Browsing by Author "Moules, Nancy Jean"
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Item Open Access "Friendship, or Whatever it is": Understanding Nurse-Parent Relational Complexity in Pediatric Oncology Contexts(2024-05) Webber, Katie M.; Moules, Nancy Jean; Estefan, Andrew; Laing, Catherine M.As a result of the complex nature of childhood cancer, involving intense treatments and extended hospital stays, it is not uncommon for nurses and parents to develop meaningful and close relationships. However, this closeness can lead to dilemmas about how to navigate professional boundaries, in both online and offline contexts. In this philosophical hermeneutic inquiry, my purpose was to understand what contributes to the relational complexity in nurse-parent relationships, from both parent and nurse perspectives. Six parents of children with cancer and six pediatric oncology nurses were interviewed to deepen understanding about the topic of relational complexity. Interpretive findings from this research revealed that nurse-parent relationships are both deeply intimate and involve strangeness; recognizes what might be beneath and behind disagreement in nurse-parent relationships and what openness might offer to understanding one another when conflict arises; that social media adds considerable complexity to nurse-parent relational boundaries and that there is a liminality in the spaces between nurse and friend and parent that requires more acknowledgement; and that it deeply matters that we find language that fits to describe closeness in nurse-parent relationships. I conclude by recognizing the significant influence that quality nurse-parent relationships has for both nurses and parents on their experiences of co-caring for children with cancer. In addition, I argue that care that is relationship-based, which focuses on care for the parents and also for nurses, might better respond to the demands and triumphs associated with caring for children with cancer.Item Open Access How Might We Understand Mothers’ Experiences of the VID-KIDS Intervention? More than Meets the Eye(2021-02-09) Bon Bernard, Jennifer; Letourneau, Nicole Lyn; Tough, Suzanne C.; Moules, Nancy Jean; Tryphonopoulos, Panagiota; McCaffrey, GrahamPostpartum depression (PPD) is a complex public health concern that can disrupt the healthy interaction between a mother and her infant. An impairment in this foundational relationship is perceived by infants to be a toxic stressor, and as a result negative long-term outcomes on growth and development can ensue. Parenting interventions in the early years of an infant’s life that aim to modify this significant stressor are a type of support that can alleviate potential concerns associated with the experience of PPD. Video-Feedback Interaction Guidance for Improving Interactions Between Depressed Mothers and their Infants (VID-KIDS) is an example of a parenting intervention that has been evaluated to improve the quality of mother-infant interactions when mothers are experiencing PPD, improve maternal depression and decrease infants stress levels. To ensure successful uptake of VID-KIDS in public health care settings, it is essential that maternal perspectives are heard and applied accordingly. The goal of this research project was to understand the perspectives of mothers who participated in the VID-KIDS intervention, as this was a gap that required further exploration. Four mothers were interviewed, following the tenets of hermeneutics, to understand the meaning that they attached to this experience. The findings of this study provided encouragement that VID-KIDS makes a positive difference in the lives of mothers and their infants when experiencing PPD.Item Open Access Investigating Post-sport Adjustment Experiences of Former Canadian Major Junior Hockey Players(2018-12-18) McCoy, Lauren K.; Arthur, Nancy Marie; Moules, Nancy Jean; Paskevich, David M.; Kerr, Gretchen; Dimitropoulos, GinaThis project explored the post-sport adjustment experiences of former Canadian major junior hockey (CHL) players in the years following their athletic retirement. This study was conducted using a qualitative, within-subjects, longitudinal research design to understand the manner by which elite CHL athletes make sense of their athletic retirement experiences across time. Four former CHL players participated in two semi-structured interviews; one occurred shortly after their athletic retirement and the next was conducted approximately 24 months later. Interviews were then analyzed in accordance with the interpretative phenomenological analysis (IPA) method. Themes identified in each participant’s account were compared and contrasted across all participants to generate an in-depth portrayal that gave voice to participants’ athletic retirement and subsequent post-sport adjustment transitions. Results revealed that participants continued to have unresolved feelings about their athletic retirement and experienced conflicting emotions of both pride and embarrassment in relation to their athletic identity. Participants post-sport adjustment experiences focused on attempts to renegotiate self-worth and prove their worth off the ice. As the post-sport adjustment period progressed, participants described moving from avoidance-based coping strategies to increasing action-oriented coping strategies which facilitated feelings of control and autonomy. Recommendations for helping professionals are provided and highlight the need for person-centred and multi-level interventions to support athletic retirement transitions. Additional longitudinal research is required to further develop understanding of the ongoing effects of athletic retirement and elite athletes’ post-sport adjustment experiences across time.Item Open Access Nursing on paper: the art and mystery of therapeutic letters in clinical work with families experiencing illness(2000) Moules, Nancy Jean; Bell, Janice M.Item Open Access Runner's World meets Runners' Worlds: Female Recreational Athletes, Ideal Bodies, and Fitness Advertising(2019-04-24) Drake, Carly; Radford, K. Scott; Nelson, Fiona; Mourali, Mehdi; Woiceshyn, Jaana; Moules, Nancy Jean; Fischer, Eileen