in Ireland and Evidence from the International LiteratureDublin Published by the Stationery Offic... more in Ireland and Evidence from the International LiteratureDublin Published by the Stationery Office. To be purchased directly from the
in Ireland and Evidence from the International LiteratureDublin Published by the Stationery Offic... more in Ireland and Evidence from the International LiteratureDublin Published by the Stationery Office. To be purchased directly from the
Proudfoot Denise Stories of Mothering While Hiv Positive in Psychology Health Medicine 10th Annual Conference 1 May 2013 Dcu Dublin Ireland, May 1, 2013
AIMS: To explore the experiences of HIV positive mothers living in Ireland. This narrative study ... more AIMS: To explore the experiences of HIV positive mothers living in Ireland. This narrative study specifically set out to consider how being HIV positive affects mothers taking in account the social impact of HIV. METHODS: The focus of this study is to gain an understanding of the lives of the participants, using a narrative approach. The overarching epistemology relates to mothering in the context of HIV disease. The collected narratives allow the women’s experiences to be documented. Through telling their stories people define both themselves and their experience (Murray, 2009). I used an experience centred narrative approach. A purposive sample of eleven HIV positive mothers took part. They were interviewed in a HIV peer support centre in Dublin. RESULTS: This study revealed the centrality of being a mother to women who are HIV positive. Other key findings were ongoing protection of their children from HIV long after pregnancy. Most minimised HIV in their lives so did want to be defined by it. Mothers were concerned about disclosure in particular telling their children. Most reported that meeting others who were HIV positive was beneficial. CONCLUSIONS: Despite the challenges HIV brought to their lives their identity as mothers was integral to them. The accounts in this study are insightful about the experiences of HIV positive mothers. References: Murray M 2009 Telling stories and making sense of cancer. IJNP,Vol 1.
This report examines international literature on harm reduction and also presents primary researc... more This report examines international literature on harm reduction and also presents primary research in health services in Ireland on approaches to harm reduction. The aim of harm reduction efforts is to minimise the risks stemming from shared use of drug-use paraphernalia, such as needle exchange programmes. One of the criticisms of Irish drug services is that the restricted opening hours and limited number of exchange services may contribute to continued sharing of needles among drug users. The report points out that other non-injecting paraphernalia such as spoons are also associated with the risk of contracting diseases, yet services do not as yet focus on them. The report notes that specific risk factors that contribute to risky drug practices include youth, a shorter injecting history, confinement to prison, homelessness and being involved in a sexual relationship with another intravenous drug user. The report suggests that harm reduction practices can be introduced into a priso...
This report presents a community inquiry project concerned with addressing Dual Diagnosis needs i... more This report presents a community inquiry project concerned with addressing Dual Diagnosis needs in the urban communities of Finglas and Cabra, North Dublin. The study was funded by the Social Inclusion/ Addiction Service, CH09, Health Service Executive and Finglas/Cabra Local Drug & Alcohol Task Force. This Participatory Action Research study involved a process in which the research participants were in partnership with the research team for the duration of the study. This project had two research cycles over a nine-month period. In the first month of the study, the community research group (CRG) was established to oversee, support and participate in the research process. This group included members of the community such as service users, their family members and service providers. Throughout this inquiry, central to all activities, was the importance of ensuring that there was a shared community conversation about the local Dual Diagnosis needs. This study achieved this using Parti...
