Am I safe? An Interpretative Phenomenological Analysis of Vulnerability as Experienced by Patients With Complications Following Surgery
Bibliographic Data
| ID | 18976341 |
|---|---|
| Authors | Erica Sutton (0000-0002-6691-6287, University of Leicester, corresponding author), Lesley Booth (0000-0001-5812-4549, Cambridge Rare Disease Network, Camrbidge, UK), Mudathir Ibrahim (0000-0002-6345-1533, University of Oxford), Peter Mcculloch (0000-0002-3210-8273, University of Oxford), Mark Sujan (0000-0001-6895-946X, University of Oxford), Janet Willars (0000-0002-7886-3223, University of Leicester), Nicola Mackintosh (0000-0003-0137-6432, University of Leicester) |
| Year | 2022 |
| Volume | 32 |
| Issue | 14 |
| Pages | 2078-2089 |
| Publication date | 2022-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/10497323221136956 |
| PMID | 36321384 |
| OpenAlex | W4307864284 |
| Language | EN |
| Citations received | 1 |
| References cited | 42 |
Abdominal surgery carries with it risks of complications. Little is known about patients’ experiences of post-surgical deterioration. There is a real need to understand the psychosocial as well as the biological aspects of deterioration in order to improve care and outcomes for patients. Drawing on in-depth interviews with seven abdominal surgery survivors, we present an idiographic account of participants’ experiences, situating their contribution to safety within their personal lived experiences and meaning-making of these episodes of deterioration. Our analysis reveals an overarching group experiential theme of vulnerability in relation to participants’ experiences of complications after abdominal surgery. This encapsulates the uncertainty of the situation all the participants found themselves in, and the nature and seriousness of their health conditions. The extent of participants’ vulnerability is revealed by detailing how they made sense of their experience, how they negotiated feelings of (un)safety drawing on their relationships with family and staff and the legacy of feelings they were left with when their expectations of care (care as imagined) did not meet the reality of their experiences (care as received). The participants’ experiences highlight the power imbalance between patients and professionals in terms of whose knowledge counts within the hospital context. The study reveals the potential for epistemic injustice to arise when patients’ concerns are ignored or dismissed. Our data has implications for designing strategies to enable escalation of care, both in terms of supporting staff to deliver compassionate care, and in strengthening patient and family involvement in rescue processes
Feeling · Health care · Interpretative phenomenological analysis · Nomothetic and idiographic · Psychosocial · Psychotherapist · Qualitative research · Seriousness · Sociology · Ethics in medical practice · Feminist Epistemology and Gender Studies · Medicine · Nursing · Optimism, Hope, and Well-being · Psychology · Social Psychology
Essentials of interpretative phenomenological analysis.
Pain as an assault on the self
Evaluating the contribution of interpretative phenomenological analysis
The need for a complex systems model of evidence for public health
Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research
Interpretative Phenomenological Analysis
Epistemic injustice in healthcare
Epistemic Injustice and Illness
The role of patients and their relatives in ‘speaking up’ about their own safety – a qualitative study of acute illness
Expertise in Everyday Nurse–Patient Conversations
Patients' willingness and ability to participate actively in the reduction of clinical errors
On the remarkable persistence of asymmetry in doctor/patient interaction
Interpretative Phenomenological Analysis (IPA)
Achieving excellence in interpretative phenomenological analysis (IPA)
Institutions of care, moral proximity and demoralisation
Talking it better
Hospital and Patient Characteristics Associated With Death After Surgery
Elective surgical patients' narratives of hospitalization
Harmed patients gaining voice
Overcoming gendered and professional hierarchies in order to facilitate escalation of care in emergency situations
From boundary object to boundary subject; the role of the patient in coordination across complex systems of care during hospital discharge
Expert nurses and the division of labour in hospitals
In Search of the Good
I'll put up with things for a long time before I need to call anybody
Sensemaking and the co-production of safety
The social practice of rescue
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,33 |
| Citation span | 2023 - 2023 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |