Browsing by Author "Moules, Nancy J."
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- ItemOpen Access“Beautifully Strange”: Understanding the Experience of Tattooing and Piercing in Women Who Engage in Non-Suicidal Self-Injury(2018-12-21) Matos, Paulo Daniel; Robertson, Sharon E.; Cairns, Sharon L.; Moules, Nancy J.Non-suicidal self-injury (NSSI) is defined as the deliberate and intentional damage or destruction of parts of one’s body, without the intention of committing suicide (Klonsky, 2009a; Shenk, Noll, & Cassarly, 2010; Whitlock, Eckenrode, & Silverman, 2006). NSSI is most often performed through cutting, burning, or scratching one’s skin (Briere & Gil, 1998; Conterio & Lader, 1998; Favazza & Conterio, 1989; Klonsky, 2007a, 2007b). The self-injury literature routinely distinguishes between NSSI and behaviours that are deemed socially acceptable, such as tattooing and piercing (Claes, Vandereycken, & Vertommen, 2005; Eberly, 2005; Heath, Toste, Sornberger, & Wagner, 2011; Walsh & Muehlenkamp, 2013). As a result, the relationship between NSSI, tattooing, and piercing is rarely acknowledged or explored in the research literature, leaving tattooing and piercing generally ignored in the discourse surrounding NSSI. In an attempt to understand the relationship between these acts further, I conducted a study to offer some possible answers to the research question: How might we understand the experience of tattooing and piercing in women who have engaged in NSSI? In this study, grounded in Gadamer’s (1960/1989) philosophical hermeneutics, ten Canadian and American women between the ages of 21 and 33 were interviewed about their experiences of engaging in NSSI, tattooing, and piercing. Their responses revealed a complex relationship between these behaviours. NSSI, tattooing, and piercing were explored and discussed in relation to a number of topics, including psychosocial integration, emotion regulation and dysregulation, tact, spirituality, art, impulsivity, embodiment, communication, harm reduction, and suicide. I found that NSSI, tattooing, and piercing have similar cultural and spiritual roots, can be ways of managing emotion dysregulation, can feel therapeutic, and can serve as forms of communication. Additionally, I found that tattooing and piercing can serve as substitutes for and forms of NSSI. Limitations, implications for practice, and directions for future research were also discussed.
- ItemOpen AccessA cautionary tale about stories(Sage Publications, 2006) Moules, Nancy J.
- ItemOpen AccessA Christmas without memories: beliefs about grief and mothering -- a clinical case study(Sage Publications, 2006) Moules, Nancy J.; Thirsk, Lorraine M.; Bell, Janice M.
- ItemOpen Access"Do You Think the Angels Will Speak Spanish?": Nurses' Experiences of Death in Pediatric Oncology(2014-09-23) Morck, Angela; Moules, Nancy J.Caring for children dying of cancer and families experiencing immense suffering is challenging complex work. Pediatric oncology nurses attend to the physical and emotional needs of children and their families during the illness progression, at the moment of death, and beyond, however, little is known about how they themselves are affected, and how this ultimately influences the care they are able to give. My intent with this philosophical hermeneutic research was to add to our understandings of these effects on pediatric oncology nurses and to translate this understanding into ways to support nurses in this challenging component of their work. Fifteen pediatric oncology registered nurses were interviewed to expand our understanding of this topic. These data were then analyzed according to hermeneutic tradition as guided by the philosophical hermeneutics of Hans-Georg Gadamer. Findings from this research revealed that nurses struggled to navigate the ideals of nursing versus the realities of practice when working with children who may die. This continual shifting of lines and positions called for them to maintain a fine balance between the personal and the professional. This ontological struggle is not absolute; rather, it is premised on a shifting continuum based on a complexity of personal and professional beliefs, experiences, and expectations. There needs to be a reminder that death continues to be an unfortunate constant in the work of these nurses. A reality, that in many ways, society has turned away from and hidden, a reality that has shaped the way death is experienced within pediatric oncology. This common middle ground is what nurses called for in order to be sustained and remain in their work. Research and transformative education that specifically addresses the tension created by insufficient end of life and death education is required for nurses to feel more comfortable and competent within the ontology of death and dying. This necessitates a re-conceptualization of how death is processed in pediatric oncology.
- ItemOpen AccessExploring the Experiences of Graduate Nurses with Horizontal Violence(2018-08-13) Krut, Breanne Alyse; Laing, Catherine M.; Moules, Nancy J.; Estefan, AndrewHorizontal violence (HV) is a familiar term used within the nursing profession. Certain populations of nurses are more susceptible to HV than others. Graduate nurses (GNs), nurses within their first 12 months of practice, are widely considered a vulnerable population within the profession, and thus more at risk for HV. A common thread found in the literature is that the damage from HV is at all levels of healthcare. The purpose of this research was to explore how HV affects GNs. Interviews were conducted to collect data and analyze the data using thematic analysis. Participants included eight GNs or RNs, all of whom had experience with HV in their first 12 months of practice. The two main themes that were found in this study are Toxic Nursing Culture and Fear. Horizontal violence poses a serious challenge for GNs entering the nursing profession. It is essential to have an understanding of the challenges that GNs are facing today when they enter the workforce in order to promote change and advocate for safe workplace environments.
- ItemOpen AccessFamily nursing labs: shifts, changes, and innovations(Sage Publications, 2003) Moules, Nancy J.; Tapp, Dianne M.
- ItemOpen AccessFamily Skills Labs: Facilitating the Development of Family Nursing Skills in the Undergraduate Curriculum(Sage Publications, 1997) Tapp, Dianne M.; Moules, Nancy J.; Bell, Janice M.; Wright, Lorraine M.
- ItemOpen AccessA Family Systems Nursing Interview Following a Myocardial Infarction: The Power of Commendations(Sage Publications, 2003) Bohn, Ursula; Wright, Lorraine M.; Moules, Nancy J.
- ItemOpen AccessFollowing in behind: An interview with the Reverend Bob Glasgow on his practice with grief work(Baywood Publishing Company, Inc., 2009) Moules, Nancy J.; Simonson, K.
- ItemOpen AccessFunerals, families, and family nursing: lessons of love and practice(Sage Publications, 2000) Moules, Nancy J.
- ItemOpen AccessGrief—An Invitation to Inertia: A Narrative Approach to Working With Grief(Sage Publications, 1997) Moules, Nancy J.; Amundson, Jon K.Grief is a complex, compelling, and profound life experience that is a normal and healthy response to the death of a significant other. Personal experiences of grief, when juxtaposed against the cultural and health care discourses that see grief as a process that eventually results in a resolution characterized by the absence of grief feelings, can sponsor constraining and limiting experiences of life after loss. A narrative approach offers one way for nurses and other health care professionals to view grief and grief’s possible “problem” states. Narrative invites the bereaved into seeing and storying their experiences in a more accepting and facilitative fashion. This article outlines a narrative approach to a particular problem state found in grief. a problem state of inertia. Implications for family nursing are discussed.
- ItemOpen AccessHearing from the silent: patients' experiences of family presence during resuscitation(2012) Metzger, Michael Daniel; Moules, Nancy J.Family presence during resuscitation (FPDR) is a practice that is increasing in critical care units. In this philosophical hermeneutic study, four individuals who experienced resuscitation were interviewed to gain an understanding of the experience of FPDR for the patients. Findings revealed that family presence for individuals who experienced resuscitation provided an ongoing understanding of the experience. Family presence also provided a connection to the family and a reason to survive the resuscitation. In addition the participants described an ability to see or know what was happening even in a state of coma and/or sedation. As well, the definitions of "family," "presence," and "resuscitation" were explored with the participants and it was found that, while definitions had little meaning for the participants, their individual experiences were significant. These findings provided an understanding of the patients' experiences of FPDR and this study suggests that FPDR can continue to evolve and be integrated into practice.
- ItemOpen AccessHermeneutic inquiry: paying heed to history and hermes(International Institute for Qualitative Methodology, University of Alberta, 2002) Moules, Nancy J.
