Background The severity of the COVID-19 health crisis has placed acute care nurses in dire work e... more Background The severity of the COVID-19 health crisis has placed acute care nurses in dire work environments in which they have had to deal with uncertainty, loss, and death on a constant basis. It is necessary to gain a better understanding of nurses’ experiences to develop interventions supportive of their emotional well-being. Purpose The purpose of this study is to explore how nurses are emotionally affected working in COVID-19 acute care hospital environments. The research question is: What is the emotional experience of nurses working in COVID-19 acute care hospital environments? Methods We employed a narrative methodology that focused on participants’ stories. Twenty registered nurses, who worked in six hospitals in the Greater Toronto Area in Canada, participated in interviews. A narrative analysis was conducted with a focus on content and form of stories. Results We identified three themes about working in COVID-19 acute care hospital environments: the emotional experience,...
Purpose: Dominant discourse contains negative stereotypical images of First Nations males that ar... more Purpose: Dominant discourse contains negative stereotypical images of First Nations males that are steeped in colonialism. These racialized images can influence First Nations men’s sense of self as well as the care that nurses deliver. The objective was to (a) explore practices that support positive First Nations identity and (b) provide suggestions for practicing culturally safe care. Design: The theory of Two-Eyed Seeing guided this study. Data were collected via two semistructured interviews and Anishnaabe Symbol–Based Reflection from three First Nations men living in Toronto, Canada. Findings: Having mentors, knowing family histories, and connecting with healthy Aboriginal communities fostered positive First Nations identities for participants. Implications: There is potential to advance nursing practice by enacting creative means that may support client’s positive First Nations identity and well-being. Nursing education that focuses on strength-based and decolonizing frameworks, as well as reflexive practices that promote culturally safe care, is needed.
Rarely does literature make explicit the lessons learned in the journey to a research question. I... more Rarely does literature make explicit the lessons learned in the journey to a research question. In this article, the authors demonstrate how they have engaged poetry in the evolution of a research question. Poetry has taken them beyond the traditional limits of knowing and allowed them to conceptualize their research questions by situating and locating their selves within their research. By explicating this journey to a research question, the authors hope that others encounter and reflect on an understanding of what it means to make this process transparent and to support ways of enhancing rigor within their particular and locally conceived research phenomena. As well, they hope to inspire scholarly reflection and critique of poetry as a method in the research process.
Forum Qualitative Sozialforschung Forum Qualitative Social Research, 2008
Cultivating a research identity is an arduous journey. We are told to situate ourselvesknow where... more Cultivating a research identity is an arduous journey. We are told to situate ourselvesknow where we are coming from-but it is rare that people share their experiences and provide insight into a journey that indubitably shapes your research. In this performative piece, I shed light on my journey to a research identity. I provide an intimate portrayal of the blurring and temporal nature of research identities that is sometimes avoided and often unaccepted. In doing so, I hope to awaken new understandings and provide insight into what can be a direction(less) journey that leads to a sense of positioning. My journey is a tracing rendered through poetry-enhanced prose, which provides aesthetic sensibilities and the possibility for you to enter into and become caught up in our experience. As well, poetry and photography are bestowed in a way to illuminate the performative and dynamic place of my research identity and as a way to visualize and feel the story within this poetical telling. This is a manifestation of performative social science in which the voice is never solely mine and the identity is never conclusive as it continues to unfold and shift through the spaces I inhabit.
International Journal of Qualitative Methods, Nov 28, 2014
Qualitative researchers must be aware of and explicit about their social background as well as po... more Qualitative researchers must be aware of and explicit about their social background as well as political and ideological assumptions. To facilitate this awareness, we believe that researchers need to begin with their own story as they seek to understand the stories of others. Taking into account the vulnerable act of storytelling, it is salient to consider how to share personal narratives in an authentic way within academic settings. In this article, we share our process and reflections of engaging in reflexive and dialogical storytelling. The focus of the article is the re-storying of one researcher's experience as she and her research team explore her emotions and positionality prior to conducting research on First Nations men's narratives of identity. We integrate a series of methodological lessons concerning reflexivity throughout the re-storying.
