The purpose of this article is to describe how a semantic analysis can be an important starting point in order to recognize the empirical characteristics of a phenomenon or concept. By studying how language develops, we get a picture of how words and expressions have been used in a historical and cultural perspective. This article describes how the semantic analysis created by Peep Koort can be performed as a prerequisite for further research. The analysis provides an important starting point for further exploration of the empirical characteristics of the phenomenon or the concept one wishes to investigate. I will use the concept of courage as an example. From the viewpoint of discrimination paradigm, there seems to be attached firm alliances with strong inner human qualities towards courage and to the brave person.
Psoriasis is a non-contagious skin disease affecting the patient’s physical, mental and social well-being. But what do we know about living with psoriasis? The aim of this article is to review published research literature dealing with the impact psoriasis has on a patient’s life in gene ral, quality of life, and how the person copes with his or her disease. Databases were searched for relevant articles, published from 1999-2009 and dealing with psoriasis, quality of life and coping. Twenty-one articles were found and systematically analyzed in the theoretical framework of coping. The analysis shows that researchers describe a host of problems related to psychical, psychological, socioeconomic and relational issues, and how they influence on life and the feeling of quality of life. Different coping strategies are identified, and the researchers see them as (un)appropriately in relation to the feeling of quality of life. The conclusion is that the results are inconclusive and pointing in many directions. Research in this area is limited and difficult to compare because of differences in measuring scales, and the results are constructed without context in mind. Especially qualitative research with an inclusion of the patients’ social contexts to make us more knowledgeable on the complex situation that a human with psoriasis lives with is needed.
“As opening something locked”: Two focus groups consisting of members of crisis resolution and home treatment teams (CRHT members) were interviewed stepwise concerning their understanding of the concept of hope. Using a phenomenological hermeneutical method of interpretation we found that they understand hope as opening something locked and as enabling new mobility in and for the patient. This mobility may be found inside the patient or it may be brought to the patient by the CRHT members. Both negotiate the responsibility of keeping mobility alive. To create new mobility is a substantial part of the help given by CRHT members. Hope is thus an example of how CRHT teams develop both a new clinical practice and a new vocabulary as they work in a different context from traditional in-house mental health care. Talking about hope allows patients to envision new possibilities as a first move to get unstuck.
People suffering from severe affective disorders generally have poor prognosis and ‘Affektivt Team’ in Southern Denmark offers specialised outpatient follow-up treatment. Against the advice of professionals many patients choose not to participate in the group-based parts of this treatment. Purpose: The aim of this qualitative interview study was to gain insight into the patients’ personal motives for choosing, or not choosing, group-based psychotherapy. Seventeen patients were interviewed using a semi-structured interview guide. The interviews were transcribed verbatim and analysed thematically. Results: The findings are summarised in two central themes: 1. Models of illness and expectations to treatment. 2. Benefits and psychosocial experiences from the groups. The trustworthiness and limitations of the findings are discussed. Conclusions: The respondents primarily conceived treatment as medicine combined with individual psychotherapy and saw groups as social events – not as psychotherapy. For that reason group-based therapy is not an obvious choice of treatment.
Hensigten med denne artikel er at bidrage med en empirisk forståelse af, hvilke barrierer der kan være mellem udvikling af klinisk sygeplejepraksis og sygeplejerskeuddannelsens kliniske og teoretiske undervisning. Artiklen er baseret på undersøgelsen beskrevet i bogen: Praksis og teori. Vidensgrundlag mangfoldighed og utydelighed (1). Undersøgelsen har fokus på opfattelser af, hvad der kan og skal læres i klinisk og teoretisk undervisning i en professionsbacheloruddannelse.
This article describes different understandings of what can and must be learned in the theoretical and clinical nursing education. The aim is to contribute to an understanding of some of the barriers between education and the development of the clinical nursing profession. The article is based on a qualitative research project with a hermeneutic/critical hermeneutic approach. The empirical data in the project was obtained through three qualitative focus group interviews. The informants were nursing students, lecturers and clinical instructors. The data was analyzed using the triple-mimesis, as presented in Ricoeurs critical hermeneutic. The analysis shows that technical rationality seems to be prevalent in the theoretical and clinical education and furthermore that care is displaced from the patient to the student. Finally, we find that there is an adjustment to theory at the expense of the patient’s situation and phenomena in relationships between patients and students. Phenomena which could be essential and possibly contribute to the development of the clinical practice in the nursing education.