In this paper we present the history and background of action research. We identify the way in which action research has evolved over time, reflecting paradigmatic shifts towards contemporary philosophies of emancipation and transformation. Because of the way in which the paradigms underpinning action research have evolved, the methodology has also developed, with an increasing emphasis on maximising the potential for collaboration and participation. We will argue that the most recent representation of action research as ‘transformational research’ has pushed the boundaries of research even further and has challenged dominant thinking about the way research is conducted. A case study of transformational action research derived from an ongoing project in Australia is presented to illustrate the methodology in action. Finally, a discussion of key issues arising from the case study in the context of action research theory and practice highlights the importance of active learning as a means of enabling transformation to happen.
Atrial fibrillation is the most common cardiac arrhythmia in Denmark affecting 50.000 people. Despite this high prevalence and numerous associated hospital contacts, patients with atrial fibrillation have not received much attention in nursing research and general nursing practice. The aim of this study was to illuminate patient experiences with atrial fibrillation. A systematic literature search in the databases Cinahl and Pubmed was performed and 21 articles were included. An analysis of these articles was conducted and 5 themes emerged. The review shows that living with atrial fibrillation is complex. Having atrial fibrillation involves living with a great amount of symptoms, an impaired health status and limited physical function. Furthermore, patients with atrial fibrillation possess little knowledge about their disease, its treatment, and how to manage the illness in a safe way. This review provides a comprehensive overview and insight into patient experiences with atrial fibrillation and the challenges atrial fibrillation cause.
This paper presents a discussion of the meaning of seeing the big picture in nursing, an expression frequently used among Danish nurses. The expression “seeing the big picture” has to do with managing the situation in its wider context. However, the expression has a rather imprecise meaning that might lead to misunderstandings. The discussion builds on findings from empirical studies of the practice of nurse leaders and clinical nurses. In both studies seeing the big picture was repeatedly used and interpreted to be a desire and a necessity. At first, we assumed seeing the big picture had to do with practical knowledge. Wonder and reasoning, however, brought us to virtues instead. Seeing the big picture, as mentioned by study participants, demonstrates human and professional pride. The study is useful in organisational, clinical and educational settings, in updating policies for nursing, enlarging nurses’ understanding of practice, and training student nurses in understanding nursing practice.1Artiklen er en bearbejdet udgave af den engelske artikel: Sørensen EE, Hall EOC. Seeing the big picture in nursing: a source of human and professional pride. J Adv Nurs 2011;67(10):2284-91.
Background and aim: 80-90% of all patients getting cancer treatment suffer from cancer-related fatigue (CRF) in their everyday life. However, this has not gained much attention in clinical practice. To improve our nursing practice this study focuses on how the patients experience and handle CRF in order to enhance the body of already known knowledge in a Danish context. Methods: Nine patients’ experiences were analysed and interpreted using a phenomenological hermeneutical approach. Data was collected through semi-structured interviews. Findings: When CRF set boundaries for the patients’ everyday life, they handle the CRF by; “Struggle to do what they use to do”, “Come to terms with CRT” and by “To surrender and to give in”. Conclusion: Patients experience CRF as tiredness, fatigue and exhaustion. To handle this they use their personal experience, which are not always adequate and consequently make the impact on their everyday life greater than necessary.
In Denmark little is known about elderly with ethnic minority backgrounds, at nursing homes or in own homes, and their relative experience of everyday life near death. The purpose of the article is to illustrate the conceptions and needs of death in everyday life near to death. The method is based on qualitative interviews with 13 elderly and nine relatives from different continents. The study has an anthropological and everyday life theoretical approach. A ‘good death’ is regarded as a quick, unexpected death. A ‘bad death’ is prolonged, conscious and with dependency. Some elderly/relatives who express conceptions about apocalyptic notions problematise the process of dying. Others with a lifecycle perspective talk more harmoniously about death. The elderly mainly wish to have their nearest family around them when they die. Most elderly/relatives have little knowledge about palliative care. The results indicate a need for a health political and professional effort in this area.