Search Results (306)

Severe depression with psychotic symptoms and suicidal behaviors is a critical mental health condition requiring comprehensive care. While clinical interventions are necessary, less is known about the lived experiences of individuals who recover from such complex states. This study explores the lived experiences of recovery among individuals diagnosed with major depressive disorder with severe depression, psychotic symptoms, and suicidal ideation or suicide attempts, focusing on how they found meaning in their journey and maintained recovery over time. A phenomenological approach was employed. In-depth interviews were conducted with nine individuals who had experienced severe depression with psychotic symptoms and suicidal behaviors, received psychiatric treatment, and later achieved recovery. Data were analyzed using interpretive phenomenological analysis. Participants described recovery as a deeply personal and transformative journey. Three core themes emerged: (1) understanding and reframing internal experiences, (2) drawing strength from therapy, relationships, and self-care, and (3) gradually regaining agency, identity, and meaning in life. Recovery from severe depression with psychotic symptoms and suicidal behaviors is possible. Mental health nurses and professionals play a vital role in supporting this journey through person-centered, holistic, and empowering care approaches. Full article

This study aimed to provide a comprehensive understanding of career striving by exploring the trajectory of career identity and passion, particularly focusing on the evolution of young people’s self-direction and energy while establishing their vocational careers. Utilizing the interpretative phenomenology paradigm, semi-structured in-depth interviews were conducted with 30 university graduates who had been employed for approximately three years since entering the workforce. Data were analyzed using a modified form of interpretative phenomenological analysis, combining idiographic depth with cross-case thematic synthesis. The analysis identified 20 experiential themes that captured critical aspects of career striving, including the career growth model, stress-coping model, and associated mechanisms. The conceptualization of career striving established in this study provides a theoretical framework for the development of career striving theory and implications for further research. Full article

Background: Human care represents the essence of nursing but faces challenges from increasing technological advancement and healthcare system bureaucratization. Objective: To understand how nursing students balance technical demands with human aspects of care during pre-professional practice experiences. Methods: An interpretive phenomenological study was conducted with 17 nursing students (12 women, 5 men) in their eighth and ninth semesters from a public university in northern Ecuador. The data were collected through focused interviews during the first quarter of 2025. Analysis followed a four-stage phenomenological process: epoché, phenomenological reduction, eidetic reduction, and transcendental reduction, culminating in phenomenological interpretation. Data saturation was achieved, and methodological rigor criteria were applied including triangulation with external analysts. Results: Six main strategies emerged that students develop to balance technical demands with humanized care: Time Management and Optimization, Integration of Human and Technical Dimensions, Patient Communication About Time Constraints, Emotional Regulation and Boundary Setting, Resistance to Dehumanization, and Institutional Context Adaptation. Students transform technical procedures into therapeutic opportunities and develop resilient competencies that preserve nursing’s humanistic values. Conclusions: Nursing students develop integrative competencies that balance technical excellence with human sensitivity. Curriculum modifications are needed to include specific competencies in emotional regulation, therapeutic communication, and dehumanization resistance strategies. Full article

Background/Objectives: Living with a disabled family member has extensive implications for the whole family involved in their care, and there is dependency on healthcare support for maintaining quality of life. This qualitative study, conducted in Northern Ireland, investigated the support needs of different family members living with a severely impaired individual across the lifespan. A key objective was to identify support needs for intervention. Methods: In-depth semi-structured interviews were conducted to obtain data from eight mothers, fathers, sisters and brothers of a profoundly disabled child or sibling. Data was analyzed using Interpretive Phenomenological Analysis, allowing for the application of double hermeneutic in which the researchers derived meaning from the lived experiences of participants. Results: The analysis yielded five themes in total. Three themes were related to gaps in healthcare systems: Support Needs in Childhood, Support in Transition into Adult Services, and Worry for the Future; and two themes were linked with support needs: Associative Disability in Family Members; and Stigma. All family members had caregiving roles, and these had similarities and differences according to the relationship with the care-receiver. Participants recognized their families were survivors, however maintained a family tragedy rather than positive change outlook. Conclusions: Recommendations derived from the findings to alleviate the stressors of the situation for family members include increasing community support and age-related respite facilities. Additionally, improving and enhancing education of disabilities in schools, and immersing and further integrating individuals with disability into society, will alleviate the alienation, isolation and loneliness experienced by family members. Full article

