Exploring the meaning of hypoglycaemia to community-dwelling Singaporean Chinese adults living with type 2 diabetes mellitus
- Authors: Tan, Pamela , Chen, Hui-Chen , Taylor, Beverley , Hegney, Desley
- Date: 2012
- Type: Text , Journal article
- Relation: International journal of nursing practice Vol. 18, no. 3 (2012), p. 252-259
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- Description: This study aimed to explore how community-dwelling Singaporean Chinese adults diagnosed with type 2 diabetes mellitus experience hypoglycaemia. A qualitative interpretive research design was employed. Semi-structured interviews were conducted with six participants from a Singaporean diabetes specialist outpatient clinic, transcribed verbatim and analysed using qualitative manual thematic analysis. Eight major themes emerged: experiencing symptoms, knowing hypoglycaemia is manageable, using acute measures, using preventative strategies; applying knowledge, identifying causes of hypoglycaemia, forming relationships and working with health-care professionals. Participants underestimated the impact of hypoglycaemia mainly due to their experiencing mild and infrequent episodes, and knowledge deficits. Health-care professionals’ roles were limited to information providers, and they were perceived as detached and impersonal. The implications are that health-care professionals need to provide more client-focused education, and improve the quality of their interpersonal relationships to ensure shared decision-making with their clients.
The experiences of and meaning for women living and coping with type 2 diabetes: a systematic review of qualitative evidence
- Authors: Min, Li Jie , Drury, Vicki , Taylor, Beverley
- Date: 2012
- Type: Text , Journal article
- Relation: JBI Library of Systematic Reviews Vol. 10, no. (2012), p. 2998 - 3047
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Impact of demographic change, socioeconomics, and health care resources on life expectancy in Cambodia, Laos, and Myanmar
- Authors: Chan, Moon Fai , Taylor, Beverley
- Date: 2013
- Type: Text , Journal article
- Relation: Public Health Nursing Vol. 30, no. 3 (2013), p. 183-192
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- Description: Objectives: Demographic and socioeconomic changes and the availability of health care resources were collected to examine the impacts on life expectancy in Cambodia, Laos, and Myanmar. Design and Sample: An ecological design collecting 29 years (1980 –2008) data for three Southeast Asian countries. Measures: Life expectancy, demographics, socioeconomic status, and health care resources were collected. Results: The structural equation model indicates that more available health care resources and socioeconomic advantages were more likely to increase life expectancy. By contrast, demographic change was more likely to increase life expectancy by way of health care resources. Conclusions: Results show that factors that had direct impacts on life expectancy in all three countries were socioeconomic status and health care resources. Demographic changes had an indirect influence on life expectancy via health care resources. These findings suggest that policymakers should be focusing on how to remove the barriers that impede access to health care services during economic downturns. In addition, how to increase preventive care for the populations that have less access to health care in communities
Investigating factors that have an impact on nurses' performance of patients' conscious level assessment: a systematic review
- Authors: Chan, Moon Fai , Mattar, Ihsan , Taylor, Beverley
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Nursing Management Vol. 21, no. 1 (2013), p. 31-46
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- Description: Aim To identify factors that have an impact on nurses’ performance of patients’ conscious level assessment. Background There is a need for nurses to accurately assess a patient’s conscious level to detect neurological changes and initiate prompt action. Methods Nine databases were systematically searched (1990–February 2010) to review experimental, cohort, case control, cross-sectional and descriptive studies that addressed factors which affected nurses’ performance of patient conscious level assessment. Participants in the studies reviewed were nursing staff. The Joanna Briggs Institute Meta Analysis of Statistics Assessment and Review Instrument was used for quality assessment. Results Eleven studies were analysed in this review. Knowledge and experience were found to be the most significant factors in determining nurses’ performance of patient conscious level assessment. Formal training was found to be effective in improving assessment skills and experience greatly affected the accuracy of assessment. Conclusion Knowledge and experience are the most significant factors on nurses’ performance of consciousness level assessment. Implications for nursing management Formal training is needed on a continual basis to maintain skills in consciousness level assessment, and nurses who are more experienced in the use of assessment should mentor those that are less experienced
Exploring Heideggerian hermeneutic phenomenology: a perfect fit for midwifery research
- Authors: Miles, Maureen , Chapman, Ysanne , Francis, Karen , Taylor, Beverley
- Date: 2013
- Type: Text , Journal article
- Relation: Women and Birth Vol. 26, no. 4 (2013), p. 273-276
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- Description: Background Heideggerian hermeneutic phenomenology has been used widely to understand the meaning of lived experiences in health research. For midwifery scholars this approach enables deep understanding of women's and midwives’ lived experiences of specific phenomena. However, for beginning researchers this is not a methodology for the faint hearted. It requires a period of deep immersion to come to terms with at times impenetrable language and perplexing concepts. Objectives This paper aims to assist midwives to untangle and examine some of the choices they face when they first come to terms with an understanding of this methodology and highlights the methodology's capacity to reveal midwifery authenticity and holistic practice. Discussion The illumination of a selection of various concepts underpinning hermeneutic phenomenology will inform midwives considering this methodology as suitable framework for exploring contemporary midwifery phenomena.
