Joyce Engel - Academia.edu (original) (raw)
Papers by Joyce Engel
xv, 310 hal.: ill.; 22 cm
Interprofessional collaboration has become accepted as an important component in today’s health c... more Interprofessional collaboration has become accepted as an important component in today’s health care and has been guided by concerns with patient safety, quality health-care outcomes, and economics. It is widely accepted that interprofessional collaboration improves patient outcomes through enhanced communication among health-care providers and increased accessibility to services. Although there is a paucity of research that provides confirmatory evidence, interprofessional competencies continue to be incorporated into the curricula of health-care students. This article examines the ethics of interprofessional collaboration and ethical issues that arise from the mainstream adoption of interprofessional competencies and the potential for moral distress in nursing.
Leisure Sciences, 2018
Abstract This study used hermeneutic phenomenology to explore the meaning that seven Canadian mid... more Abstract This study used hermeneutic phenomenology to explore the meaning that seven Canadian midlife women give to the experience of their changing bodies in relation to food, body function, and leisure. Findings emerge from in-depth, semi-structured research conversations and reveal these women have a contentious relationship with eating that arises from an awareness that what they choose to eat today will impact how they will feel tomorrow. The women in this study experience fatigue as a consequence of their food decisions, which then negatively impacts their leisure participation. The current study underscores the impact of food and body function not only on physical activity for midlife women but also on other leisure pursuits such as socializing with friends. These findings highlight the complex relationship between food, body function, and leisure in the context of daily life for these midlife women.
Cultural Studies ↔ Critical Methodologies, 2019
This hermeneutic phenomenology explicates the experience of miscarriage through prose and the poe... more This hermeneutic phenomenology explicates the experience of miscarriage through prose and the poetry that emerged from research conversations with nine women. The Baby Has a Name articulates the physicality and relational presence of the fetus and Painful Reminders the pain as the womb turns inside out. What Did I Do expresses the struggle to explain what is often unexplainable and Claiming the Loss the difficult acknowledgment of loss marked by inherent ambiguity and social asphyxiation. Others who have miscarried (The Invisible Network) offer comfort but the relationship with their baby can only be fully carried by these women (Still Here).
Http Www Libreriasaulamedica Com, 2002
Global Qualitative Nursing Research, 2015
Journal of Professional Nursing, 2016
The purpose of this supplementary analysis of a hermeneutic phenomenological study of the experie... more The purpose of this supplementary analysis of a hermeneutic phenomenological study of the experience of interprofessional collaboration for nursing and medical students was to explore the experience of power that was threaded throughout the original study. Seventeen students participated in guided, face-to-face conversations in the original study (Prentice, Engel, Taplay, & Stobbe, 2014). Through the processes of deductive analysis and inductive reasoning, 2 themes of power emerged from these research conversations: (a) complicated knowledge is power and (b) the power and silence of intimidation. These themes suggest that power and power differentials are significant factors in student interactions in interprofessional learning and have the potential to adversely affect these interactions. Students' perceptions of power need to be taken into account and addressed when planning and implementing interprofessional education events.
Http Www Libreriasaulamedica Com, 2006
Global Qualitative Nursing Research
Nursing students occupy a unique perspective in clinical settings because they are informed, thro... more Nursing students occupy a unique perspective in clinical settings because they are informed, through education, about how patient care ought to happen. Given the brevity of placements and their "visiting status" in clinical sites, students are less invested in the ethos of specific sites. Subsequently, their perspectives of quality care are informed by what should happen, which might differ from that of nurses and patients. The purpose of this study was to identify predominant themes in patient care, as experienced by students, and the influence that these observations have on the development of their ethical reasoning. Using a qualitative descriptive approach in which 27 nursing student papers and three follow-up in-depth interviews were analyzed, three main themes emerged: Good employee, poor nurse; damaged care; and negotiating the gap. The analysis of the ethical situations in these papers suggests that students sometimes observe care that lacks concern for the dignity, autonomy, and safety of patients. For these student nurses, this tension led to uncertainty about patient care and their eventual profession.
Evaluation and Program Planning
Nurse Education in Practice
Global Qualitative Nursing Research
Patient-centeredness is considered central to interprofessional collaborative patient care as a p... more Patient-centeredness is considered central to interprofessional collaborative patient care as a participatory, partnered approach between health care professionals and patients. Content analysis of 501 articles from the 1986, 1987, 1988, 1996, 2006, 2013, 2014, and 2018 volumes of a selected journal was undertaken. The purposes were to identify contexts in which the term patient was used in articles with a primary focus on interprofessional care and to identify trends in its usage. With Dilthey’s ideas on language as a framework, patient and its variations in the articles were coded under five categories. Findings suggest that the term patient appears predominantly as a modifier for activities enacted by experts and a platform for the discussion of relationships among professionals. There is limited evidence that use of the term patient fits within the context of partnership, suggesting that the language in published interprofessional collaborative research and discussion is current...
