Heideggerian structures of Being-with in the nurse-patient relationship: modelling phenomenological analysis through qualitative meta-synthesis.

Gullick, J; Wu, J; Reid, C; Tembo, AC; Shishehgar, S; Conlon, L

Heideggerian structures of Being-with in the nurse-patient relationship: modelling phenomenological analysis through qualitative meta-synthesis.

Gullick, J Wu, J Reid, C Tembo, AC Shishehgar, S

Conlon, L

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Publisher:: Springer Science and Business Media LLC
Publication Type:: Journal Article
Citation:: Medicine, health care, and philosophy, 2020, 23, (4), pp. 645-664
Issue Date:: 2020-12

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Field	Value	Language
dc.contributor.author	Gullick, J
dc.contributor.author	Wu, J
dc.contributor.author	Reid, C
dc.contributor.author	Tembo, AC
dc.contributor.author	Shishehgar, S https://orcid.org/0000-0002-2424-7329
dc.contributor.author	Conlon, L
dc.date.accessioned	2021-06-15T06:45:32Z
dc.date.available	2020-08-27
dc.date.available	2021-06-15T06:45:32Z
dc.date.issued	2020-12
dc.identifier.citation	Medicine, health care, and philosophy, 2020, 23, (4), pp. 645-664
dc.identifier.issn	1386-7423
dc.identifier.issn	1572-8633
dc.identifier.uri	http://hdl.handle.net/10453/149535
dc.description.abstract	Heideggerian philosophy is frequently chosen as a philosophical framing, and/or a hermeneutic analytical structure in qualitative nursing research. As Heideggerian philosophy is dense, there is merit in the development of scholarly resources that help to explain discrete Heideggerian concepts and to uncover their relevance to contemporary human experience. This paper uses a meta-synthesis methodology to pool and synthesise findings from 29 phenomenological research reports on Being-with in the nurse-patient relationship. We firstly considered and secured the most relevant Heideggerian elements to nurse-patient Being-with (Dasein-with, circumspection, solicitude, and discourse). Under these deductive codes, we then inductively developed sub-themes that seemed to explain the multifaceted nature of Being-with, through a secondary analysis and synthesis of published data from 417 patient, carer and nurse participants. Dasein-with was enhanced when nurses had first-hand experience with a phenomenon. Nurses moved between the inauthentic they-mode (task-orientated busyness, existential abandonment, rough handling and deficient modes of concern in potentially violent encounters), and the authentic self-mode (seeking connection [knowing], and openness [unknowing], which exposed their emotional vulnerability). Through circumspection (making room for, deseverance and directionality), technology and people were encountered environmentally feeding into nursing attention, assessment and communication. Nursing as a social arrangement (solicitude) was expressed through either leaping-in care (also perceived as 'power over') or leaping-ahead care (moving the patient towards independence). There was a place for both inauthentic (idle talk) and authentic discourse (including non-verbal and spiritual discourse) that nurses wove through the ontic everydayness of nursing tasks.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Springer Science and Business Media LLC
dc.relation.ispartof	Medicine, health care, and philosophy
dc.relation.isbasedon	10.1007/s11019-020-09975-y
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1117 Public Health and Health Services, 2203 Philosophy
dc.subject.classification	Applied Ethics
dc.title	Heideggerian structures of Being-with in the nurse-patient relationship: modelling phenomenological analysis through qualitative meta-synthesis.
dc.type	Journal Article
utslib.citation.volume	23
utslib.location.activity	Netherlands
utslib.for	1117 Public Health and Health Services
utslib.for	2203 Philosophy
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
dc.date.updated	2021-06-15T06:45:31Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	23
utslib.citation.issue	4

Abstract:

Heideggerian philosophy is frequently chosen as a philosophical framing, and/or a hermeneutic analytical structure in qualitative nursing research. As Heideggerian philosophy is dense, there is merit in the development of scholarly resources that help to explain discrete Heideggerian concepts and to uncover their relevance to contemporary human experience. This paper uses a meta-synthesis methodology to pool and synthesise findings from 29 phenomenological research reports on Being-with in the nurse-patient relationship. We firstly considered and secured the most relevant Heideggerian elements to nurse-patient Being-with (Dasein-with, circumspection, solicitude, and discourse). Under these deductive codes, we then inductively developed sub-themes that seemed to explain the multifaceted nature of Being-with, through a secondary analysis and synthesis of published data from 417 patient, carer and nurse participants. Dasein-with was enhanced when nurses had first-hand experience with a phenomenon. Nurses moved between the inauthentic they-mode (task-orientated busyness, existential abandonment, rough handling and deficient modes of concern in potentially violent encounters), and the authentic self-mode (seeking connection [knowing], and openness [unknowing], which exposed their emotional vulnerability). Through circumspection (making room for, deseverance and directionality), technology and people were encountered environmentally feeding into nursing attention, assessment and communication. Nursing as a social arrangement (solicitude) was expressed through either leaping-in care (also perceived as 'power over') or leaping-ahead care (moving the patient towards independence). There was a place for both inauthentic (idle talk) and authentic discourse (including non-verbal and spiritual discourse) that nurses wove through the ontic everydayness of nursing tasks.

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http://hdl.handle.net/10453/149535