of consultation time between professions was considerable. Total mean consultation time for patients during the care process (7 consultations/patient) was 111 mm (range 83-191). The mean consultation time for surgeons was 18 min (7-40), anaesthesiologists 12 min (5-18) and nurses 14 min (5-49). Patients took up 40% of the word space, healthcare professionals used 59% and significant others 1%. Word space changed in such a way that the patient became more active towards the final consultation. Neither during the diagnosis consultation nor during the pre-operative consultation did the patients meet the operating surgeon. Six major subjects emerged: general health, diagnosis, surgical procedure, pre-operative preparations, recovery and treatment and follow-up. Conclusions: There is a need for clearer structure in the consultations. Most consultations lacked a clear introduction to the subject of the conversation. The study makes it possible to develop methods and structure for supporting conversations in which the patient is given space to help with the difficult issues present after undergoing surgery for colorectal cancer. The study also contributes to providing knowledge of how to organise surgical consultations in order to optimise person-centeredness, teamwork and clinical efficiency. (C) 2013 Elsevier Ltd. All rights reserved.
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| 5. |
- Friberg, Febe, 1950, et al.
(författare)
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Communicating bodily changes : Physicians' ways of enabling patient understanding in gastrointestinal cancer consultations
- 2015
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Ingår i: Palliative & Supportive Care. - 1478-9515 .- 1478-9523. ; 13:03, s. 661-671
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To explore how physicians communicatively enable patients' understanding of bodily changes in gastrointestinal cancer care consultations.Method: Two datasets were used. The first consisted of transcribed video-recorded palliative care consultations with three oncologists and six patients diagnosed with advanced gastrointestinal cancer, in the context of outpatient palliative care. The second dataset was audio-recorded transcriptions from diagnostic consultations with six surgeons and seven patients diagnosed with colorectal cancer, in the context of cancer surgery. An inductively driven and iterative analysis of interaction was performed, guided by Wetherell et al. (2001).Results: Two overarching communicative strategies were identified: (1) “visualizing strategies,” with the dimensions: visible strategies (visualizing with what you actually or potentially can see), sensory strategies (visualizing with what is possible to feel), and imaginative strategies; and (2) “contrasting strategies,” with the dimensions: contrasting subjective experiences and contrasting between the patient and other people.Significance of results: The visualizing and contrasting communicative strategies form parts of physicians' tacit and experience-based knowledge. The strategies employed by physicians reveal clear potentials to enable patients' understanding and sense making of bodily changes. However, these strategies need to be explicated and problematized as parts of both consultation practice and basic medical education. By means of increased awareness, physicians can more easily identify turning points in patients' levels of understanding, thereby enriching ordinary medical consultations with reflected pedagogical strategies and skills in how to dialogue in a person-centered manner.
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| 6. |
- Friberg, Febe, 1950, et al.
(författare)
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Context and methodological decontextualisation in nursing research with examples from phenomenography
- 2000
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Ingår i: Scandinavian Journal of Caring Sciences. - 0283-9318. ; 14, s. 37-43
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Tidskriftsartikel (refereegranskat)abstract
- In both human science and nursing research the concept of context is important. However, context can be understood in different ways. The aim of this article is to elucidate, discuss and problematize context, decontextualization and recontextualization in some health care-related phenomenographical studies. A further aim is to problematize the concept of context in a wider perspective of human science, in order to gain a better understanding of phenomenographical research related to nursing care. Our analysis indicates that the complex phenomena which characterize nursing research demand a broad contextual understanding. Both the local or immediate context and the global or mediated context must be considered, as they are dialectically related. This includes the informants' experiences of the phenomenon of interest as well as the socio-cultural discourse. A balance between openness and pliability to the phenomenon is suggested. Reflection is considered an important tool in this process. Within phenomenography, the interest is directed towards conceptions of certain aspects of the world. Thus, context in a wider sense is given a subordinate role. Accordingly, phenomenography is considered to have limited applicability in nursing research when complex phenomena are to be studied. PMID: 12035261 [PubMed - indexed for MEDLINE]
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| 7. |
- Friberg, Febe, 1950, et al.
(författare)
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Creating space for learning at oncology outpatient units.
- 2008
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Ingår i: The Fourth Pan-Pacific Nuring Conference. The Sixth Hong-Kong Nursing Symposium on Cancer Care. Managing Chronic Illness: Challenges and Opportunities for Nursing Practice and research, 13-15 November 2008. Hong Kong.
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Konferensbidrag (refereegranskat)
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| 8. |
- Friberg, Febe, 1950, et al.