ABSTRACT This is a poem about living and how people construct certain things to provide them with... more ABSTRACT This is a poem about living and how people construct certain things to provide them with a sense of comfort in life. It lends itself to the idea of how death shapes living in prereflexive ways, sometimes before death is even on the horizon. The crafting of this poetry attempts to bring forth how comfort and what people think provides comfort can be transformed by the abstraction of death and the reality of death.
Background and Research Purpose: Coronary heart disease (CHD) continues to be a major cause of de... more Background and Research Purpose: Coronary heart disease (CHD) continues to be a major cause of death and disability across the globe. Regional differences in CHD exist throughout Canada, including Ontario. It is important to explore the complex interplay between geographical regions and individuals" efforts at reducing their cardiovascular risk. This study explored barriers and supports to heart healthy lifestyles and associated meanings within various regions of Ontario. The focus of this paper is on the northern context to better understand the issues these individuals face when making heart healthy lifestyle changes. Sample and Method: The study used an ethnographic approach and photo-elicitation interviews. Participants took photographs of places that represented the barriers and supports to lifestyle changes for cardiovascular risk modification. These photographs were used as the basis for interview dialogue. Twelve informants from a larger study comprised the northern sub-sample considered in this paper. Results and Conclusions: When the data were analyzed, health care access and access concerns related to heart healthy lifestyles for people in northern Ontario emerged as key findings. Findings suggest that the concept of place is pivotal to recognizing issues related to health care access, which should be incorporated as part of our understanding of health and cardiovascular risk modification.
In this article, we highlight the use of music as an interpretive lens to understand patients' ex... more In this article, we highlight the use of music as an interpretive lens to understand patients' experiences of discharge following open-heart surgery. We adopted an arts-informed narrative methodology and interviewed participants at 1 and 4-6 weeks following discharge. Our secondary analysis followed an aesthetic approach that involved application of musical principles including rhythm, timing, and tone to frame our interpretation. We found that the tensions, harmony and relational dynamics between patients and practitioners were best elucidated when viewed through the lens of a solo concerto; this is orchestral work that features a soloist. Our findings have an impact on the discourse of patient-centered care and the need to re-orient communication measures so that practitioners can access the internalized space of patients' mind and body. Since music as an interpretive lens is embryonic in its development, its use has expansive implications for fostering aesthetic knowing in research and health care.
Arts-informed dissemination of health care research is an emerging field of scholarship. Our team... more Arts-informed dissemination of health care research is an emerging field of scholarship. Our team chose to use the arts as a means to disseminate findings from a study about patients’ experiences of open-heart surgery and recovery. We transformed patients’ stories, gathered through interviews and journal writings, into poetry and photographic imagery and displayed this within a 1,739 ft2 art installation titled “The 7,024th Patient.” Our intention was to use the arts as dissemination method that could convey the sentiments and perspectives of patients. To evaluate this novel method of dissemination in the health sciences, we conducted a study to analyze its effect on viewers. We used a narrative methodology with a multimodal theoretical lens. Thirty-four individuals participated in either an individual interview or a focus group. In addition, more than 200 anonymous, written comments were generated at research stations placed throughout the installation. In this article, we present ...
Many nursing programs integrate high-fidelity simulation (HFS) into the curriculum. The manikins ... more Many nursing programs integrate high-fidelity simulation (HFS) into the curriculum. The manikins used are modeled to resemble humans and are programmed to talk and reproduce physiological functions via computer interfaces. When HFS design negates a theoretical framework consistent with the interpersonal and relational nature of nursing, it can problematically focus simulation on psychomotor skills and the physical body. This article highlights a theorized approach to HFS design informed by Carper's seminal work on the fundamental patterns of knowing in nursing (i.e., empirics, esthetics, personal knowing, and ethics). It also describes how a team of Canadian nurse educators adopted these patterns of knowing as a theoretical lens to frame scenarios, learning objectives, and debriefing probes in the context of maternal and newborn assessment. Institutions and practitioners can draw on Carper's work to facilitate focusing on the whole person and expanding the epistemological un...
