the lived experience of global … lived experience of global interprofessional compassionate caring...
TRANSCRIPT
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Item type Presentation
Format Text-based Document
Title The Lived Experience of Global InterprofessionalCompassionate Caring in Guatemala
Authors Argent, Autumn L.; Dunn, Dorothy J.
Downloaded 3-Jun-2018 03:24:44
Link to item http://hdl.handle.net/10755/601829
THE LIVED EXPERIENCE OF GLOBAL
INTERPROFESSIONAL COMPASSIONATE
CARING IN GUATEMALA: DISCOVERING
THE MEANING
Autumn Argent, MS, RNC-OB, CCE, Doctoral Student
Dorothy J. Dunn PhD, RN, FNP-BC, AHN-BC
Northern Arizona University
Flagstaff Mountain Campus
Flagstaff, AZ
OBJECTIVES
Interprofessional education (IPE) is the lived experience of two or
more professions who have the opportunity to learn about, from, and
with each other.
• Provide students and nurses with interprofessional education
experiences to learn and practice skills
• Improve students and nurses with the ability to communicate and
collaborate in interprofessional settings
• Develop leadership qualities and respect for each other
• Provide a global and cultural context
• Experiential learning in the global environment
LITERATURE REVIEW
• Estimated 20 million higher education students in the US
participate in a study abroad program
• Over 29,000 participated in 175 different countries
• Research is devoid of details about advantages to the student or
the global community
• The importance of these programs is noted, but not evaluated
independently
• Only evaluations are within the school or within the program
• Gap: no measurable outcomes to evaluate student participation in
global IPE
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PURPOSE
Describe and interpret the experiences of participants in an
interprofessional study abroad global healthcare program in Santa
Maria de Jesus, Guatemala
THEORETICAL FRAMEWORK
• Narrative theory
– The story builds the lived experience
– Stories or narratives:
• capture and shape the lived experience
• aid in the construction and reconstruction of the individual and
shared memory
• play an important role in self and social understanding and
determination
• help us to make meaning of ourselves and our experiences
• help us cope with changing circumstances
DESIGN
• Qualitative Phenomenological Study
• IRB approval obtained from Northern Arizona University
• Sample
– 6 participants responded
– 35% response rate
DESIGN
• Data Collection
– March 2014 global healthcare in Guatemala were asked to volunteer
to provide a written narrative 2 months after the experience
– 2 month time frame chosen to allow for processing of the
experience
– In order to obtain the narrative form of the lived experience, guided
questions were provided
• Data Analysis
– Stories were read, reread, compared, and validated by two
independent researchers with the intent to describe meaning
beyond the stories
– Statements analyzed, categorized, and themes were identified by
two independent researchers
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RESULTS
• 18 Categories identified
• 4 dominate themes
• Making a difference
• Cultural collaboration
• Compassionate presence
• Intentional knowing
• Meaning
– Cultural compassionate collaboration
Core Theme Key Statement
Making a difference impact, fulfilled, resources, applications, attuned and adjustments
Cultural collaboration collaborative care, compassionate care, communication, global community
Compassionate presence depth of being, awareness, new discoveries
Intentional Knowing earning, experience, applications, attuned and adjustments, validation, values
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IDENTIFICATION OF CORE THEMES
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Categories Data to support categories Themes
Wanted to experience nsg; wishing; travel and
nursing together (dream)
Making a difference; Intentional knowing
Opportunity Values, resources, future, practice, learning Making a difference; Intentional knowing
Motivators Global health, validation of education pursuit,
experiences
Intentional knowing; Making a difference
IPT Collaborative care, cultural communication,
resource allocation, team work
Cultural collaboration
Application of skills; sensory “stuff” five senses Skills and senses attuned and adjusted Intentional knowing
Depth of being/ presence Warm and friendly, sense of community,
welcoming, new discoveries, responsibilities,
compassionate care,
Compassionate presence
Succession for global community Cultural collaboration
Profound impact/making a difference Professionally and personally, resources,
fulfilled, awareness
Making a difference
Sharing Cultural collaboration
ANALYSIS
• Profound Intention (desire to come to know diversity): IK
• Compassion caring: CP
• Discoveries: PN
• Dunn’s Theory of Compassion Energy
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IMPLICATIONS
• Compassionate cultural competence education with nurses
• Continue to research: patient outcomes based on collaborative
practice
• Practice in terms of diversity, healthcare providers facing diversity
so therefore examining best practice in a global society
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REFERENCES
Dunn, D. J. (2009). Intentionality of compassion energy. Holistic Nursing Practice,
23(4), 221-228
Institute of International Education (2013). Annual Report 2013. Retrieved from
http://www.iie.org/Who-We-Are/Annual-Report
Jackson, D. S. & Nyoni, F. P. (2012). Reflections on study abroad education:
guidelines on study abroad preparation and process. Journal of Human Behavior in the
Social Environment, 222011-212. DOI: 10.1080/10911359.2011.647480
National Academy of Sciences (2013). Interprofessional education for collaboration:
learning how to improve health from interprofessional models across the continuum of
education to practice. Retrieved from
http://www.nap.edu/catalog.php?record_id=13486
World Health Organization (2010). Framework for action on interprofessional education
and collaborative practice. Retrieved from
http://www.who.int/hrh/resources/framework_action/en/index.html