Hermeneutic phenomenological human science research method in clinical practice settings: An integrative literature review.

Researchers conduct phenomenological studies to better understand the experiences of phenomena. Researchers conducting phenomenological studies use different research methods grounded in philosophical underpinnings. Van Manen's hermeneutic phenomenological human science method is used in understanding phenomena in diverse disciplines. The purpose of the integrative review was to explore and synthesize research to address two questions about the human science method in clinical practice settings. Wittemore and Knafi (2005)'s method for integrative review was used to explore current literature and summarize the use of human science method. A database search of keywords in peer-reviewed articles published from 2009 to 2019 was reviewed. Eleven key research studies were selected for the integrative literature review. The key studies met the inclusion criteria of phenomenology, nurses, human science method, clinical practice, and van Manen. Researchers used van Manen's human science method as guidelines for collecting and analyzing data about the lived experience of diverse phenomena in clinical practice settings. An understanding of the human science method will guide researchers who conduct research studies using van Manen's approach to phenomenology.

ESL Versus Non-ESL Nursing Students' Perceptions of Incivility in the Clinical Setting.

BACKGROUND: Incivility toward nursing students in the clinical setting has been reported. The purpose of the study was to determine whether there was a difference between English as second language (ESL) and non-ESL nursing students' perceptions of staff nurse incivility. METHOD: The Uncivil Clinical Behavior in Nursing Education Tool and the Horizontal and Vertical Individualism/Collectivism Scale were used to collect data. A final sample of 975 surveys was analyzed. RESULTS: Exclusionary behaviors, total incivility, and vertical collectivism were significantly different between ESL and non-ESL students. However, the effect size of the finding was small. Time in the program, age, and gender were significant predictors of incivility. CONCLUSION: Although ESL status did not influence exclusionary behaviors, vertical collectivism, or student perceptions of staff nurse incivility, it may be predicted by time in the program, age, and gender. [J Nurs Educ. 2018;57(12):720-726.].

Changes in infant disposable diaper weights at selected intervals post-wetting.

Pediatric acute care nurses questioned the practice of weighing disposable infant diapers immediately after voiding. This study asked the research question, "Does volume of saline, diaper configuration, and/or size of diaper statistically effect changes in diaper weights over time?" The method was an experimental, laboratory model. Pre-set volumes of saline were added to disposable diapers that were then left folded or unfolded. Each diaper was weighed immediately post-wetting and re-weighed at hourly intervals for seven hours. Data were analyzed using a repeated measures analysis of variance (RMANOVA) with balanced data (F-test). Diaper weight changes over time were statistically significant for all time points and for all volumes regardless of diaper size; however, the changes in weight were small and without clinical significance. It is appropriate to weigh diapers at the end of eight hours without risk of altering subsequent fluid management of patients in open-air, non-humidified environments. This practice has led to more efficient use of nurses' time with fewer interruptions for patients and families.