'Diabetes is nothing': the experience of older Singaporean women living and coping with type 2 diabetes
- Authors: Li, Jiemin , Drury, Vicki , Taylor, Beverley
- Date: 2013
- Type: Text , Journal article
- Relation: Contemporary Nurse Vol. 45, no. 2 (2013), p. 188-196
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- Description: Purpose: The purpose of this study was to describe, through qualitative methods, the experiences and ways of coping of older Singaporean Chinese women with type 2 diabetes. Methods: Using a qualitative approach, 10 Singaporean Chinese women between the ages of 60–69 described their experiences of living and coping with type 2 diabetes. Data were collected via semi-structured interviews and analysed using thematic analysis. Results: Three themes were identified in the analysis: (i) Living with diabetes; (ii) Coping with diabetes; and (iii) Caring for the self in diabetes. Conclusions: Findings indicate that women living and coping with diabetes confront numerous issues. In order to help these patients initiate and sustain lifestyle modifications, healthcare providers are encouraged to be empathetic and supportive and an understanding of the coping strategies used will ensure that effective coping strategies are utilised. Furthermore, diabetes education for family members will assist them to provide essential, ongoing support for the patient.
Hermeneutic phenomenology: a methodology of choice for midwives
- Authors: Miles, Maureen , Francis, Karen , Chapman, Ysanne , Taylor, Beverley
- Date: 2013
- Type: Text , Journal article
- Relation: International journal of nursing practice Vol. 19, no. 4 (2013), p. 409-414
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- Description: Hermeneutic phenomenology has been used widely by researchers to understand lived experiences. This methodology asserts that individual people are as unique as their life stories. The practice of midwifery is underpinned by a philosophy that values women and the uniqueness of their child-bearing journey. The tenets of hermeneutics phenomenology align with those of contemporary midwifery practice, making it a useful research methodology for providing insights into issues relevant to the profession. The purpose of this paper is to unravel some foundational concepts of hermeneutic phenomenology and recommend it as a methodology of choice for midwives to apply to their application to midwifery-in-action.
Postoperative pain management experiences among school-aged children: a qualitative study
- Authors: Sng, Qian , Taylor, Beverley , Liam, Joanne , Klainin-Yobas, Piyanee , Wang, Wenru , He, Hong-Gu
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Clinical Nursing Vol. 22, no. 7-8 (2013), p. 958-968
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- Description: Aims and objectives To explore postoperative pain management experiences among school-aged children. Background Ineffective postoperative pain management among children has been commonly reported. School-aged children are able to evaluate how their pain is managed and what their preferred strategies are. Most studies in pain management have adopted quantitative methods and have overlooked children's pain management experiences. Design This is a qualitative study using face-to-face interviews. Methods Data were collected from 15 school-aged children admitted to a tertiary hospital in Singapore by in-depth interviews conducted between November 2010 and January 2011. Data were analysed by thematic analysis. Results Five themes were identified: children's self-directed actions to relieve their postoperative pain (e.g. using cognitive-behavioural methods of distraction and imagery, physical method of positioning, sleeping and drinking, seeking other people's help by informing parents and crying and using pain medications); children's perceptions of actions parents take for their postoperative pain relief (assessing pain, administering pain medications, using various cognitive-behavioural, physical methods and emotional support strategies, assisting in activities and alerting health professionals); children's perception of actions nurses take for their postoperative pain relief (administering medication, using cognitive-behavioural methods, emotional support strategies and helping with activities of daily living) and suggestions for parents (using distraction and presence) and nurses (administering medications, distraction and positioning) for their postoperative pain relief improvement. Conclusions This study contributed to the existing knowledge about children's postoperative pain management based on their own experiences. Children, their parents and nurses used various strategies, including pain medication and non-pharmacological methods, especially distraction, for children's postoperative pain relief.