(författare)
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Developing Clinical Communication Intervention: Merging Qualitative Results from Patients with Palliative Cancer Care Teams Professional Experience by means of Qualitative Outcome Analysis
- 2010
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Ingår i: 18 th Congress on Palliative Care. October 5-8 2010 Montreal, Canada.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Recent decades have witnessed the development of qualitative methods as well as intense debate concerning the significance of methodological rigor. Although qualitative research has become an established part of palliative care, questions have been raised concerning how results can inform practice. Qualitative Outcome Analysis (QOA) is a method derived from qualitative research that allows interventions to be evaluated and that bridges the theory-practice gap on the path from knowledge generation to knowledge implementation. The aim is to describe QOA by means of examples from an ongoing project about communication in palliative cancer care and on the basis of our results from phenomenological and conversational analysis studies of person centred information in palliative care for patients with recurrent gastrointestinal cancer. The participatory dimensions identified in the project will be related to QOA procedures. Focus groups with the palliative care team at an oncology outpatient unit were held, and major results from previous studies in the project were used as facilitators for discussion and reflection on the team’s professional experiences. In this way patient-reported qualitative findings were merged with professionals’ experience. Group discussion data were analyzed concurrently. A preliminary clinical intervention model was developed and refined by means of small scale clinical tests conducted by the team as well as other focus groups made up of different palliative care teams. The tentative model of communication in palliative cancer care for patients with gastrointestinal cancer will be presented, including main concepts, strategies and outcomes. The applicability of QOA will be presented. A particular dimension identified in the process was participatory aspects related to the shared commitment between the clinicians and the researchers. Such participatory aspects will be elaborated upon and related to the Participatory Action Research tradition. Implications of the model and relating QOA to Participatory Action Research will be reflected upon.
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| 9. |
- Friberg, Febe, 1950, et al.
(författare)
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Exploration of dynamics in a complex person-centred intervention process based on health professionals' perspectives
- 2018
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Ingår i: BMC Health Services Research. - : Springer Science and Business Media LLC. - 1472-6963. ; 18:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: The assessment and evaluation of practical and sustainable development of health care has become a major focus of investigation in health services research. A key challenge for researchers as well as decision-makers in health care is to understand mechanisms influencing how complex interventions work and become embedded in practice, which is significant for both evaluation and later implementation. In this study, we explored nurses' and surgeons' perspectives on performing and participating in a complex multi-centre person-centred intervention process that aimed to support patients diagnosed with colorectal cancer to feel prepared for surgery, discharge and recovery. Method: Data consisted of retrospective interviews with 20 professionals after the intervention, supplemented with prospective conversational data and field notes from workshops and follow-up meetings (n = 51). The data were analysed to construct patterns in line with interpretive description. Results: Although the participants highly valued components of the intervention, the results reveal influencing mechanisms underlying the functioning of the intervention, including multiple objectives, unclear mandates and competing professional logics. The results also reveal variations in processing the intervention focused on differences in using and talking about intervention components. Conclusions: The study indicates there are significant areas of ambiguity in understanding how theory-based complex clinical interventions work and in how interventions are socially constructed and co-created by professionals' experiences, assumptions about own professional practice, contextual conditions and the researchers' intentions. This process evaluation reveals insights into reasons for success or failure and contextual aspects associated with variations in outcomes. Thus, there is a need for further interpretive inquiry, and not only descriptive studies, of the multifaceted characters of complex clinical interventions and how the intervention components are actually shaped in constantly shifting contexts.
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| 10. |
- Friberg, Febe, 1950, et al.
(författare)
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Fenomenologi
- 2021
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Ingår i: Kvalitativa metoder helt enkelt! (Klingberg G & Hallberg U, Red.). - Lund : Studentlitteratur. - 9789144142913 ; , s. 165-185
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Fenomenologisk analys är ett arbetssätt inom kvalitativ metod som tar tydlig utgångspunkt i filosofi och utvecklats till en forskningstradition tvärs över flera discipliner och kunskapsfält. Det är ingen enhetlig tradition utan betraktas som en förgrenad rörelse. Vi kan faktiskt säga att det finns flera fenomenologier (Bengtsson 2005) och som en konsekvens finns olika sätt att genomföra fenomenologiska studier. Hur en fenomenologisk undersökning går till har utvecklats på lite olika sätt av både filosofer och de som utvecklat empiriska metoder. Gemensamt för forskare som använder någon form av fenomenologi är att ta utgångspunkt i filosofi, vilket bidrar till att klassiker fortfarande läses och tolkas. Inledningsvis kommer kapitlet att beskriva vad som kännetecknar fenomen och fenomenologi. Olika distinktioner mellan olika fenomenologiska variationer är möjliga och vi kommer därför att ge en översikt över sådana. I beskrivning av hur forskningsprocessen tillämpas tar vi utgångspunkt i en (förenklad) indelning i beskrivande och tolkande fenomenologisk metod. Avslutningsvis kommenteras förtjänster med och kritik av fenomenologisk metod.
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