Background/Objectives: Viniyoga is a person-centered approach to yoga that emphasizes individualized adaptation of breath, movement, and meditative practices to support health and well-being. This qualitative study investigates the therapeutic goals of one-to-one Viniyoga from the perspective of experienced therapists. Methods: Fourteen certified Viniyoga practitioners participated in in-depth interviews, which were analyzed using Interpretative Phenomenological Analysis (IPA). This study details how Viniyoga therapists define therapeutic Viniyoga. Results: The findings identify three core therapeutic goals that guide Viniyoga therapy: restoring balance, cultivating self-regulation, and guiding transformation. Two case studies are presented to illustrate the application of these goals in clinical contexts. Conclusions: Qualitative information provided by the interviewed Viniyoga therapists supports the positive role of individualized Viniyoga therapy in contributing to sustainable healing and supporting clients’ return to balance, self-regulation, and personal transformation. The Viniyoga therapeutic model is applicable across diverse populations and in a variety of integrative and complementary healthcare settings. Full article

The perception of football as a male-dominated sport by society, coupled with the socio-cultural and economic barriers faced by women, has constrained their presence in the domain of football and revealed the manifestation of gender norms within the sport. This exclusion further masculinizes sport, negatively affecting social unity and cohesion, and deepening inequality within sport. Within this context, the study seeks to reveal how football fans perceive female and male referees through metaphorical representations. Participants, selected using purposive sampling, are individuals who regularly attend football matches and have experience watching games officiated by female football referees. The research employed a phenomenological approach to analyse metaphors generated by 352 football fans regarding female and male referees. Data were collected online through the Google Forms platform, which was accessible only to the researcher via password-protected access. During the analysis process, metaphors were coded, categorized, and transformed into meaningful interpretative formats. Results indicate that female referees are predominantly described with metaphors associated with sexist objectification, such as “flower”, “rose”, and “queen.” Female referees are represented by social roles and stereotypes metaphors like “mother,” and “gold,” yet they are also confronted with violence and disparaging metaphors such as “trash” and “chaos.” Conversely, male referees are perceived through metaphors evoking strength, toughness, and authority, including “lion”, “stone”, “authority”, “king”, and “leader.” These metaphorical representations highlight the persistence of gender norms within sport, demonstrating how women’s professional competencies are overshadowed by societal codes. Moreover, they are depicted as figures of power and discipline, reflecting masculinity within the sporting context. Ultimately, the research seeks to raise awareness about gender-based perceptions and foster transformation towards greater gender equality in sport. Full article

With 2.3 million people in the UK having experienced domestic abuse (DA) in the year ending March 2024, DA represents a severe public health issue. Public interest in DA remains high, with its importance and impact re-emphasised through recent legislative changes. Thus, educating the public about the predictors and consequences of DA and barriers to gaining support can both empower potential victims and enable them to recognise and support others. The CEASE Educational Programme is one such intervention, provided by UK-based DA charity RemediUK. This study employed semi-structured interviews and interpretative phenomenological analysis to explore the experiences of staff (n = 6) who had facilitated the CEASE Educational Programme. Two overarching themes relating to barriers to delivery were highlighted: (1) understanding participants’ lack of engagement, and (2) a desire to fill the gaps. Our findings indicate a need to explore how DA education can best target those who would benefit from it the most, and in doing so, identify attitudes and beliefs endorsing DA, and how to best educate those with personal experiences of abuse. Full article

This paper examines Ibrahim Rugova’s philosophical and theoretical contributions to literary studies, focusing on three central categories that define his aesthetics: objectification, the strategy of meaning, and aesthetic refusal. Through the reworking of phenomenological and ontological concepts, Rugova reformulates objectification as the process by which the inner world of personality becomes externalized in the literary work, thereby affirming the autonomy of art as a mode of being. His notion of the strategy of meaning, developed in dialogue with semiotics and structuralism, explains how literature generates both denotative meanings internal to the work and connotative meanings arising from interpretation. Finally, the concept of aesthetic refusal highlights the tension between literature and politics, showing how literature resists ideological and institutional pressures by affirming its autonomy. The study seeks to analyze and synthesize these concepts by examining Rugova’s theoretical–philosophical works, such as Kah teoria Strategjia e kuptimit, and Refuzimi estetik. letrare, through an interdisciplinary methodology that combines philosophical analysis, literary theory, and cultural critique. Taken together, the categories under discussion form a coherent ontology of the literary work that situates Rugova within multiple intellectual traditions that influenced him—including phenomenology, hermeneutics, information theory, structuralism, and dialectical philosophy—while simultaneously underscoring his originality in adapting these ideas to the Albanian intellectual context. The paper concludes that Rugova’s theoretical legacy, often overshadowed by his political role, offers a significant contribution to modern literary theory by defending the autonomy of literature and reaffirming its function as a distinctive mode of truth and human realization. Full article