Aim. The aim of this paper is to present and discuss three popular narrative research approaches ... more Aim. The aim of this paper is to present and discuss three popular narrative research approaches which have been successfully used by the authors in nursing research. Examples of each approach are offered to illustrate potential application in healthcare contexts. Background. The creation, function and interpretation of narratives are of increasing interest to nurse researchers worldwide. Currently a variety of narrative research approaches are used to explore how people make sense of experience. While this diversity adds to the richness and scope of the methodology, practitioners new to narrative research may struggle in determining which approach best suits their research purposes and contexts. Design. This discussion paper presents the philosophical basis, methodology, strengths and challenges of the following three commonly used narrative approaches: Murray’s Narrative Framework, the Biographical Narrative Interpretive Method and Arts-Based Narrative Methods. Data sources. Data sources dating from 1934–2014 were used. These included seminal texts and articles from nursing and social science journals on narrative and narrative research found in the CINAHL, Medline and PsycInfo databases. Implications for nursing. This discussion offers clarity and guidance to nurse researchers who are considering/ using narrative research methods to enquire into the storied nature of human experience and sense making processes. Conclusions. Employing a specific narrative research approach requires close attention to the ‘fit’ of the research question/context with the particular method under consideration. While sharing some narrative commonalities, each of these three methods enables the emergence of unique analytic and interpretive perspectives about stories relevant to nursing practice.
Mothers living with HIV (MLH) are the focus of this narrative study. HIV is increasingly seen as ... more Mothers living with HIV (MLH) are the focus of this narrative study. HIV is increasingly seen as a chronic illness because of medical advances in its treatment. Much research with HIV positive mothers is situated within the dominant biomedical discourse focusing more on outcome rather than experience and, while valuable, it fails to provide insight into their subjective experiences. In Ireland, women represent a third of the newly diagnosed HIV population (O’Donnell, Moran and Igoe 2013), many of whom have children, and migrant African-origin women represent a significant percentage of these new diagnoses. However, no research has examined contemporary maternal HIV experiences within an Irish context. This is an important fact considering the changing nature of HIV and that most HIV positive women are prescribed Highly active antiretroviral treatment (HAART) during their pregnancies and so give birth to HIV negative babies. This study explores the HIV maternal experience as the psychosocial impact of being HIV positive persists even though it is increasingly seen as a chronic illness. The original contribution to knowledge of this thesis is to provide insight into the experiences of mothers living with HIV in Ireland. My study involved adopting a narrative approach to interviewing a purposive sample of eleven HIV positive mothers living in Ireland who were at different points on the motherhood trajectory, and were from both high and low HIV prevalence countries. The analysis of this study’s narratives drew on a combination of theoretical perspectives including HIV stigma frameworks (Campbell et al., 2007, Herek 2002), social capital theory (Putnam 1995), medicalisation and HIV normalisation. The interviews reveal the centrality of being a mother to the study participants and how being HIV positive affects mothering. Being an HIV positive mother means protecting children from HIV from the moment of diagnosis , during and after pregnancy; minimising the impact of HIV in everyday life; having an awareness of the persuasiveness of HIV stigma; and managing HIV disclosure. Peer support was a significant factor for these mothers and all were members of an HIV support organisation in Dublin. Linking the findings of this study to wider theoretical literature allows for a greater understanding of the lives of HIV positive mothers in the HIV normalisation era and accentuates the multidimensional impact of maternal HIV infection.
As patterns of drug use change, new ways of administering drugs and new drug preferences emerge, ... more As patterns of drug use change, new ways of administering drugs and new drug preferences emerge, we need to be ever more vigilant in how we communicate with drug users about minimising harm to their health. It is clear from this Review that Irish harm reduction services need to be more flexible, be available in all health boards and in areas of greatest need. Alternative approaches should be considered to support the expansion of harm reduction services such as Community Pharmacy Needle Exchange. Moreover, this Review shows that harm reduction programmes do not increase experimentation with drugs and that they can limit the spread of blood borne infections. Harm reduction services should have the flexibility to cater for the provision and/or exchange of a range of drug use paraphernalia so as to reduce the risk of contracting drug related infectious diseases and other harm. We know that Hepatitis C Virus, in particular, is a very resilient organism and this has implications for shar...