- ItemOpen AccessHermeneutic musings on learning: the dialogical nature of teaching interpretively(Faculty of Education, University of Calgary, 2007) Binding, L.; Moules, Nancy J.; Tapp, D.M.; Rallison, L.
- ItemOpen AccessHow do you answer a question like that?: understanding nurse-patient conversations about advance care planning in the context of chronic kidney disease(2011) Holtby, Murray Alan; Moules, Nancy J.
- ItemOpen AccessIn her Eyes: A Hermeneutic Study of Self-Compassion and Body Shame Among Women(2018-06-26) Klingle, Kirsten; Russell-Mayhew, Shelly K.; Kassan, Anusha; Moules, Nancy J.Body shame is a body-centric form of self-criticism that includes the belief that one’s body does not adhere to societal norms, and an individual feels shame as a result. The topic of body shame, especially among women, has become a growing area of research interest given the implications this negative self-evaluation may have on both physical and mental health. One way to mitigate the experience of body shame among women may be to enhance self-compassion. Defined as kindness turned inward, the central tenets of self-compassion include mindfulness, treating oneself with kindness, and recognizing common humanity. Research on self-compassion and body shame has shown promising results; self-compassion has been negatively correlated with body shame, body dissatisfaction, drive for thinness, and emotional distress. While this research is significant in elucidating the relationship between self-compassion and body shame, limited research to date has explored the perceptions and experiences of body shame and self-compassion from the viewpoint of women who have suffered or are currently suffering with body shame. This is an important area of investigation, as the findings may have direct and specific implications for research, interventions, and supports among women. Therefore, my purpose in conducting this research was to understand self-compassion from the perspectives of women who have experienced or are experiencing body shame. To explore this research question I was guided by Gadamer’s (2014) philosophical hermeneutics. This reflexive, dialogical, and interpretive philosophy is especially appropriate when applied to questions aimed at the nature of understanding. In total, 10 women took part in semi-structured interviews. Each participant was asked about her experiences with her body, self-compassion, and obstacles to self-compassion. Interviews were audio-recorded, transcribed verbatim, and analyzed. The findings include interpretations and participant quotes as support, incorporated with a selection of relevant and topical literature. The results of this study offer a novel and necessary contribution to the research field by addressing the nuanced viewpoints and experiences of body shame and self-compassion.
- ItemOpen AccessInternational Students’ Perceptions of Their University-To-Work Transition(2019-11) Woodend, Jon D.; Arthur, Nancy Marie; Kawalilak, Colleen; Moules, Nancy J.International students are increasingly seeking a foreign education. Part of this increase is due to institutional goals for revenue generation and for diversifying the student population. At the same time, governments of developed countries such as Canada are creating incentives for international students to work in the destination country post-graduation to fill skilled labour shortages. Post-study, international students often face barriers when integrating into the workforce, defeating these policies and decreasing the value of a foreign education. Moreover, researchers have predominately focused on the in-study experiences of international students, particularly their academic adjustment. Few studies have addressed the post-study experiences of former international students. In my doctoral thesis, I sought to help address this gap by investigating the post-study experiences of former international students, three to five years post-graduation. Specifically, I used Interpretative Phenomenological Analysis to explore how former international students in Canada made sense of their transition out of university and into the Canadian workforce. Guided by a Systems Theory Framework, I used the results to offer insights into the barriers these former international students faced, how they were able to overcome them, and the influences that were important to their workplace transition. Implications included suggestions for policy-makers, universities, and career practitioners to help international students successfully navigate the transition into and out of study. By supporting former international students in their post-study transition, practitioners can help with concerns such as un/under-employment, universities can help improve the value of education, and policy-makers may recruit highly talented workers to address labour shortages.
- ItemOpen AccessLegitimizing grief: challenging beliefs that constrain(Sage Publications, 1998) Moules, Nancy J.
- ItemOpen AccessLoss, grieving and death(Pearson Education, 2003) Raffin Bouchal, S.; Moules, Nancy J.
- ItemOpen AccessMaking room for grief: walking backwards and living foward(Blackwell Publishing, 2004) Moules, Nancy J.; Simonson, K.; Prins, M.; Angus, P.; Bell, Janice M.