Background/Objective: Pelvic exenteration (PE) is a radical procedure with significant physical and psychosocial consequences. Despite increasing survival rate following PE, quality of life (QoL) outcomes remain inconsistently reported and poorly understood in clinical practice. This study aims to explore: (1) What is the current evidence on QoL after pelvic exenterations? and (2) How do patient-reported experiences align with or differ from findings in the literature? Methods: We conducted a mixed-methods study consisting of two components: (1) a qualitative analysis of 5 in-depth, semi-structured interviews with patients who underwent PE for advanced pelvic cancers; and (2) a narrative review of 28 quantitative and qualitative studies evaluating QoL after PE, published between 1975 and 2023, encompassing 1149 patients. Thematic analysis was performed using an interpretative phenomenological approach. Results: Qualitative findings revealed recurrent themes of identity disruption, social withdrawal, emotional resilience, and a need for personalized, preoperative information. Patients often described a mismatch between surgical expectations and lived experience, and expressed a strong desire for better psychological support and realistic communication. The review of published studies showed heterogeneous findings, with moderate recovery in global QoL scores by 6–12 months postoperatively, but persistent impairments in physical function, sexual health, and emotional well-being. Only a minority of studies included patient-reported outcomes tailored to specific domains such as body image or psychological adaptation (17.8%). Conclusions: Recovery after pelvic exenteration extends beyond physical healing and requires attention to emotional, social, and existential dimensions. Integrating psycho-oncologic support and patient-centered communication into standard care is essential. This hybrid analysis underscores the importance of addressing quality of life proactively—not only as an outcome, but as a fundamental component of survivorship care. Full article

Research in western countries concludes that children and adolescents are exposed to multiple forms of online risks and harms. However, in the context of Saudi Arabia, research in online safety education is lagging. Currently, online safety education is generic and not research informed. Hence, this exploratory study seeks to generate a qualitative understanding of online risks and harms experienced by Saudi children, adolescents, and parents as well as online safety strategies. Using a semi-structured interview, this study explores the views of 15 children (12–15 years) and 10 parents. Interpretative Phenomenological Analysis (IPA) yielded four key themes: Negotiating the Promise and Peril of the internet, Living with the Shadows of the Online World, Psychological, and Physical Health Consequences, and Navigating Safety in a Digital Landscape of Uncertainty. While the benefits are clear (e.g., education and socialisation), children and parents have shared worries about cyberbullying, aggression, and exploitation. Internet addiction and isolation are notable consequences along with vision impairment and obesity. Children’s online safety practices are reactive, e.g., blocking and deleting risky content/behaviour, while parents share their struggles in monitoring children online. Online safety education, or the lack of it, is to blame. Children’s and parents’ limited awareness of online risks and poor online safety practices need to improve in Saudi Schools and households; there is an urgent need for further research and adequate implementation of systematic online safety education. Full article

This study examines the pedagogical potential of LEGO^® SERIOUS PLAY^® (LSP) in optometric education, aiming to foster critical reflection on optics, sustainability, and professional identity. A qualitative interpretative phenomenological analysis was conducted with 48 students from Optics and Optometry and Renewable Energies programs at ISEC Lisboa. Participants took part in LSP sessions focused on optics and sustainability, using metaphorical models to express their reflections. Data were collected via observations, group discussions, and open-ended questionnaires, and analyzed with Grounded Theory. In the optics theme, models revealed both scientific and symbolic views, with visual correction (46.7%), professional roles (21.3%), and perception (14.7%) being most frequent. Statistically significant differences appeared by academic background (p < 0.001) and experience (p = 0.0018): optometry students emphasized clinical roles, while environmental students highlighted perception. For sustainability, main categories included sustainable practices (41.7%), polluting industries (15.3%), ecological footprint (13.9%), and social responsibility (12.5%). Actions proposed included recycling, reuse, and biodegradable materials. Age was linked to action-oriented responses (p = 0.038), with no differences by gender or nationality. LSP emerged as an effective tool for deep reflection, interdisciplinary learning, and ethical engagement, supporting integration of sustainability and identity in technical education. Further research should explore its long-term educational impact. Full article

