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Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> & <strong>Midwifery</strong>, <strong>Trinity</strong> College Dublin: 8 th Annual Interdisciplinary Research <strong>Conference</strong><br />

Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007<br />

<strong>Conference</strong> <strong>Proceedings</strong><br />

Methodology: The purpose <strong>of</strong> this descriptive qualitative study was<br />

to examine the experiences and perceptions <strong>of</strong> ICU nurses who had<br />

cared for patients at the end <strong>of</strong> life.The research method<br />

implemented was a qualitative research approach. Qualitative<br />

research approaches are centred on a holistic view <strong>of</strong> the world<br />

(Burns and Grove, 1997). The researcher for the purpose <strong>of</strong> this<br />

study followed the naturalistic inquiry that allowed the phenomenon<br />

to develop itself as if it was not being researched. Qualitative<br />

descriptive studies are normally the least “theoretical” <strong>of</strong> the<br />

qualitative methods. A Theoretical framework based on my<br />

literature review was used as the framework for this research. A<br />

purposive method <strong>of</strong> sampling was used to select participants.<br />

Parahoo (1997) stated that this is a method where the researcher<br />

chooses who to participate in the study in order to present the<br />

correct data. The researcher chose this method in order to use the<br />

best accessible nurses to provide data on the topic being<br />

researched. The selection <strong>of</strong> participants for this research was the<br />

result <strong>of</strong> specific guidelines set by the researcher. Twenty Nurses<br />

expressed an interest in partaking in the study. However six<br />

participates withdrew from partaking in the study before it<br />

commenced due to personal reasons. Therefore fourteen ICU nurses<br />

out <strong>of</strong> a possible twenty agreed to participate.<br />

Within this study, the data was collected using semi-structured<br />

interviews guided by open-ended questions. This study aimed to<br />

reveal nurse’s experiences, knowledge and thoughts on E.O.L.C. in<br />

ICU. The researcher wanted to be sure that all the information<br />

required on the specific topic was covered in this qualitative study<br />

so semi-structured interviews were employed. Semi-structured<br />

interviews ensure that researchers obtain all the information needed<br />

and allows participants the freedom to answer in their own words,<br />

providing as much detail as they wish (Polit and Beck, 2004). The<br />

open-ended interview questions were created by the researcher,<br />

which progressed from general to more specific inquiries. The<br />

structure <strong>of</strong> each question was guided by the theoretical framework<br />

<strong>of</strong> the phenomena E.O.L.C. The researcher carried out a pilot study<br />

using the semi-structured interview guide on two participants before<br />

commencing the core research. This was to practice the researchers<br />

interviewing skills, interview tool and data collection method. This<br />

helped to highlight any weaknesses in the design <strong>of</strong> the study<br />

before the major research began. The fourteen interviews took<br />

place in a private tutorial room <strong>of</strong>f the ICU dept, which was<br />

distanced from the working environment. Observational notations<br />

were made post each interview for the purpose <strong>of</strong> data analysis.<br />

Verbal and non-verbal communication is a complex process<br />

consisting <strong>of</strong> two main components i.e. what is being communicated<br />

(essence) and how it is done (the exchange) according to Routasalo<br />

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