OBJECTIVE: This study aimed to illuminate meanings of person-centredness as narrated by nursing home managers in nursing homes rated as highly person-centred.
METHODS: A phenomenological hermeneutical approach was used.
METHODS: Twelve nursing home managers in 11 highly person-centred nursing homes in 7 municipalities in Sweden were included in this interview study. The findings were interpreted, reflected and discussed through the lens of Ricoeur.
RESULTS: Meanings of person-centredness could be understand as moving between doing and being through knowing, sensing, sharing and giving for person-centredness. These aspects contributed via knowledge, understanding, interaction and action that involved doing for and being with older persons through these caring dimensions. By moving between doing for, being with and being part of the overall nursing home narrative, knowing, sensing, sharing and giving could support the persons\' identity in different ways. This may also contribute to sense-making, preserving dignity and promoting self-esteem when aiming to provide a good life for older persons in nursing homes, within an ever-present ethical frame.
UNASSIGNED: This study illuminated meanings of person-centredness as narrated by nursing home managers. No patient of public contribution was investigated.

Enhanced recovery after surgery programs with median postoperative hospitalization of 2 days improve outcomes after lung cancer surgery. This article explores nursing care practices for patients with lung cancer who remain hospitalized despite having recovered somatically. Qualitative focus group interviews were conducted with 16 nurses. Ricoeur\'s phenomenological hermeneutics underpins the methodology applied in this study, and we relied on Benner and Wrubel\'s theory. The nurses emphasized that the thoughts of patients with a recent lung cancer diagnosis revolve around more than the surgery. Nursing comprises not only practicalities but also attending to patients\' stress and their coping with being struck with lung cancer and having undergone surgery. A counterculture emerged to counteract the logic of productivity, indicating that caring as a worthy end in itself may be underestimated in protocol-driven care. Prolonging hospitalization largely depends on clinical judgment. The nurses\' aim is not to keep patients in the hospital but to avoid any needless suffering, allowing them to reclaim the primacy of caring.

UNASSIGNED: To explore patients\' and family members\' experiences of participating in an intervention using nurse-led family nursing conversations (NLFCs) targeting families affected by chronic non-cancer pain (CNCP), including the perceived impact of the intervention on the individual and the family. CNCP substantially impacts patients and families. Due to a lack of simple treatment solutions, the condition needs to be managed rather than cured. Family involvement seems a promising tool, but research evaluating specific approaches is limited. Interventions based on the family systems nursing framework by Wright and Leahey have been helpful in other populations. Nonetheless, the approach warrants further investigation and evaluation in patients with CNCP.
UNASSIGNED: A phenomenological hermeneutical design was applied, and individual interviews were conducted with ten patients and ten family members who received the intervention. The analysis was inspired by Ricoeur\'s philosophy of text interpretation.
UNASSIGNED: Three themes emerged during the analysis. \"Taking part in the intervention while being affected by previous experiences\" showed that patients and family members were affected by different experiences and burdens and therefore entered the intervention with varied starting points. \"Being empowered through validation and understanding\" showed that participants mainly viewed the intervention as beneficial, increasing patients\' and family members\' mutual understanding and underpinning acceptance of the chronic pain condition. \"Being receptive to the intervention - mechanisms contributing to achieving benefit\" identified contributing mechanisms influencing patients\' and family members\' experiences of the intervention. These mechanisms included confidence in the nurses\' facilitation of the intervention, the timing of the intervention, the participant\'s level of acceptance, and readiness to engage in the intervention.
UNASSIGNED: The intervention was mainly experienced as helpful. Thus, healthcare settings treating CNCP should consider implementing NLFC in clinical practice with adjustments to meet the vulnerability of the CNCP population.

Within the empirical study of moral decision making, people\'s morality is often identified by measuring general moral values through a questionnaire, such as the Moral Foundations Questionnaire provided by Moral Foundations Theory (MFT). However, the success of these moral values in predicting people\'s behaviour has been disappointing. The general and context-free manner in which such approaches measure moral values and people\'s moral identity seems crucial in this respect. Yet, little research has been done into the underlying notion of self. This article aims to fill this gap. Taking a phenomenological approach and focusing on MFT, we examine the concept of moral self that MFT assumes and present an improved concept of moral self for the empirical study of morality. First, we show that MFT adopts an essentialist concept of moral self, consisting of stable moral traits. Then, we argue that such a notion is unable to grasp the dynamical and context sensitive aspects of the moral self. We submit that Ricoeur\'s narrative notion of identity, a self that reinterprets itself in every decision situation through self-narrative, is a viable alternative since it is able to incorporate context sensitivity and change, while maintaining a persisting moral identity. Finally, we argue that this narrative concept of moral self implies measuring people\'s morality in a more exploratory fashion within a delineated context.

Narrating or storytelling is a fundamental practice for human survival and a means for finding meaning in experiences and for enhancing self-understanding. The use of story has been present in nursing since its origins. Biographical narrative has rarely been used as a research method in nursing, and there are no examples conceptualizing biographical narrative research methods within a unitary science perspective. The purpose of this paper is to describe one specific narrative methodological approach-the biographical narrative research method-and to link the method to the science of unitary human beings as a means of creating a unitary understanding of the storied nature of human-health experiences.