MCN, The American Journal of Maternal/Child Nursing, 2016
The purposes of the study were to explore relationships between attitudes, beliefs, and practices... more The purposes of the study were to explore relationships between attitudes, beliefs, and practices of healthcare professionals caring for women and families experiencing miscarriage and to identify gaps and barriers in follow-up services and supports for these women and families. A survey about beliefs, attitudes, and practices regarding women and families experiencing miscarriage and barriers to care was conducted electronically and through distribution in three emergency departments (EDs). There were 174 participants; physicians (n = 50), RNs (n = 63), midwives (n = 38), nurse practitioners (n = 9), and others (n = 4). Participants believed that miscarriage can have high impact on women and families. They provided information to patients about miscarriage and its present and future implications. The most important predictor for mobilization of support by healthcare professionals was confidence. Nurses in EDs reported the least amount of confidence and knowledge to provide women and families with support. Availability and awareness of specific services by professionals and health system issues were identified as barriers to care. Education of healthcare professionals, particularly of RNs in EDs, is important to address misconceptions about miscarriage, increase confidence in providing support, and promote effective care. Women and families experiencing miscarriage need privacy and timeliness in care. Interventions such as funded midwifery loss care or a routine telephone follow-up call could improve access to care and help healthcare professionals ensure that families obtain the type and amount of support that they need.
Orientation to Nursing in the Rural Community, 2000
The Journal of nursing education, 2014
A systematic review was conducted to examine the findings on clinical judgment and reasoning in n... more A systematic review was conducted to examine the findings on clinical judgment and reasoning in nursing that have emerged since Tanner's review in 2006. Electronic databases were searched to locate primary research studies about clinical judgment and reasoning in nursing. Fifteen studies were extracted and analyzed using the five main conclusions outlined by Tanner. The findings of the systematic review generally support Tanner's original model, although the role of experience in clinical reasoning and judgment is still not well understood or fully established. In recent literature, researchers have furthered their knowledge by using tools for improving these skills in both nursing students and practicing nurses, although no one strategy has been identified as being more effective. This is reflected in the consideration of a sixth conclusion on clinical judgment and reasoning in nursing-education strategies to improve clinical judgment may influence what a nurse brings to th...
xv, 310 hal.: ill.; 22 cm
Interprofessional collaboration has become accepted as an important component in today’s health c... more Interprofessional collaboration has become accepted as an important component in today’s health care and has been guided by concerns with patient safety, quality health-care outcomes, and economics. It is widely accepted that interprofessional collaboration improves patient outcomes through enhanced communication among health-care providers and increased accessibility to services. Although there is a paucity of research that provides confirmatory evidence, interprofessional competencies continue to be incorporated into the curricula of health-care students. This article examines the ethics of interprofessional collaboration and ethical issues that arise from the mainstream adoption of interprofessional competencies and the potential for moral distress in nursing.
Leisure Sciences, 2018
Abstract This study used hermeneutic phenomenology to explore the meaning that seven Canadian mid... more Abstract This study used hermeneutic phenomenology to explore the meaning that seven Canadian midlife women give to the experience of their changing bodies in relation to food, body function, and leisure. Findings emerge from in-depth, semi-structured research conversations and reveal these women have a contentious relationship with eating that arises from an awareness that what they choose to eat today will impact how they will feel tomorrow. The women in this study experience fatigue as a consequence of their food decisions, which then negatively impacts their leisure participation. The current study underscores the impact of food and body function not only on physical activity for midlife women but also on other leisure pursuits such as socializing with friends. These findings highlight the complex relationship between food, body function, and leisure in the context of daily life for these midlife women.
Cultural Studies ↔ Critical Methodologies, 2019
This hermeneutic phenomenology explicates the experience of miscarriage through prose and the poe... more This hermeneutic phenomenology explicates the experience of miscarriage through prose and the poetry that emerged from research conversations with nine women. The Baby Has a Name articulates the physicality and relational presence of the fetus and Painful Reminders the pain as the womb turns inside out. What Did I Do expresses the struggle to explain what is often unexplainable and Claiming the Loss the difficult acknowledgment of loss marked by inherent ambiguity and social asphyxiation. Others who have miscarried (The Invisible Network) offer comfort but the relationship with their baby can only be fully carried by these women (Still Here).
