This phenomenological investigation sought to enhance understanding of the experience of dispiritedness by providing a rich and vivid description of the essential structure of the experience in later life. van Manen's hermeneutic-phenomenological method was used to analyze the transcribed texts of 11 individuals who identified themselves as being in "later life" (mean age = 73, age range = 52 to 93) and who participated in phenomenological interviews focusing on describing the experience of dispiritedness. Statements describing the experience of dispiritedness were sorted into 21 thematic categories that were synthesized into 7 essential themes that described the structure of the lived experience of dispiritedness in later life as Arising From Life's Trying Transitions, Feeling Disengaged From Meaning, Experiencing a Restricting Loss of Vigor and Animation, Feeling Forlorn Bewilderment, Moving Between Engagement and Disengagement, Remaining Faithful to Enduring Connections, and Engaging in Day-to-Day Living.

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http://dx.doi.org/10.3928/19404921-20100601-04DOI Listing

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This phenomenological investigation sought to enhance understanding of the experience of dispiritedness by providing a rich and vivid description of the essential structure of the experience in later life. van Manen's hermeneutic-phenomenological method was used to analyze the transcribed texts of 11 individuals who identified themselves as being in "later life" (mean age = 73, age range = 52 to 93) and who participated in phenomenological interviews focusing on describing the experience of dispiritedness. Statements describing the experience of dispiritedness were sorted into 21 thematic categories that were synthesized into 7 essential themes that described the structure of the lived experience of dispiritedness in later life as Arising From Life's Trying Transitions, Feeling Disengaged From Meaning, Experiencing a Restricting Loss of Vigor and Animation, Feeling Forlorn Bewilderment, Moving Between Engagement and Disengagement, Remaining Faithful to Enduring Connections, and Engaging in Day-to-Day Living.

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Unable to answer the call of our patients: mental health nurses' experience of moral distress.

Nurs Inq

September 2003

Faculty of Nursing, 3rd Floor Clinical Sciences, University of Alberta, Edmonton, Alberta T6H 1C2, Canada.

When health practitioners' moral choices and actions are thwarted by constraints, they may respond with feelings of moral distress. In a Canadian hermeneutic phenomenological study, physicians, nurses, psychologists and non-professional aides were asked to identify care situations that they found morally distressing, and to elaborate on how moral concerns regarding the care of patients were raised and resolved. In this paper, we describe the experience of moral distress related by nurses working in mental healthcare settings who believed that lack of resources (such as time and staff) leads to dispiritedness, lack of respect, and absence of recognition (for both patients and staff) which severely diminished their ability to provide quality care.

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