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Biomedical subjects

Anthony G Tuckett

Publications and source records attributed to Anthony G Tuckett.

8 recordsLinked to original sources

On paternalism, autonomy and best interests: telling the (competent) aged-care resident what they want to know.

This paper has been derived from a review of literature from a recent qualitative study that explored the meaning of truth-telling within the care provider-aged resident dyad in high-level (nursing home) care of elderly people. In the literature reviewed here, paternalism (as benevolent decision-making in another's best interests) is critically analysed. Autonomy is then described and its function in promoting health is underscored. Furthermore, this paper specifically challenges nurses to consider their capacity to really know another's best interests--particularly in the nursing home. Finally, a very simple recommendation is proposed for determining and managing the (competent) aged-care resident's informational disclosure preferences: ask them.

Advance Directives↗

The care encounter: pondering caring, honest communication and control.

The proposition presented in this paper is that caring, underpinned by beneficence and non-maleficence, assumes that nurses will make determinations about another's best interests and act accordingly. With some emphasis on high-level (nursing home) aged care, it is the author's contention that nurses give priority to communication that controls the care encounter rather than acting in another's best interests. This view is supported in the literature, which suggests that nurses perceive honesty and information-sharing as less important in caring than do patients, and nurses' perception that telling another the truth is harmful and, therefore, contravenes the duties of beneficence and non-maleficence.

Aged↗

Part II. rigour in qualitative research: complexities and solutions.

Anthony G Tuckett outlines the strategies and operational techniques he used to attain rigour in a qualitative research study through relying on Guba and Lincoln's trustworthiness criterion. Research strategies such as use of personal journals, audio recording and transcript auditing, and operational techniques including triangulation strategies and peer review, are examined.

Aged↗

Truth-telling in clinical practice and the arguments for and against: a review of the literature.

In general, most, but not necessarily all, patients want truthfulness about their health. Available evidence indicates that truth-telling practices and preferences are, to an extent, a cultural artefact. It is the case that practices among nurses and doctors have moved towards more honest and truthful disclosure to their patients. It is interesting that arguments both for and against truth-telling are established in terms of autonomy and physical and psychological harm. In the literature reviewed here, there is also the view that truth-telling is essential because it is an intrinsic good, while it is argued against on the grounds of the uncertainty principle. Based on this review, it is recommended that practitioners ought to ask patients and patients' families what informational requirements are preferred, and research should continue into truth-telling in clinical practice, particularly to discover its very nature as a cultural artefact, and the other conditions and contexts in which truth-telling may not be preferred.

Attitude of Health Personnel↗

Qualitative research sampling: the very real complexities.

In this article Anthony Tuckett discusses the complexities of qualitative research sampling. He analyses a research experience, together with the rationales for and limitations of qualitative research sampling. Further, he examines the reality of establishing and maintaining a purposeful/theoretical sample and how data saturation symbiotically interacts with constant comparison to guide sampling. Additionally sample limitations are countered. This paper is aimed at novice and experienced researchers in nursing interested in the practical reality of research, who are also mindful of the necessity for rigour.

Adult↗

Collecting qualitative data: part I: Journal as a method: experience, rationale and limitations.

This article discusses the experience, rationale for and limitations of the journal, namely--research participant's personal journal and the researcher's field journal as a method for collecting qualitative data. Numerous strengths are proposed for and limitations are countered in the use of the journal as a method. This methods paper is aimed at nursing academics, authors and nursing students interested in the practical reality of research but who are also mindful of the necessity for rigour. A second paper will discuss the experience, rationale for and limitations of the group discussion as a suitable method for collecting qualitative data.

Aged↗

Collecting qualitative data: Part II. Group discussion as a method: experience, rationale and limitations [corrected].

This article discusses the experience, rationale for and limitations of the group discussion as a method for collecting qualitative data. The researcher defines the group discussion as a focused group depth discussion' premised on a review of the focus group literature. A number of strengths are proposed for and the limitations are countered in the use of the group discussion as a method for collecting qualitative data.

Attitude of Health Personnel↗

Applying thematic analysis theory to practice: a researcher's experience.

This article describes an experience of thematic analysis. In order to answer the question 'What does analysis look like in practice?' it describes in brief how the methodology of grounded theory, the epistemology of social constructionism, and the theoretical stance of symbolic interactionism inform analysis. Additionally, analysis is examined by evidencing the systematic processes--here termed organising, coding, writing, theorising, and reading--that led the researcher to develop a final thematic schema.

Aged↗