in Ireland and Evidence from the International LiteratureDublin Published by the Stationery Offic... more in Ireland and Evidence from the International LiteratureDublin Published by the Stationery Office. To be purchased directly from the
in Ireland and Evidence from the International LiteratureDublin Published by the Stationery Offic... more in Ireland and Evidence from the International LiteratureDublin Published by the Stationery Office. To be purchased directly from the
Proudfoot Denise Stories of Mothering While Hiv Positive in Psychology Health Medicine 10th Annual Conference 1 May 2013 Dcu Dublin Ireland, May 1, 2013
AIMS: To explore the experiences of HIV positive mothers living in Ireland. This narrative study ... more AIMS: To explore the experiences of HIV positive mothers living in Ireland. This narrative study specifically set out to consider how being HIV positive affects mothers taking in account the social impact of HIV. METHODS: The focus of this study is to gain an understanding of the lives of the participants, using a narrative approach. The overarching epistemology relates to mothering in the context of HIV disease. The collected narratives allow the women’s experiences to be documented. Through telling their stories people define both themselves and their experience (Murray, 2009). I used an experience centred narrative approach. A purposive sample of eleven HIV positive mothers took part. They were interviewed in a HIV peer support centre in Dublin. RESULTS: This study revealed the centrality of being a mother to women who are HIV positive. Other key findings were ongoing protection of their children from HIV long after pregnancy. Most minimised HIV in their lives so did want to be defined by it. Mothers were concerned about disclosure in particular telling their children. Most reported that meeting others who were HIV positive was beneficial. CONCLUSIONS: Despite the challenges HIV brought to their lives their identity as mothers was integral to them. The accounts in this study are insightful about the experiences of HIV positive mothers. References: Murray M 2009 Telling stories and making sense of cancer. IJNP,Vol 1.
This report examines international literature on harm reduction and also presents primary researc... more This report examines international literature on harm reduction and also presents primary research in health services in Ireland on approaches to harm reduction. The aim of harm reduction efforts is to minimise the risks stemming from shared use of drug-use paraphernalia, such as needle exchange programmes. One of the criticisms of Irish drug services is that the restricted opening hours and limited number of exchange services may contribute to continued sharing of needles among drug users. The report points out that other non-injecting paraphernalia such as spoons are also associated with the risk of contracting diseases, yet services do not as yet focus on them. The report notes that specific risk factors that contribute to risky drug practices include youth, a shorter injecting history, confinement to prison, homelessness and being involved in a sexual relationship with another intravenous drug user. The report suggests that harm reduction practices can be introduced into a priso...
This report presents a community inquiry project concerned with addressing Dual Diagnosis needs i... more This report presents a community inquiry project concerned with addressing Dual Diagnosis needs in the urban communities of Finglas and Cabra, North Dublin. The study was funded by the Social Inclusion/ Addiction Service, CH09, Health Service Executive and Finglas/Cabra Local Drug & Alcohol Task Force. This Participatory Action Research study involved a process in which the research participants were in partnership with the research team for the duration of the study. This project had two research cycles over a nine-month period. In the first month of the study, the community research group (CRG) was established to oversee, support and participate in the research process. This group included members of the community such as service users, their family members and service providers. Throughout this inquiry, central to all activities, was the importance of ensuring that there was a shared community conversation about the local Dual Diagnosis needs. This study achieved this using Parti...
Aim. The aim of this paper is to present and discuss three popular narrative research approaches ... more Aim. The aim of this paper is to present and discuss three popular narrative research approaches which have been successfully used by the authors in nursing research. Examples of each approach are offered to illustrate potential application in healthcare contexts. Background. The creation, function and interpretation of narratives are of increasing interest to nurse researchers worldwide. Currently a variety of narrative research approaches are used to explore how people make sense of experience. While this diversity adds to the richness and scope of the methodology, practitioners new to narrative research may struggle in determining which approach best suits their research purposes and contexts. Design. This discussion paper presents the philosophical basis, methodology, strengths and challenges of the following three commonly used narrative approaches: Murray’s Narrative Framework, the Biographical Narrative Interpretive Method and Arts-Based Narrative Methods. Data sources. Data sources dating from 1934–2014 were used. These included seminal texts and articles from nursing and social science journals on narrative and narrative research found in the CINAHL, Medline and PsycInfo databases. Implications for nursing. This discussion offers clarity and guidance to nurse researchers who are considering/ using narrative research methods to enquire into the storied nature of human experience and sense making processes. Conclusions. Employing a specific narrative research approach requires close attention to the ‘fit’ of the research question/context with the particular method under consideration. While sharing some narrative commonalities, each of these three methods enables the emergence of unique analytic and interpretive perspectives about stories relevant to nursing practice.