Http Www Libreriasaulamedica Com, 2002
Global Qualitative Nursing Research, 2015
Journal of Professional Nursing, 2016
The purpose of this supplementary analysis of a hermeneutic phenomenological study of the experie... more The purpose of this supplementary analysis of a hermeneutic phenomenological study of the experience of interprofessional collaboration for nursing and medical students was to explore the experience of power that was threaded throughout the original study. Seventeen students participated in guided, face-to-face conversations in the original study (Prentice, Engel, Taplay, & Stobbe, 2014). Through the processes of deductive analysis and inductive reasoning, 2 themes of power emerged from these research conversations: (a) complicated knowledge is power and (b) the power and silence of intimidation. These themes suggest that power and power differentials are significant factors in student interactions in interprofessional learning and have the potential to adversely affect these interactions. Students' perceptions of power need to be taken into account and addressed when planning and implementing interprofessional education events.
Http Www Libreriasaulamedica Com, 2006
Global Qualitative Nursing Research
Nursing students occupy a unique perspective in clinical settings because they are informed, thro... more Nursing students occupy a unique perspective in clinical settings because they are informed, through education, about how patient care ought to happen. Given the brevity of placements and their "visiting status" in clinical sites, students are less invested in the ethos of specific sites. Subsequently, their perspectives of quality care are informed by what should happen, which might differ from that of nurses and patients. The purpose of this study was to identify predominant themes in patient care, as experienced by students, and the influence that these observations have on the development of their ethical reasoning. Using a qualitative descriptive approach in which 27 nursing student papers and three follow-up in-depth interviews were analyzed, three main themes emerged: Good employee, poor nurse; damaged care; and negotiating the gap. The analysis of the ethical situations in these papers suggests that students sometimes observe care that lacks concern for the dignity, autonomy, and safety of patients. For these student nurses, this tension led to uncertainty about patient care and their eventual profession.
Evaluation and Program Planning
Nurse Education in Practice
Global Qualitative Nursing Research
Patient-centeredness is considered central to interprofessional collaborative patient care as a p... more Patient-centeredness is considered central to interprofessional collaborative patient care as a participatory, partnered approach between health care professionals and patients. Content analysis of 501 articles from the 1986, 1987, 1988, 1996, 2006, 2013, 2014, and 2018 volumes of a selected journal was undertaken. The purposes were to identify contexts in which the term patient was used in articles with a primary focus on interprofessional care and to identify trends in its usage. With Dilthey’s ideas on language as a framework, patient and its variations in the articles were coded under five categories. Findings suggest that the term patient appears predominantly as a modifier for activities enacted by experts and a platform for the discussion of relationships among professionals. There is limited evidence that use of the term patient fits within the context of partnership, suggesting that the language in published interprofessional collaborative research and discussion is current...
MCN, The American Journal of Maternal/Child Nursing, 2016
The purposes of the study were to explore relationships between attitudes, beliefs, and practices... more The purposes of the study were to explore relationships between attitudes, beliefs, and practices of healthcare professionals caring for women and families experiencing miscarriage and to identify gaps and barriers in follow-up services and supports for these women and families. A survey about beliefs, attitudes, and practices regarding women and families experiencing miscarriage and barriers to care was conducted electronically and through distribution in three emergency departments (EDs). There were 174 participants; physicians (n = 50), RNs (n = 63), midwives (n = 38), nurse practitioners (n = 9), and others (n = 4). Participants believed that miscarriage can have high impact on women and families. They provided information to patients about miscarriage and its present and future implications. The most important predictor for mobilization of support by healthcare professionals was confidence. Nurses in EDs reported the least amount of confidence and knowledge to provide women and families with support. Availability and awareness of specific services by professionals and health system issues were identified as barriers to care. Education of healthcare professionals, particularly of RNs in EDs, is important to address misconceptions about miscarriage, increase confidence in providing support, and promote effective care. Women and families experiencing miscarriage need privacy and timeliness in care. Interventions such as funded midwifery loss care or a routine telephone follow-up call could improve access to care and help healthcare professionals ensure that families obtain the type and amount of support that they need.
Orientation to Nursing in the Rural Community, 2000
The Journal of nursing education, 2014
A systematic review was conducted to examine the findings on clinical judgment and reasoning in n... more A systematic review was conducted to examine the findings on clinical judgment and reasoning in nursing that have emerged since Tanner's review in 2006. Electronic databases were searched to locate primary research studies about clinical judgment and reasoning in nursing. Fifteen studies were extracted and analyzed using the five main conclusions outlined by Tanner. The findings of the systematic review generally support Tanner's original model, although the role of experience in clinical reasoning and judgment is still not well understood or fully established. In recent literature, researchers have furthered their knowledge by using tools for improving these skills in both nursing students and practicing nurses, although no one strategy has been identified as being more effective. This is reflected in the consideration of a sixth conclusion on clinical judgment and reasoning in nursing-education strategies to improve clinical judgment may influence what a nurse brings to th...