British journal of nursing (Mark Allen Publishing), Jan 9, 2015
Within patient-centered care (PCC), the individual is viewed as an active member of the healthcar... more Within patient-centered care (PCC), the individual is viewed as an active member of the healthcare team. While there has been recent interest in conducting systematic reviews to examine the effectiveness of PCC interventions, various studies fall short in explaining the type of intervention most effective in producing significant changes to desired outcomes. The purpose of this systematic review was to determine the characteristics of PCC interventions that have demonstrated effectiveness in enhancing the quality of care and performance of self-care behaviours. A systematic review of 40 studies that addressed PCC interventions, included samples over the age of 18 years, and were published between 1995 and 2014 was performed. Descriptive statistics were used to delineate study, participant, and intervention characteristics. Results suggest PCC-based interventions are not effective when delivered to individuals living with chronic illnesses.
Background The severity of the COVID-19 health crisis has placed acute care nurses in dire work e... more Background The severity of the COVID-19 health crisis has placed acute care nurses in dire work environments in which they have had to deal with uncertainty, loss, and death on a constant basis. It is necessary to gain a better understanding of nurses’ experiences to develop interventions supportive of their emotional well-being. Purpose The purpose of this study is to explore how nurses are emotionally affected working in COVID-19 acute care hospital environments. The research question is: What is the emotional experience of nurses working in COVID-19 acute care hospital environments? Methods We employed a narrative methodology that focused on participants’ stories. Twenty registered nurses, who worked in six hospitals in the Greater Toronto Area in Canada, participated in interviews. A narrative analysis was conducted with a focus on content and form of stories. Results We identified three themes about working in COVID-19 acute care hospital environments: the emotional experience,...
Purpose: Dominant discourse contains negative stereotypical images of First Nations males that ar... more Purpose: Dominant discourse contains negative stereotypical images of First Nations males that are steeped in colonialism. These racialized images can influence First Nations men’s sense of self as well as the care that nurses deliver. The objective was to (a) explore practices that support positive First Nations identity and (b) provide suggestions for practicing culturally safe care. Design: The theory of Two-Eyed Seeing guided this study. Data were collected via two semistructured interviews and Anishnaabe Symbol–Based Reflection from three First Nations men living in Toronto, Canada. Findings: Having mentors, knowing family histories, and connecting with healthy Aboriginal communities fostered positive First Nations identities for participants. Implications: There is potential to advance nursing practice by enacting creative means that may support client’s positive First Nations identity and well-being. Nursing education that focuses on strength-based and decolonizing frameworks, as well as reflexive practices that promote culturally safe care, is needed.
Rarely does literature make explicit the lessons learned in the journey to a research question. I... more Rarely does literature make explicit the lessons learned in the journey to a research question. In this article, the authors demonstrate how they have engaged poetry in the evolution of a research question. Poetry has taken them beyond the traditional limits of knowing and allowed them to conceptualize their research questions by situating and locating their selves within their research. By explicating this journey to a research question, the authors hope that others encounter and reflect on an understanding of what it means to make this process transparent and to support ways of enhancing rigor within their particular and locally conceived research phenomena. As well, they hope to inspire scholarly reflection and critique of poetry as a method in the research process.