Mothers living with HIV (MLH) are the focus of this narrative study. HIV is increasingly seen as ... more Mothers living with HIV (MLH) are the focus of this narrative study. HIV is increasingly seen as a chronic illness because of medical advances in its treatment. Much research with HIV positive mothers is situated within the dominant biomedical discourse focusing more on outcome rather than experience and, while valuable, it fails to provide insight into their subjective experiences. In Ireland, women represent a third of the newly diagnosed HIV population (O’Donnell, Moran and Igoe 2013), many of whom have children, and migrant African-origin women represent a significant percentage of these new diagnoses. However, no research has examined contemporary maternal HIV experiences within an Irish context. This is an important fact considering the changing nature of HIV and that most HIV positive women are prescribed Highly active antiretroviral treatment (HAART) during their pregnancies and so give birth to HIV negative babies. This study explores the HIV maternal experience as the psychosocial impact of being HIV positive persists even though it is increasingly seen as a chronic illness. The original contribution to knowledge of this thesis is to provide insight into the experiences of mothers living with HIV in Ireland. My study involved adopting a narrative approach to interviewing a purposive sample of eleven HIV positive mothers living in Ireland who were at different points on the motherhood trajectory, and were from both high and low HIV prevalence countries. The analysis of this study’s narratives drew on a combination of theoretical perspectives including HIV stigma frameworks (Campbell et al., 2007, Herek 2002), social capital theory (Putnam 1995), medicalisation and HIV normalisation. The interviews reveal the centrality of being a mother to the study participants and how being HIV positive affects mothering. Being an HIV positive mother means protecting children from HIV from the moment of diagnosis , during and after pregnancy; minimising the impact of HIV in everyday life; having an awareness of the persuasiveness of HIV stigma; and managing HIV disclosure. Peer support was a significant factor for these mothers and all were members of an HIV support organisation in Dublin. Linking the findings of this study to wider theoretical literature allows for a greater understanding of the lives of HIV positive mothers in the HIV normalisation era and accentuates the multidimensional impact of maternal HIV infection.
As patterns of drug use change, new ways of administering drugs and new drug preferences emerge, ... more As patterns of drug use change, new ways of administering drugs and new drug preferences emerge, we need to be ever more vigilant in how we communicate with drug users about minimising harm to their health. It is clear from this Review that Irish harm reduction services need to be more flexible, be available in all health boards and in areas of greatest need. Alternative approaches should be considered to support the expansion of harm reduction services such as Community Pharmacy Needle Exchange. Moreover, this Review shows that harm reduction programmes do not increase experimentation with drugs and that they can limit the spread of blood borne infections. Harm reduction services should have the flexibility to cater for the provision and/or exchange of a range of drug use paraphernalia so as to reduce the risk of contracting drug related infectious diseases and other harm. We know that Hepatitis C Virus, in particular, is a very resilient organism and this has implications for shar...
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Papers by Denise Proudfoot
research. Examples of each approach are offered to illustrate potential application in healthcare contexts.
Background. The creation, function and interpretation of narratives are of
increasing interest to nurse researchers worldwide. Currently a variety
of narrative research approaches are used to explore how people make sense of
experience. While this diversity adds to the richness and scope of the methodology, practitioners new to narrative research may struggle in determining which approach best suits their research purposes and contexts.