M.The historically masculine realm of sport has not always been welcoming to women. Today, women have found a place in sport culture, but contemporary media remind them they may only occupy a certain place – namely, as objects whose bodies are public goods available for interested parties to judge. In this dissertation, I argue that this discourse is linked to a combination of neoliberal ideology and post-feminist sentiment that valorizes a form of aspirational femininity in which women are both subjects and objects. I combine the use of post-structuralist feminist theory and a hermeneutic methodology to investigate if and how advertisements in fitness magazines participate in sport culture’s “here is a place for you”/“know your place” discourse, and how female recreational athletes engage with such advertisements to construct an embodied sense of self. Focusing on the context of recreational endurance running, I accomplish these tasks across two interlinked studies: (1) a critical reading of fitness advertisements found in popular North American running magazines, including Runner’s World; and (2) semi-structured interviews with 26 female recreational runners. Through the critical reading, I argue that advertisements address the body as a machine, prescribing and normalizing an obsession with athletics. They glorify the pursuit of the ideal running body through athletics, and discount women’s potential in and contributions to sport. In this way, advertisements function as a “biopedagogy,” or “body-becoming pedagogy,” that teaches consumers how a suitable body appears and functions. My interpretation of the semi-structured interviews shows that participants engage in a process I title “strategic ideological filtering” in order to negotiate advertising’s images of the ideal body. Through this process, the women assess advertising’s gendered neoliberal sentiment in order to take up aspects that suit them and discard or modify those that do not. For this reason, I argue that although fitness advertising is indeed a powerful force in consumer culture, female consumers exhibit a form of agency that counters a common narrative surrounding their victimization. These findings contribute to theory on gendered sporting embodiment, as well as advertising, and offer implications for marketing and advertising practitioners seeking to create advertisements that support, rather than marginalize, women in sport.Item Open Access “The Challenge Led to Healing”: Survivors’ Experiences of Emotional Distress in a Breast Cancer Recovery Group(2018-04-25) McCowan, Michelle Elizabeth; Robertson, Sharon E.; Wada, Kaori; Moules, Nancy JeanAs the number of women living beyond breast cancer continues to grow, the issue of emotional distress during survivorship has become increasingly salient. Many breast cancer survivors, distressed or not, choose to seek post-treatment support through group programs. Nonetheless, there has been a startling lack of research into participants’ experiences within these survivorship groups. In this study, I conducted semi-structured interviews with five breast cancer survivors who felt distressed during their participation in a cancer recovery group program. Interpretative phenomenological analysis (Smith, Flowers, & Larkin, 2009) of participants’ experiences resulted in three overarching themes: (a) Contextual Challenges and Distress, (b) Group-Related Challenges and Distress, and (c) Coping and Healing. I discuss these findings within the context of relevant literature and present implications for group facilitators, care providers, and researchers in psychosocial oncology.Item Open Access Understanding Adolescent Identity Construction in the Context of Living with a Parent with an Acquired Brain Injury(2018-04-30) Freeman-Cruz, Erin Aiofe; Robertson, Sharon E.; Strong, Tom; Estefan, Andrew; Young, Richard; Moules, Nancy JeanAdolescent identity construction is complex. Despite decades of research revealing various understandings of identity, it is unclear how disruptive phenomena influence identity construction, particularly during adolescence. Therefore, when adult participants from my master’s thesis talked about becoming different people as a result of their adolescent experiences of living with a parent with an acquired brain injury (ABI), I wondered how the occurrence of such a phenomenon could change identities and self. This wondering inspired my doctoral research studies and led me to ask the following research question: How might we understand adolescent identity construction in the context of living with a parent with an ABI? To respond to this question, I used hermeneutic inquiry guided by Gadamer’s (1960/2004) philosophical hermeneutics. I recruited volunteers from the Calgary area through emails to ABI and counselling service providers, posters, news media interviews, social media advertisements, and snowball sampling. I obtained nine adult participants (three males, six females) aged 20 to 38 years, who were adolescents (i.e., 10 to 19 years of age) at the time their parent incurred an ABI. Participants engaged in a one- to two-hour audio-recorded interview that was then transcribed verbatim. Analysis and interpretation of the data included reviewing interview transcripts, listening to the recordings, journaling thoughts and questions inspired by the interviews, discussing preliminary thoughts with supervisory committee members, and consulting the literature to create an understanding of the topic. Through this process, I created six interpretations that revealed how we might understand adolescent identity construction in the context of living with a parent with an ABI. These interpretations included: (a) using normal as a guiding concept in identity construction, (b) remaking home environments to construct identities, (c) adopting and rejecting roles resulting from parental ABI, (d) experiencing trust and betrayal in social relationships, (e) being unrecognized and/or forgotten, and (f) silencing in identity construction. Following a presentation of these interpretations, I discuss my synthesized understanding and the implications of the findings for theory, practice, and research.