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Clinical Research
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The lived experience of the wound ostomy and continence nurse in wound care Cynthia Sylvia, BSN, MA, MSc, Gaymar Industries, Inc., Charlestown, WV INTRODUCTION: This qualitative research study explored the meaning of being a .Wound Ostomy and Continence Nurse (WOC Nurse) in wound care practice. The goal was to build a foundation of evidence for this specialty nurse group, from a perspective that is unexplored in the literature. .METHODOLOGY: Using the framework of Heideggerian Hermeneutical Phenomenology, lived experience research was conducted to explore the everyday experiences of these specialty nurses. An unstructured interview process was used. All interviews were audiotaped and transcribed verbatim. Interpretive analysis involved immersion in the text, data transformation and thematic analysis. .SCIENTIFIC RIGOR/BIAS REDUCTION: Phenomenological study is contextual; a matter of individual experience. Systematic disclosure of method was described explicitly. A nurse epidemiologist reviewed the transcripts and themed documents for auditability, credibility and fittingness. .RESULTS: From the hermeneutic circle, emerged eight themes: Essence of Practice; bond of caring, Holistic Approach; putting the pieces of the puzzle together, the Dichotomy . . . them and me, Art of Wound Care, Growth in Practice, Allure of the Challenge, Acknowledging Limits . . . you can't always make it better and Teaching, Mentoring and Being a Role Model. .DISCUSSION: The stories illuminate the essence of WOC Nursing practice while offering a potential source of learning and a mechanism for adding to the knowledge base. The themes that emerge create a tapestry of experience. .CONCLUSION: The outcome of this research is a full rich description of the human experience of being a WOC Nurse in wound care. While adding to the empirical knowledge of this nursing specialty, this study is a tool for self-examination along the continuum to maturity and a more clear identity Beitz JM. Specialty practice, advanced practice, and WOC Nursing: current professional issues and future opportunities. JWOCN. 2000;27:1 55Ð64 Benner P, Tanner C, Chesla C. Expertise in Nursing Practice, New York, NY: Springer Publishing Company, Inc, 1996 Cohen MZ, Kahn DL, Steeves RH. How to analyze the data in hermeneutic phenomenological research: a practical guide for nurse researchers. Sage Publications, Inc Darbyshire P, Diekelmann J, Diekelmann N. Reading Heidegger and interpretive phenomenology: a response to the work of Michael Crotty. Nurs Inquiry. 1999;6(1):17Ð25 Heidegger M. Being and Time, New York, NY: Harper & Row Publishers, 1962. (translated by Macquarrie J, Robinson E) Mitchell GJ, Heidt P. The lived experience of wanting to help another: research with ParseÕs method. Nurs Science Q. 1994;7(3):119Ð127 Retsas A. Knowledge and practice development: toward an ontology of nursing. Australian J Adv Nurs. 1994;12(2):20Ð25 Schon DA. The Reflective Practitioner: How Professionals Think in Action, New York, NY: Harper Collins, 1983. |
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