Forum Qualitative Sozialforschung Forum Qualitative Social Research, 2008
Cultivating a research identity is an arduous journey. We are told to situate ourselvesknow where... more Cultivating a research identity is an arduous journey. We are told to situate ourselvesknow where we are coming from-but it is rare that people share their experiences and provide insight into a journey that indubitably shapes your research. In this performative piece, I shed light on my journey to a research identity. I provide an intimate portrayal of the blurring and temporal nature of research identities that is sometimes avoided and often unaccepted. In doing so, I hope to awaken new understandings and provide insight into what can be a direction(less) journey that leads to a sense of positioning. My journey is a tracing rendered through poetry-enhanced prose, which provides aesthetic sensibilities and the possibility for you to enter into and become caught up in our experience. As well, poetry and photography are bestowed in a way to illuminate the performative and dynamic place of my research identity and as a way to visualize and feel the story within this poetical telling. This is a manifestation of performative social science in which the voice is never solely mine and the identity is never conclusive as it continues to unfold and shift through the spaces I inhabit.
International Journal of Qualitative Methods, Nov 28, 2014
Qualitative researchers must be aware of and explicit about their social background as well as po... more Qualitative researchers must be aware of and explicit about their social background as well as political and ideological assumptions. To facilitate this awareness, we believe that researchers need to begin with their own story as they seek to understand the stories of others. Taking into account the vulnerable act of storytelling, it is salient to consider how to share personal narratives in an authentic way within academic settings. In this article, we share our process and reflections of engaging in reflexive and dialogical storytelling. The focus of the article is the re-storying of one researcher's experience as she and her research team explore her emotions and positionality prior to conducting research on First Nations men's narratives of identity. We integrate a series of methodological lessons concerning reflexivity throughout the re-storying.
ABSTRACT This is a poem about living and how people construct certain things to provide them with... more ABSTRACT This is a poem about living and how people construct certain things to provide them with a sense of comfort in life. It lends itself to the idea of how death shapes living in prereflexive ways, sometimes before death is even on the horizon. The crafting of this poetry attempts to bring forth how comfort and what people think provides comfort can be transformed by the abstraction of death and the reality of death.
Background and Research Purpose: Coronary heart disease (CHD) continues to be a major cause of de... more Background and Research Purpose: Coronary heart disease (CHD) continues to be a major cause of death and disability across the globe. Regional differences in CHD exist throughout Canada, including Ontario. It is important to explore the complex interplay between geographical regions and individuals" efforts at reducing their cardiovascular risk. This study explored barriers and supports to heart healthy lifestyles and associated meanings within various regions of Ontario. The focus of this paper is on the northern context to better understand the issues these individuals face when making heart healthy lifestyle changes. Sample and Method: The study used an ethnographic approach and photo-elicitation interviews. Participants took photographs of places that represented the barriers and supports to lifestyle changes for cardiovascular risk modification. These photographs were used as the basis for interview dialogue. Twelve informants from a larger study comprised the northern sub-sample considered in this paper. Results and Conclusions: When the data were analyzed, health care access and access concerns related to heart healthy lifestyles for people in northern Ontario emerged as key findings. Findings suggest that the concept of place is pivotal to recognizing issues related to health care access, which should be incorporated as part of our understanding of health and cardiovascular risk modification.
In this article, we highlight the use of music as an interpretive lens to understand patients' ex... more In this article, we highlight the use of music as an interpretive lens to understand patients' experiences of discharge following open-heart surgery. We adopted an arts-informed narrative methodology and interviewed participants at 1 and 4-6 weeks following discharge. Our secondary analysis followed an aesthetic approach that involved application of musical principles including rhythm, timing, and tone to frame our interpretation. We found that the tensions, harmony and relational dynamics between patients and practitioners were best elucidated when viewed through the lens of a solo concerto; this is orchestral work that features a soloist. Our findings have an impact on the discourse of patient-centered care and the need to re-orient communication measures so that practitioners can access the internalized space of patients' mind and body. Since music as an interpretive lens is embryonic in its development, its use has expansive implications for fostering aesthetic knowing in research and health care.