Ethical issues in health-care inquiry: a discussion paper
- Authors: Ignacio, Jeanette , Taylor, Beverley
- Date: 2013
- Type: Text , Journal article
- Relation: International journal of nursing practice Vol. , no. 19 (Supplement S1) (2013), p. 56-61
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- Description: This paper is a discussion of the possible ethical dilemmas that may arise in both qualitative and quantitative research despite stringent methodological protocols. Three categories of ethical issues will be elaborated on, namely, researcher–participant relations, informed consent and confidentiality and privacy. These are of note because ethical dilemmas most often arise in these areas. Both qualitative and quantitative research types may thus present with problems associated with any, or a combination, of these categories. Methodological rigour will also be discussed as a vital component of any research study. Critics of the qualitative approach have often suggested that the innate lack of methodological rigour has resulted in the preponderance of ethical issues in qualitative studies. Qualitative studies, similar to quantitative studies, have mechanisms that guarantee rigour, quality and trustworthiness. These checks are at par with those of quantitative research but based on different criteria. Both types of research, then, can be considered equal in terms of methodological rigour, regardless of the nature. As no research approach can be perfectly free from threats of ethical issues, it is the researcher's responsibility to address these in ways that will be less harmful to the participants, bearing in mind ethical problems can arise at any time during the research endeavour.
Exploring elderly people's health needs in the Asia Pacific region using interpretive and critical qualitative research
- Authors: Taylor, Beverley
- Date: 2012
- Type: Text , Journal article
- Relation: Singapore Nursing Journal Vol. 39, no. 1 (2012), p. 4-7
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- Description: The Asia Pacific region is a vast geographical area in the Southern Hemisphere comprising 48 countries, with sharp contrasts in economics and social conditions. Due to longer life expectancies, ageing populations and smaller families, ageing persons will require much health and social care in the future. "From abstract"
Experience of hypoglycaemia and strategies used for its management by community-dwelling adults with diabetes mellitus: a systematic review
- Authors: Tan, Pamela , Chen, Hui-Chen , Taylor, Beverley , Hegney, Desley
- Date: 2012
- Type: Text , Journal article
- Relation: Wiley-Blackwell Publishing Asia Vol. 10, no. 3 (2012), p. 169-180
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- Description: Aim: To synthesise the evidence on how community‐dwelling adults with type 1 and type 2 diabetes mellitus experience hypoglycaemia and the strategies they use to control it. Methods: Using a three‐step search strategy, all published and unpublished qualitative studies in English from January 2000 to August 2010 were retrieved. Participants diagnosed with type 1 or type 2 diabetes mellitus, experienced in self‐managing their hypoglycaemia, and who lived independently in the community and attended primary care or outpatient clinics were included. An initial limited search was conducted in MEDLINE and CINAHL to identify keywords and index terms, which were then used in a second search across the CINAHL, PUBMED, SCOPUS, PsycINFO, PsycARTICLES, Web of Science, JSTOR, EMBASE and MEDNAR databases. Additionally, the reference lists of all retrieved papers were hand‐searched for additional studies. Retrieved studies were assessed for methodological validity using the standardised Joanna Briggs Institute‐Qualitative Assessment and Review Instrument (JBI‐QARI). Data, in terms of research findings, were extracted from included studies using the standardised JBI‐QARI data extraction tool. Five studies (six papers) were included in the review. Results: The 20 findings from the six papers were grouped into three categories, which were then synthesised into one overall finding – that is ‘People with diabetes mellitus can self‐manage their diabetes and thus prevent hypoglycaemic episodes more effectively when health professionals provide psychological, physiological and spiritual support, and an individually targeted education programme’. Conclusions: Within the constraints of this review, it appears that the patient‐identified priority is to maintain normality in blood glucose self‐management. There is also evidence that some people lack the knowledge to identify and self‐manage hypoglycaemia. Implications for practice: To enable community‐dwelling adults with diabetes mellitus to self‐manage hypoglycaemia, healthcare professionals should provide individualised information and emotional support and regularly discuss and assess the person's level of knowledge, awareness of hypoglycaemia and their ability to self‐manage.
