From: Exploring the intersection of hermeneutics and implementation: a scoping review
Author, year, country | Aim | Setting | Research design/methods | Participants | Hermeneutic approach | Hermeneutics in the study | Focus of implementation |
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Darbyshire 1994 [44] Scotland | To describe the creation and first year implementation of a nursing course, and hermeneutic evaluation of students’ experiences and learning | BA (Honors) Health Studies Degree Year 4 option course at Glasgow Caledonian University, ‘Understanding Caring Through Arts and Humanities’ | Evaluation: Two, 1-h focus group interviews (6–7 persons in each) at the end of the course. Transcribed and interpreted hermeneutically by author | 15 students in course and author (teacher in the course) | Heideggerian hermeneutics (Heidegger, Benner, Diekelmann) | Hermeneutic interpretation focusing on how the participants experienced expectations of the course, their experiences of participating and learning, their reactions to the course content and assessment, and how the course might influence or impact on their personal and professional lives | A nursing course |
Greenhalgh and Shaw 2017 [45] England | To inform policy by making sense of a complex literature on heart failure and its remote management | No specific geographic or clinical context | Hermeneutic systematic review Interpretive approach to (1) accessing and interpreting the literature; 2) developing an argument | Included were 7 systematic reviews of systematic reviews, 32 systematic reviews (including 17 meta-analyses and 8 qualitative reviews); six mega-trials and over 60 additional relevant empirical studies and commentaries | Boell and Cecez-Kecmanovic’s (2014) [35] approach (derived from Gadamer) for a hermeneutic systematic review | Followed the question, “Is this paper likely to add meaning to our emerging overview of the field?” | Care for persons with heart failure via telehealth |
Hughes et al. 2020 [46] England | To inform policy and practice on integrated care by deepening understanding of what integrated care is, how it is experienced, and how it is conceptualized | High income countries | Hermeneutic systematic review using repeated cycles of searching, filtering, and interpretation | Those with multiple chronic conditions associated with aging Included were 31 primary research publications, 22 evidence reviews, 14 theoretical and conceptual reviews, and 4 policy documents | Boell and Cecez-Kecmanovic’s (2010; 2014) [34, 35] approach for a hermeneutic systematic review | Lines of argument of each paper were identified and interpreted across papers using “story lines of research” to make sense of findings | Integrated care or “programs of change” in healthcare systems and organizations that focus on integrating care that facilitate person-centered, relationship-based services |
Larsson and Blomqvist 2015 [47] Sweden | To investigate changes over time in an interdisciplinary group that engaged in development work regarding pain and pain assessment | Rehabilitation ward specialising in orthopedics, rheumatology, and multi trauma care | Participatory action research 7 focus group sessions over 5 months Transcribed material analyzed by authors | 3 RNs, 2 assistant nurses, 1 physiotherapist | Nyström; Gadamer; Meleis’ transition theory | Hermeneutic analysis: identified meaning units; made tentative interpretation; created main interpretation | A plan for treating patients in pain, including a pain assessment form |
Thirsk et al. 2014 [48] Canada | To explore how registered nurses address psychosocial issues for patients and their families living with chronic kidney disease, specifically how nurses’ attributions or explanations, of patient/family behavior influence their subsequent psychosocial intervention | Inpatient nephology unit | Unstructured interviews (to allow for genuine conversations). Questions centred on nurses’ practice and experience of providing psychosocial interventions with patients and families Audio recorded and transcribed verbatim | 7 registered nurses | Gadamer; Attribution theory | Hermeneutic inquiry and analysis: Interviewing until patterns became apparent. Reading/re-reading transcripts, interpretive memos, attention to the individual case, discussion of beginning interpretations of patterns; expanding interpretation through literature | Psychosocial interventions with patients and families living with chronic kidney disease |
Xiao et al. 2018 [49] Australia | To critically examine how staff and residents initiated effective cross-cultural communication and social cohesion that enabled positive changes to occur | Four aged care homes | Part of a larger critical action research project on developing multicultural workforce in residential care Semi-structured Interviews with residents /families Focus groups with staff over 5 months | 23 residents and 7 family members (10 culturally and linguistically diverse; 20 not culturally and linguistically diverse) 56 staff (16 culturally and linguistically diverse; 40 not culturally and linguistically diverse) | Critical hermeneutic analysis Giddens (1984) [50] Structuration Theory Double hermeneutic | Data analysis and interpretation informed by Giddens’ critical concepts and double hermeneutic methodology. First, a generic procedure of thematic analysis through coding, grouping codes, summarising codes into categories and identifying themes. Categories then subjected to a critical reflection on the interplays between structural power and human agencies | Actions and social conditions that could improve cross cultural communication and address the negative consequences of poor cross cultural communication |