UNASSIGNED: When a burn injured child is discharged from hospital to its home, the responsibility for the after-care treatment is transferred to the parent(s). A knowledge gap exists concerning how parents experience caring for a burn-injured child at home after discharge. The aim is to gain an in-depth understanding of parents\' lived experience of living with and caring for their burn-injured child in a home setting.
UNASSIGNED: Twenty-four parents of burn-injured children treated at a Norwegian burn centre were interviewed 74 to 195 days after the burn accident (June 2017 to November 2018). A phenomenological hermeneutic approach was chosen, using a Ricoeur-inspired textual in-depth analysis method. NVivo 12 Plus and COREQ were used.
UNASSIGNED: Four themes emerged. The parents\' experienced feelings had been embodied and would stay forever. They felt left alone to continue the medical treatment at home without having the necessary skills. The parents grieved over the lost past and feared the unknown future. They longed to meet or be contacted by staff members who knew them and their life situation.
UNASSIGNED: Healthcare professionals should see returning home as part of the course of illness and that right support during the hospital can prevent challenges after discharge.

The aim of this study was to explore Australian chaplains\' views of spirituality. Semi-structured online interviews were conducted with 16 participants. Participants relied heavily on metaphors and analogies to describe spirituality. Four inter-related themes were identified through reflexive thematic analysis: (1) The core of spirituality: spirituality as a source of meaning or belief which leads to connectedness with something greater than oneself; (2) A function of spirituality: spirituality empowers people to cope in a crisis, by providing motivation, hope and comfort; (3) The experience of spiritual crisis: admission to hospital or residential care can lead to existential struggle; and (4) The spiritual practice: of holding space between struggle and growth. Greater understanding of the theoretical basis of their work may allow chaplains to offer more in the therapeutic space.

The aim of this study was to gain insight into the phenomena of everyday life as experienced and coped with by patients living with advanced heart or lung failure. We employed a qualitative design using a phenomenological hermeneutic approach. Data derived from 10 nursing consultations in a holistic setting. Ricoeur\'s theory of interpretation inspired the text analysis. The study emphasizes time (past, present, and future) as an overall everyday life theme, playing an essential role associated with improvements or poor outcomes related to physical, mental, and intersubjective challenges. Patients accepted and lived with the challenges, experiencing changes, as transition, but also coped with their new normal, which involved improvements or poor outcomes, some invisible to the community. Assumptions about everyday life changed significantly, the changes possibly essential for intersubjective relations. A reflective approach, can help patients to evolve, using knowledge from the past and present to cope with the future.
Formålet med denne undersøgelse var at få indsigt i hverdagslivets fænomener, som de opleves og håndteres af patienter, der lever med fremskreden hjerte- eller lungesvigt. Vi anvendte et kvalitativt design med en fænomenologisk hermeneutisk tilgang. Data er indsamlet fra ti sygeplejekonsultationer afholdt i en holistisk ramme. Ricoeurs fortolkningsteori har inspireret til tekstanalysen. Undersøgelsen fremhæver tid (fortid, nutid og fremtid) som værende et overordnet hverdagstema, der spiller en væsentlig rolle relateret til bedre eller mindre gode resultater i forbindelse med fysiske, mentale og intersubjektive udfordringer. Patienterne accepterede og levede med udfordringerne, oplevede forandringer, som en transition, men magtede også det nye normale, som indebar forbedringer eller dårlige resultater, hvoraf nogle var usynlige for andre. Antagelser om hverdagslivet ændrede sig væsentligt, heriblandt var nogle ændringer muligvis væsentlige for intersubjektive relationer. En reflekterende tilgang kan hjælpe patienter til at udvikle sig, ved at bruge viden fra fortiden og nutiden til at håndtere fremtiden.

BACKGROUND: Supporting spirituality is an essential aspect of the holistic nursing care of older people living with dementia. Spirituality is defined as a search for answers to questions about the meaning and purpose of life and the individual\'s relationship with the sacred or transcendent. This relationship may or may not involve an affiliation with a specific religion.
OBJECTIVE: To understand how older people living with dementia and their family members experience spirituality and its support in nursing care.
METHODS: A qualitative study informed by the principles of Ricoeurian hermeneutic phenomenology.
METHODS: We conducted the study in home care and long-term care settings in Southern Finland.
METHODS: We collected data between 2017-2020 from a purposive sample of 10 older people living with dementia and their 9 family members (n = 19).
METHODS: We used interviews to collect data and adapted and used Ricoeur\'s theory of interpretation as a method for analysis.
RESULTS: The findings of this study show that older people living with dementia need spiritual support in nursing care based on their personal understanding of spirituality. The four elements of this spirituality that emerged were: religion, meaningful relationships, nature, and art. The participants addressed some challenges to spiritual support in the nursing care of older people living with dementia including: the competence and abilities of nursing, time available, presence and experience.
CONCLUSIONS: Older people living with dementia and their family members consider spiritual support an important aspect of nursing care. To support the spirituality of these older people, the elements of spirituality need to be understood as these are central to each person\'s spiritual position. Additionally, spiritual support requires understanding knowledge, experience, time and presence, to manage all four elements with individuals.

This narrative case study portrays a young woman\'s life experience and adjustment process after suffering a traumatic spinal cord injury (SCI) 5 years ago. It is analyzed retrospectively from the perspective of the middle-range theory (MRT) of adapting to chronic health conditions by Buckner and Hayden (2014), and Ricoeur\'s narrative philosophy is expanded. Understanding Alice\'s narrative from this perspective allows us to understand the process of adaptation to a condition of disability due to a spinal cord injury, from the perspective of a nurse who was forced to change her role as a caregiver to a role of being cared for, due to the changes in her body and her corporality due to the consequences of the injury. In this narrative, the focal and contextual stimuli, the coping processes with special emphasis on the intrinsic and extrinsic adaptive processes, and the results of the process are identified.