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Biomedical subjects

F B Pilkington

Publications and source records attributed to F B Pilkington.

11 recordsLinked to original sources

Persisting while wanting to change: women's lived experiences.

This article presents an inquiry into a common lived experience, which the author named persisting while wanting to change to signify the struggle of trying to change health patterns. Parse's phenomenological-hermeneutic methodology was used to investigate the phenomenon, as it is lived by women in an abusive relationship. Through dialogical engagement with the researcher, eight women described their experiences of persisting while wanting to change. The generated structure and central finding contained three core concepts: wavering in abiding with the burdensome-cherished, engaging-distancing with ameliorating intentions, and anticipating the possibilities of the new. The core concepts are illustrated with excerpts from the dialogues and are discussed in relation to Parse's human becoming theory and related literature. Findings are consistent with those of other studies in which leaving an abusive relationship was described as a process. Implications for practice and further research also are discussed.

Adaptation, Psychological↗

A qualitative study of life after stroke.

The purpose of this qualitative, descriptive exploratory study was to enhance understanding about quality of life after a stroke from the patient's own perspective. The guiding theoretical perspective was Parse's human becoming theory. Loosely structured interviews aimed at eliciting descriptions of quality of life were scheduled during the acute care stay and at one and three months after stroke onset. A total of 32 interviews were conducted with 13 participants, including 9 men and 4 women, aged 40-91 years. Through a process of analysis-synthesis, four themes representing participants' descriptions were created: (1) suffering emerges amid unaccustomed restrictions and losses, (2) hopes for endurance mingle with dreams of new possibilities, (3) appreciation of the ordinary shifts perspectives, and (4) consoling relationships uplift the self. When interpreted in light of the human becoming theory, the themes expand understanding of what it is like to live with a stroke and provide insights that may enhance the quality of care.

Activities of Daily Living↗

Practice with persons living their dying: a human becoming perspective.

The purpose of this article is to discuss nursing practice with persons who are living their dying, from the perspective of Parse's theory of human becoming. Quality of life from the person's own perspective is the goal of practice guided by Parse's theory; hence, it is particularly relevant for nurses in palliative care settings, where quality of life is paramount. The practice methodology is explained and illustrated with an example drawn from experiences with a woman in a hospice in South Korea. As this woman lived her dying, suffering, joy, and sorrow emerged in cocreated relationships with important others.

Adaptation, Psychological↗

Challenging the myths surrounding qualitative research in nursing.

The challenge of nursing in the 21st century is to ground nursing practice in nursing science. This article focuses on the role qualitative research has in advancing nursing science and the myths surrounding qualitative research in nursing. The authors challenge these myths and suggest precepts to guide future research and theory development in nursing. These precepts focus on philosophical origins concerning the nature reality and the nature of knowing. Such understanding is vital to conducting and evaluating qualitative research.

Attitude of Health Personnel↗

The lived experience of grieving the loss of an important other.

The purpose of this study was to uncover the structure of the lived experience of grieving the loss of an important other using Parse's research methodology. Parse's theory of human becoming provided the nursing perspective for the study. Five participants described their experience of grieving the loss of an important other through dialogical engagement with the researcher. The researcher dwelled with the transcribed descriptions and through the processes of extraction-synthesis uncovered the structure of the lived experience of grieving the loss of an important other as an anguished suffering in devastating void amidst consoling movements away from and together with the lost one and others while confidently moving beyond personal doubts. Linked to the major concepts of Parse's theory through heuristic interpretation, the structure was abstracted as valuing the connecting-separating in transforming. The study adds to knowledge about grieving and expands Parse's theory of nursing. Recommendations for practice and further research are offered.

Attitude to Death↗