Design. This discussion paper presents the philosophical basis, methodology, strengths and challenges of the following three commonly used narrative approaches: Murray’s Narrative Framework, the Biographical Narrative Interpretive Method and Arts-Based Narrative Methods.
Data sources. Data sources dating from 1934–2014 were used. These included seminal texts and articles from nursing and social science journals on narrative and narrative research found in the CINAHL, Medline and PsycInfo databases.
Implications for nursing. This discussion offers clarity and guidance to nurse researchers who are considering/ using narrative research methods to enquire into
the storied nature of human experience and sense making processes.
Conclusions. Employing a specific narrative research approach requires close
attention to the ‘fit’ of the research question/context with the particular method
under consideration. While sharing some narrative commonalities, each of these
three methods enables the emergence of unique analytic and interpretive
perspectives about stories relevant to nursing practice.
My study involved adopting a narrative approach to interviewing a purposive sample of eleven HIV positive mothers living in Ireland who were at different points on the motherhood trajectory, and were from both high and low HIV prevalence countries. The analysis of this study’s narratives drew on a combination of theoretical perspectives including HIV stigma frameworks (Campbell et al., 2007, Herek 2002), social capital theory (Putnam 1995), medicalisation and HIV normalisation.
The interviews reveal the centrality of being a mother to the study participants and how being HIV positive affects mothering. Being an HIV positive mother means protecting children from HIV from the moment of diagnosis , during and after pregnancy; minimising the impact of HIV in everyday life; having an awareness of the persuasiveness of HIV stigma; and managing HIV disclosure. Peer support was a significant factor for these mothers and all were members of an HIV support organisation in Dublin. Linking the findings of this study to wider theoretical literature allows for a greater understanding of the lives of HIV positive mothers in the HIV normalisation era and accentuates the multidimensional impact of maternal HIV infection.
research. Examples of each approach are offered to illustrate potential application in healthcare contexts.
Background. The creation, function and interpretation of narratives are of
increasing interest to nurse researchers worldwide. Currently a variety
of narrative research approaches are used to explore how people make sense of
experience. While this diversity adds to the richness and scope of the methodology, practitioners new to narrative research may struggle in determining which approach best suits their research purposes and contexts.
Design. This discussion paper presents the philosophical basis, methodology, strengths and challenges of the following three commonly used narrative approaches: Murray’s Narrative Framework, the Biographical Narrative Interpretive Method and Arts-Based Narrative Methods.
Data sources. Data sources dating from 1934–2014 were used. These included seminal texts and articles from nursing and social science journals on narrative and narrative research found in the CINAHL, Medline and PsycInfo databases.
Implications for nursing. This discussion offers clarity and guidance to nurse researchers who are considering/ using narrative research methods to enquire into
the storied nature of human experience and sense making processes.
Conclusions. Employing a specific narrative research approach requires close
attention to the ‘fit’ of the research question/context with the particular method
under consideration. While sharing some narrative commonalities, each of these
three methods enables the emergence of unique analytic and interpretive
perspectives about stories relevant to nursing practice.
My study involved adopting a narrative approach to interviewing a purposive sample of eleven HIV positive mothers living in Ireland who were at different points on the motherhood trajectory, and were from both high and low HIV prevalence countries. The analysis of this study’s narratives drew on a combination of theoretical perspectives including HIV stigma frameworks (Campbell et al., 2007, Herek 2002), social capital theory (Putnam 1995), medicalisation and HIV normalisation.
The interviews reveal the centrality of being a mother to the study participants and how being HIV positive affects mothering. Being an HIV positive mother means protecting children from HIV from the moment of diagnosis , during and after pregnancy; minimising the impact of HIV in everyday life; having an awareness of the persuasiveness of HIV stigma; and managing HIV disclosure. Peer support was a significant factor for these mothers and all were members of an HIV support organisation in Dublin. Linking the findings of this study to wider theoretical literature allows for a greater understanding of the lives of HIV positive mothers in the HIV normalisation era and accentuates the multidimensional impact of maternal HIV infection.