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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 />

belief systems <strong>of</strong> self and others, thereby increasing awareness <strong>of</strong><br />

the interconnectedness <strong>of</strong> all individuals and their relationships to<br />

each other and the global community (30: Shar<strong>of</strong>f, 1997).<br />

Holistic nursing weaves a tapestry <strong>of</strong> the bio-psycho-socialspiritual-cultural<br />

elements to assist in the healing process <strong>of</strong> self<br />

and others. The healing process is a continual journey <strong>of</strong> changing<br />

and evolving <strong>of</strong> one’s self through life, as well as the awareness <strong>of</strong><br />

patterns that support or are challenges/barriers to health and<br />

healing (31: Dossey & Guzzetta, 2005).<br />

Critical Incident Technique Methodology Utilization in<br />

Research on Holistic Nurses<br />

The author used the CIT in two separate studies on holistic nurses.<br />

Both studies utilized the CIT as a secondary source <strong>of</strong> data<br />

collection, with semi-structured open-ended interviews being the<br />

primary source (conducted via telephone and audio-taped). The<br />

CIT was used to help refine and revise the interview questions and<br />

as part <strong>of</strong> triangulation. Finally, all participants were initially<br />

contacted via e-mail with a general description <strong>of</strong> the purpose <strong>of</strong> the<br />

study, participant eligibility, and participant involvement.<br />

Purposeful sampling occurred when the researcher reviewed the<br />

AHNA Member Directory, which was available to all members. Email<br />

addresses were obtained through the AHNA’s Member<br />

Directory. Once a participant agreed to be in either study, and<br />

eligibility was confirmed, an introduction letter, critical incident, and<br />

demographic inventory were sent via e-mail attachment. This data<br />

was then sent back to the researcher via e-mail attachment.<br />

Both studies received Institutional Review Board (IRB)<br />

approval for the protection <strong>of</strong> human participants’ rights.<br />

To corroborate the researcher’s perception <strong>of</strong> theme and<br />

category coding, review <strong>of</strong> data was confirmed through inter-rater<br />

reliability checks and all participants were asked to review the<br />

interview for accuracy. The coding scheme was developed for each<br />

study’s research questions. Descriptors were formulated from the<br />

critical literature review with additional descriptors constructed after<br />

analyzing the interviews and critical incidents. Analysis <strong>of</strong> the CIT<br />

used the same coding scheme/descriptors developed for the<br />

primary data source (semi-structured interviews).<br />

Study # 1: How Experienced HNCs Learn to Become<br />

Competent Practitioners<br />

Purpose<br />

The purpose <strong>of</strong> this naturalistic qualitative study was to explore how<br />

experienced certified holistic nurses (HNCs) learn to become<br />

competent practitioners (32: Shar<strong>of</strong>f, 2006). The study focused on<br />

a sample <strong>of</strong> 10 volunteer HNCs who have been practicing as holistic<br />

nurses for more than three years and have incorporated the<br />

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