Emergency resuscitation team roles: What constitutes a team and who's looking after the family
- Authors: Porter, Joanne , Cooper, Simon J. , Taylor, Beverley
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Nursing Education and Practice Vol. 4, no. 3 (2014), p. 124
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- Description: Aim of study: This study aimed to investigate the attitudes of personnel working in emergency departments on the constitution of a resuscitation team in particular the perceptions of the family liaison role. Methods: A paper base survey on family presence during resuscitation was distributed to emergency personnel working in 18 public departments in the state of Victoria, Australia. Results: A combination of nurses (n = 282) and doctors (n = 65) working in rural and metropolitan emergency departments, identified seven unique resuscitation team roles. Resuscitation teams were identified as comprising of three doctors, three nurses and one other which could be either. Respondents identified seven unique roles as consisting of a team leader, airway doctor, airway nurse, procedure doctor and procedure nurse, drugs nurse and a scribe. The respondents identified the following components as key to discussions with family members; emergency personnel, reassurance, diagnosis, regular updates, intervention, and prognosis (ER-DRIP). Conclusion: The acronym ER-DRIP can be used as a reminder to emergency staff when speaking with family members during resuscitation events ensuring they receive all the necessary information and support.
Mental health recovery : Lived experience of consumers, carers and nurses
- Authors: Jacob, Sini , Munro, Ian , Taylor, Beverley
- Date: 2015
- Type: Text , Journal article
- Relation: Contemporary Nurse Vol. 50, no. 1 (2015), p. 1-13
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- Description: Background Mental health recovery is a prominent topic of discussion in the global mental health settings. The concept of mental health recovery brought about a major shift in the traditional philosophical views of many mental health systems. Aim The purpose of this article is to outline the results of a qualitative study on mental health recovery, which involved mental health consumers, carers and mental health nurses from an Area Mental Health Service in Victoria, Australia. This paper is Part One of the results that explored the meaning of recovery. Methods The study used van Manen's hermeneutic phenomenology to analyse the data. Findings Themes suggested that the cohort had varying views on recovery that were similar and dissimilar. The similar views were categorised under two processes involving the self, an internal process and an external process. These two processes involved reclaiming various aspects of oneself, living life, cure or absence of symptoms and contribution to community. The dissimilar views involved returning to pre-illness state and recovery was impossible. Conclusion This study highlights the need for placing importance on the person's sense of self in the recovery process. © 2015 Taylor & Francis.
Family presence during resuscitation (FPDR) : A survey of emergency personnel in Victoria, Australia
- Authors: Porter, Joanne , Cooper, Simon J. , Taylor, Beverley
- Date: 2015
- Type: Text , Journal article
- Relation: Australasian Emergency Nursing Journal Vol. 18, no. 2 (2015), p. 98-105
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- Description: Background: Family presence during resuscitation (FPDR) has been endorsed internationally by resuscitation councils since the year 2000; however, the extent to which FPDR is practiced in emergency settings requires further investigation. Methods: Emergency personnel ( n= 347) from 18 participating emergency departments across the state of Victoria, Australia completed a 10-page questionnaire, which was designed to develop an understanding of the current practice and implementation of FPDR and to ascertain the differences in practice between adult and paediatric resuscitations. Results: Emergency personnel update their adult and paediatric advanced life support qualifications annually with 87% of nurses and 65% of doctors completing adult life support and 72% of nurses and 49% of doctors completing paediatric advanced life support training. The majority of nursing staff reported support for FPDR (83%) with over 70% indicating that it is apart of their current practice. There was strong agreement from both nurses (79%) and doctors (77%) that the family have the right to be present. A family support person was deemed as essential by nurses (92%) and doctors (89%) when allowing family to be present. A factor analysis was conducted on participant statements, revealing four codes; impact on professional practice and performance, personnel beliefs about FPDR, professional satisfaction and the importance of a support person and saying goodbye. Conclusion: A family support person was highlighted as essential to the successful implementation of FPDR, together with the development of a comprehensive training the education program for emergency personnel. FPDR continues to be a significant issue and further investigation into FPDR practice and implementation in the ED is warranted. © 2014 College of Emergency Nursing Australasia Ltd.