Background/Objectives: The Wavelia Microwave Breast Imaging (MWBI) technology aims to increase sensitivity in dense breasts, where X-ray mammography is of limited value. Its potential contribution to the reduction in the false positives in breast cancer diagnosis, by developing MWBI image descriptors supporting malignant-to-benign lesion discrimination, is also being investigated. After a First-In-Human (FiH) study with interesting findings on a small dataset of 24 symptomatic breast lesions, an upgraded 2nd prototype of Wavelia was manufactured and tested on a larger and more diverse dataset, including 62 patients and a balanced distribution of malignant and benign symptomatic breast lesions. Methods: A set of technological and methodological evolutions, outlined in this article, was implemented in Wavelia#2 to handle the diversity in larger patient datasets. Multi-modal MWBI imaging is employed to parameterize the interaction mechanisms between the microwaves and the imaged breast at varying geometrical and tissue consistency conditions. MWBI Region-Of-Interest (ROI) extraction and characterization based on multidimensional radiomic feature vectors is implemented to expand the malignant-to-benign lesion diagnostics potential of MWBI compared to the limited scope of the FiH study with Wavelia#1, which employed three specific preselected features. Results: This study demonstrates significant diagnostic accuracy of multiple texture-based and intensity-based features to discriminate between malignant and benign breast lesions with Wavelia#2 MWBI. A phenomenological qualitative assessment of the false positive rate on healthy breasts is also presented for the MWBI technology for the first time. Conclusions: The analysis contributes to the rationalization of the MWBI imaging and image analysis outputs towards standardization, objective interpretability, and ultimate clinical acceptance. Full article

Family plays an important role in person-centered care (PCC) within long-term care facilities, especially for individuals with high-support needs such as dementia or profound intellectual and multiple disabilities. The goal of PCC is to live a meaningful life by, for instance, acknowledging personhood. Uniqueness is an important attribute of this personhood. Family members contribute significantly to PCC by sharing their knowledge of their relatives’ uniqueness. This study explores how family members interpret and give meaning to the uniqueness of their relatives with high-support needs through interpretative phenomenological analysis. Six participants participated in a semi-structured interview. The first research question was about what the uniqueness of their relatives is and resulted in different themes: who she used to be, who she is now, who she will become, change, and (importance of) family ties. The second research question was about the discovery of this uniqueness and resulted in the following themes: daily search, and discoveries from childhood. How this uniqueness comes to the fore, the third research question, brought forward themes such as care provided by family members, shaping care in the care organization, and importance of place. This study demonstrates that family members can describe the uniqueness of individuals with high-support needs and help shape PCC. Full article

This study explores how students, teachers, and mentors participating in the EdTech Mentor Project experienced the integration of digital tools within inclusive, service-learning-based STEM education. Drawing on Interpretative Phenomenological Analysis (IPA), the research employed semi-structured interviews and participatory video to capture the lived experiences, perceptions, and challenges faced by participants across diverse and often underserved educational contexts. The findings reveal that digital tools empowered both students and teachers by fostering engagement, creativity, and a sense of agency. However, significant barriers were also identified, including limited internet connectivity, lack of technical infrastructure, and digital literacy gaps. Mentorship emerged as a crucial support mechanism, offering both technical guidance and emotional encouragement, especially in remote or isolated settings. Moreover, the project played a vital role in building community and reducing feelings of professional and academic isolation, particularly through collaborative learning environments facilitated by mentors. This research contributes nuanced insights into the intersection of technology, inclusion, and community-based learning in STEM education. It highlights the importance of equitable access, sustained mentorship, and participatory practices in ensuring that EdTech initiatives are not only innovative but also inclusive and empowering for all involved stakeholders. Full article

Near-death experiences (NDEs) encompass transformative existential experiences that lead to religious change. Although most previous research focused primarily on Western contexts, there remains less understanding of individuals’ interpretations of NDEs in pluralistic societies such as the Philippines. Using a mixed-methods approach, this study examined the relationship between NDEs and spiritual transformation in a sample of 683 Filipino adults who acknowledged having NDEs. Quantitative data were assessed in terms of levels of religiosity, NDE occurrence, and perceived spiritual change according to different demographics. Statistical analyses included descriptive statistics, Chi-square tests, and logistic regression. For the qualitative analysis, narrative responses on the reason why their spirituality increased, stayed the same, or decreased were thematically classified. Six focused phenomenological narratives are noted: altruism and helping others, challenges to spirituality, increased and strengthened religious practices, no changes or decreased faith, reflection and growth, and validation of divine presence. In addition, while the majority reported increased or unchanged spirituality following their NDE, only age emerged as a significant predictor of perceived spiritual change. Overall, findings highlight how personal experience, identity, and cultural beliefs shape religious meaning-making after NDEs. This study offers a culturally grounded understanding of spiritual change and highlights the value of a mixed-methods approach in religious studies. Full article