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Clinical application research through reflection, interpretation and new understanding – a hermeneutic design
Author(s) -
Lindwall Lillemor,
Råholm MajBritt,
Lohne Vibeke,
Caspari Synnøve,
Heggestad Anne Kari Tolo,
Sæteren Berit,
Slettebø Åshild,
Høy Bente,
Nåden Dagfinn
Publication year - 2018
Publication title -
scandinavian journal of caring sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.678
H-Index - 66
eISSN - 1471-6712
pISSN - 0283-9318
DOI - 10.1111/scs.12561
Subject(s) - dignity , interpretation (philosophy) , meaning (existential) , focus group , grounded theory , nursing , session (web analytics) , nursing research , psychology , engineering ethics , sociology , medicine , qualitative research , psychotherapist , social science , world wide web , political science , computer science , anthropology , law , programming language , engineering
The implementation of theoretical knowledge in clinical practice and the implementation of good clinical practice into theory have been of interest in caring science for the last 30 years. The aim of this article was to elaborate and discuss a methodology named clinical application research. The method is grounded in a hermeneutical design inspired by Gadamer's philosophy. The methodology, clinical application research, has been used in a research project A life in dignity and experiences from the researchers forms the bases for the elaboration and discussion. The project was performed in collaboration with residents, family caregivers and healthcare providers at six nursing homes in Scandinavia. The material for this article is based on the previous research, that is the results from 10 different articles showing the meaning of dignity and indignity in daily life in nursing homes. Data were generated from 56 individual interviews and 18 focus‐group interviews with a total of 40 staff members with five to eight participants at every interview session. By reflection, interpretation and new understanding our results provide knowledge about dignity and how to preserve dignity for older people in an appropriate ethical way. The methodology was relevant for the research project A life in dignity and relevant to caring practice in nursing homes as it opens new possibilities and new ways of thinking when performing dignified care to older people.