Arts-informed dissemination of health care research is an emerging field of scholarship. Our team... more Arts-informed dissemination of health care research is an emerging field of scholarship. Our team chose to use the arts as a means to disseminate findings from a study about patients’ experiences of open-heart surgery and recovery. We transformed patients’ stories, gathered through interviews and journal writings, into poetry and photographic imagery and displayed this within a 1,739 ft2 art installation titled “The 7,024th Patient.” Our intention was to use the arts as dissemination method that could convey the sentiments and perspectives of patients. To evaluate this novel method of dissemination in the health sciences, we conducted a study to analyze its effect on viewers. We used a narrative methodology with a multimodal theoretical lens. Thirty-four individuals participated in either an individual interview or a focus group. In addition, more than 200 anonymous, written comments were generated at research stations placed throughout the installation. In this article, we present ...
Many nursing programs integrate high-fidelity simulation (HFS) into the curriculum. The manikins ... more Many nursing programs integrate high-fidelity simulation (HFS) into the curriculum. The manikins used are modeled to resemble humans and are programmed to talk and reproduce physiological functions via computer interfaces. When HFS design negates a theoretical framework consistent with the interpersonal and relational nature of nursing, it can problematically focus simulation on psychomotor skills and the physical body. This article highlights a theorized approach to HFS design informed by Carper's seminal work on the fundamental patterns of knowing in nursing (i.e., empirics, esthetics, personal knowing, and ethics). It also describes how a team of Canadian nurse educators adopted these patterns of knowing as a theoretical lens to frame scenarios, learning objectives, and debriefing probes in the context of maternal and newborn assessment. Institutions and practitioners can draw on Carper's work to facilitate focusing on the whole person and expanding the epistemological un...
British journal of nursing (Mark Allen Publishing), Jan 9, 2015
Within patient-centered care (PCC), the individual is viewed as an active member of the healthcar... more Within patient-centered care (PCC), the individual is viewed as an active member of the healthcare team. While there has been recent interest in conducting systematic reviews to examine the effectiveness of PCC interventions, various studies fall short in explaining the type of intervention most effective in producing significant changes to desired outcomes. The purpose of this systematic review was to determine the characteristics of PCC interventions that have demonstrated effectiveness in enhancing the quality of care and performance of self-care behaviours. A systematic review of 40 studies that addressed PCC interventions, included samples over the age of 18 years, and were published between 1995 and 2014 was performed. Descriptive statistics were used to delineate study, participant, and intervention characteristics. Results suggest PCC-based interventions are not effective when delivered to individuals living with chronic illnesses.
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Papers by Jennifer Lapum
These racialized images can influence First Nations men’s sense of self as well as the care that nurses deliver. The objective
was to (a) explore practices that support positive First Nations identity and (b) provide suggestions for practicing culturally
safe care. Design: The theory of Two-Eyed Seeing guided this study. Data were collected via two semistructured interviews
and Anishnaabe Symbol–Based Reflection from three First Nations men living in Toronto, Canada. Findings: Having mentors,
knowing family histories, and connecting with healthy Aboriginal communities fostered positive First Nations identities for
participants. Implications: There is potential to advance nursing practice by enacting creative means that may support
client’s positive First Nations identity and well-being. Nursing education that focuses on strength-based and decolonizing
frameworks, as well as reflexive practices that promote culturally safe care, is needed.
These racialized images can influence First Nations men’s sense of self as well as the care that nurses deliver. The objective
was to (a) explore practices that support positive First Nations identity and (b) provide suggestions for practicing culturally
safe care. Design: The theory of Two-Eyed Seeing guided this study. Data were collected via two semistructured interviews
and Anishnaabe Symbol–Based Reflection from three First Nations men living in Toronto, Canada. Findings: Having mentors,
knowing family histories, and connecting with healthy Aboriginal communities fostered positive First Nations identities for
participants. Implications: There is potential to advance nursing practice by enacting creative means that may support
client’s positive First Nations identity and well-being. Nursing education that focuses on strength-based and decolonizing
frameworks, as well as reflexive practices that promote culturally safe care, is needed.