Exploring the suburban ideal: Residents' experiences of photo elicitation interviewing (PEI)

This article reports on how photo elicitation interviewing (PEI) was experienced by eight participants in a qualitative phenom- enological study of suburban lived experiences. Adopting a respondent-controlled approach, participants were required to photograph at least 10 aspects of their suburb that they perceived to be good and problematical and then explain the meaning of their images as part of a follow-up interview. This discussion also involved in-depth reflection on the photography exercise itself, with analysis revealing that taking photographs was perceived to be a purposeful exercise that offered a range of benefits. It gave a new perspective and appreciation for the community, while also helping to ensure their meanings were conveyed to the inter- viewers. The photography task was not without challenges. While some of these challenges influenced the images captured, the findings of this study highlight the importance for qualitative researchers who use PEI to not only consider the benefits and limitations for the research but also give due consideration to the experiences of the participant photographers.

Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study

AIMS AND OBJECTIVES: The aim of this study is to report on a key finding of a larger study investigating the 'gaps' in patient care that registered nurses encounter during the course of their practice. A key finding of this larger study was that 'cutting corners' was a gap discerned by nurses. BACKGROUND: 'Cutting corners' has been characterised as a 'violation' and threat to patient safety, although there is a paucity of research on this issue. DESIGN: Naturalistic inquiry using a qualitative exploratory descriptive approach. METHODS: Data were collected from a purposeful sample of 71 registered nurses from emergency department, critical care, perioperative, rehabilitation and transitional care and neurosciences settings in Australia and analysed using content and thematic analysis strategies. RESULTS: Cutting corners was a common practice that encompassed (1) the partial or complete omission of patient care, (2) delays in providing care and (3) the failure to do things correctly. Corners were cut in patient assessment, essential nursing care, the care of central venous catheters and medication administration. The practice of cutting corners was perceived as contributing to preventable adverse events. CONCLUSIONS: The study found that cutting corners created gaps that contributed to unfinished nursing care and preventable adverse events. The findings of the study raise the possibility that cutting corners is a salient but underinvestigated characteristic of nursing practice. Further research and inquiry are needed to deepen understanding of cutting corners and its impact on patient safety. RELEVANCE TO CLINICAL PRACTICE: Identifying the nature and implications of cutting corners when providing nursing care is an important contributing factor to improving patient safety and quality care.

Second nature

Are ontological meanings somehow sacrosanct in arguments concerning psychology - particularly those scored by discursive accounts of human being? Or is the purposeful deferment of ontological concerns in discursive psychology (DP) another instance of method-fetishism (Koch, 1981)? Shotter's (1995) understanding of joint action and Chouliaraki's (2002) critical realist account of social action combine to support an alternate position to the predominant discursive psychological approach informed by epistemological constructionism (DPEC). The DPEC position is here contrasted with a discursive psychological approach informed by ontological constructionism (DPOC). Via this distinction, a path for future discursive psychological studies is charted, one which values understanding the kinds of practical-moral knowledges (Shotter, 1993) available to people in accounting for themselves and their actions as psychosocial agents. Contrary to claims that the DPEC/DPOC distinction is supercilious (Edley, 2001) or oxymoronic (Drewery, 2000), the importance of debating what ontology can mean for psychology is herein seen as central to the pursuit of personal, relational and collective wellness in contemporary life.

The patient experience of a peripherally inserted central catheter (PICC): A qualitative descriptive study.

UNLABELLED: Abstract Aim: To investigate the patient experience of Peripherally Inserted Central Catheter (PICC) insertion, the significance of arm choice and the impact of the device on activities of daily living. BACKGROUND: Arm choice for PICC insertion is often determined by PICC nurses with little input from consumers. There are few studies that have investigated the patient experience of living with a PICC and none that have examined the impact of arm choice from the consumer's perspective. METHOD: Participants were recruited in a hospital whilst they waited for PICC insertion. A purposeful sampling approach was used to select participants based on diagnosis types. Semi-structured telephone interviews were conducted November 2012-August 2013. Transcripts of the interviews were analysed using thematic analysis. FINDINGS: Ten participants were interviewed. Four themes were identified: (i) apprehension/adaptation/acceptance, (ii) impact of treatment, (iii) asking questions (trusting doctors) and (iv) freedom. Although initially apprehensive, participants adapted to the PICC and came to accept that the device allowed convenient access for treatment. This allowed them the freedom to receive treatment at home. The use of the dominant or non-dominant arm for PICC insertion had marginal impact on activities of daily living for participants. Auxiliary factors such as the infusion pump had a significant impact for those who received outpatient treatment. For those participants who did not understand the procedure, many did not seek clarification and trusted medical and nursing staff to make decisions for them. CONCLUSION: Nurses should involve consumers in clinical decision-making and provide individualised information and support that facilitates adaptation for patients living with a PICC.