6533b834fe1ef96bd129d840

RESEARCH PRODUCT

Clinical Application Research through reflection, interpretation and new understanding - a hermeneutic design

Anne Kari Tolo HeggestadDagfinn NådenSynnøve CaspariMaj-britt RåholmLillemor LindwallBente HøyVibeke LohneÅShild SlettebøBerit Sæteren

subject

AdultMaleHermeneuticsReflection (computer programming)Caring sciencesmedia_common.quotation_subjectHealthcare providersScandinavian and Nordic CountriesClinical Nursing ResearchPersonhood03 medical and health sciencesDignity0302 clinical medicineHumansPhilosophy Nursing030212 general & internal medicineAgedHuman dignitiesmedia_commonAged 80 and overClinical application researches030504 nursingInterpretation (philosophy)Public Health Environmental and Occupational HealthMiddle AgedClinical PracticeOlder personsData Interpretation StatisticalVDP::Medisinske Fag: 700::Helsefag: 800::Sykepleievitenskap: 808Good clinical practiceFemaleNursing CareEngineering ethicsHermeneutics0305 other medical sciencePsychologyOlder peopleHealthcare providers

description

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. Research Council of Norway. Grant Number: 190889/V50 This article rests upon empirical research that was funded by the Research Council of Norway (grant number 190889/V50).

10.1111/scs.12561http://hdl.handle.net/11250/2621124