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All Journal Nurse Media Journal of Nursing Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Belitung Nursing Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing)
Waraporn Kongsuwan
Assistant Professor, Faculty of Nursing, Prince of Songkla University, Thailand
Health Professions Nursing

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Phenomenological Study of Muslim Nurses’ Experience During End-Of-Life Decision Making Hidayat, Arif Imam; Kongsuwan, Waraporn; Nilmanat, Kittikorn; Siwi, Adiratna Sekar; Alivian, Galih Noor
Jurnal Keperawatan Soedirman Vol 16, No 3 (2021)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2021.16.3.1716

Abstract

ABSTRACTObjectives: This study examines the significance of Muslim nurses' lived experiences in the Intensive Care Unit (ICU) when it comes to End-of-Life (EOL) decisions (ICU)Methods: The research was carried out at an intensive care unit (ICU) of a government hospital in Central Java, Indonesia. Fourteen nurses were chosen as participants after meeting the inclusion criteria: Muslims with at least three years of experience in the ICU and experienced to involved in end of life decision making process in an ICU. Data were gathered using in-depth interview. The result the transcribed and analyzed by using van Manen’s hermeneutic phenomenological approach. Trustworthiness was established following Lincoln and Guba's criteria.Results: Four theme themes emerged from nurses' engagement in EOL decision-making. Feeling dilemma, being in uncertain time, receiving overwhelming role, and evading the process. Van Manen's four lived world of body, time, relation, and space are reflected in these subjects.Conclusion: The purpose of this study was to illustrate the meaning of Muslim nurses' EOL decision-making in the ICU and to affect nursing policy addressing EOL decision-making education in ICU settings.
Aesthetic expressions as data in researching the lived-world of children with advanced cancer Galvez, Barbara Lyn; Kongsuwan, Waraporn; Schoenhofer, Savina O.; Hatthakit, Urai
Belitung Nursing Journal Vol. 7 No. 6 (2021): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1884

Abstract

Background: Understanding the true world of children needs a special method. Using aesthetic expressions through artworks with reflections assists nurse researchers in exploring children’s feelings, thoughts, and behaviors in relation to their health and well-being. Objective: This article focuses on the use of aesthetic expressions as innovative data sources in a study of the lived worlds of children experiencing advanced cancer. Method: The use of aesthetic expressions in Gadamerian hermeneutic phenomenology and aesthetics, by means of van Manen’s approach using draw and write, is examined as a suitable approach in a study of the lived worlds of children experiencing advanced cancer. Results: The aesthetic expressions through the Draw-and-Write method of data generation were well-suited to a hermeneutic phenomenological study involving the group of Filipino children living with advanced cancer. The children drew images and figures of themselves, their families, classmates, friends, and teachers in several places and events during the series of two days. The drawings showed their facial expressions, home, parents, hospital stay, school activities, extracurricular activities, and other daily activities. Conclusion: Aesthetic expression linked to art and connected to human experience drew the participants into different realms and expanded their perceptual capacities so that the fullness of the meaning of the experience was appreciated. The understanding of the experience through aesthetic expression provided sensitivity to and awareness of the variation of experience among children with advanced cancer. It is hoped that this paper can contribute to an understanding of aesthetic expressions as pathways to understanding and support health professionals as they embark on their goal of creating or restoring a comfortable relationship with children. 
Aesthetic experiences of patients with advanced cancer in end-of-life care in China: A phenomenological study Li, Xia; Kongsuwan, Waraporn; Barry, Charlotte D.
Belitung Nursing Journal Vol. 11 No. 4 (2025): July - August
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3935

Abstract

Background: For most patients with advanced cancer, an important prerequisite for quality of end-of-life care is understanding their preferences. Nurses reported the challenges in the care process, such as poor communication patterns of sensitive topics. Aesthetic experience values meaningful moments and is sensitive to the impact of different environments and situations. Aesthetic expression enables individuals to transform intuitive cognition into artistic behavior, ultimately expressing real needs through aesthetic cognition, enhanced sensibility, and reflection, thereby promoting improved care quality.  However, there is still a lack of studies exploring aesthetic experiences in end-of-life care from the perspective of patients with advanced cancer. Objective:  To explore the aesthetic experiences in end-of-life care as perceived by patients with advanced cancer during hospitalization. Methods: This study applied a hermeneutic phenomenological approach and was conducted in an oncology unit of a hospital in China. This hospital was the hospital promulgated by the local health department as a pilot hospice care program. The hospital mainly admitted patients with advanced cancer who have given up radiotherapy and chemotherapy after being treated in a higher-level hospital. Data collection spanned from August to December 2023. Ten participants were invited to engage in reflective experiences using the individual face-to-face interviews followed by the creative drawings. The data were analyzed and interpreted following van Manen’s approach. Results: The findings revealed four themes: 1) Dynamic understanding; 2) Cherished relationships; 3) Prioritizing being presentable; 4) Creating a peaceful atmosphere. Patients with advanced cancer present different states at each stage of their disease progression, which requires dynamic understanding to provide more precise care. In addition, their demands for cherished relationships, a presentable style, and a peaceful atmosphere will also increase during this process. We need to pay attention to these moments that are meaningful to them for improving the quality of end-of-life care. Conclusion:  This study explored the aesthetic experiences from the unique experiences of patients with advanced cancer in end-of-life care, thereby using aesthetic elements to create and cultivate a unique end-of-life care ideal, which will stimulate the creativity and respond to the special challenges of end-of-life care.
Aesthetics in Nursing Practice as Experienced by Nurses in the Philippines: A Phenomenological Study Kongsuwan, Waraporn; Betriana, Feni; Galvez, Barbara
Jurnal Keperawatan Soedirman Vol 20 No 2 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.2.13775

Abstract

Nursing aesthetics, acknowledged as a fundamental pattern of knowing, emphasizes the integration of aesthetic dimensions into nursing practice; yet the lived experiences of Filipino nurses in this domain remain under‐investigated. Employing a phenomenological design, this study explored how 15 purposively selected nurses in Negros Oriental Province perceive and enact aesthetic care. Data were elicited through participant-generated drawings followed by semi structured interviews and analyzed using Kongsuwan’s framework for interpreting artistic works and texts. Rigor was maintained via Lincoln and Guba’s trustworthiness criteria—triangulation, member checking, thick description, and an audit trail. Four themes emerged: honoring persons as a whole, seeing things from the perspectives of others, intrinsic satisfaction from aesthetic care, and innovative, pleasant nursing interventions. Participants construed aesthetic nursing as a collaborative process that co creates meaningful patient experiences through therapeutic communication, needs assessment, and empathic engagement. These findings can inform healthcare organizations in developing policies and practices that foster aesthetic nursing. Future research should examine the longitudinal impact of aesthetic practice on patient outcomes, its relationship to nurse retention, and its adaptability across diverse clinical and cultural settings.
Nurses’ Caring Behaviors for Dying Patients in Southern Thailand Prompahakul, Chuleeporn; Nilmanat, Kittikorn; Kongsuwan, Waraporn
Nurse Media Journal of Nursing Vol 1, No 2 (2011): (DECEMBER 2011)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (345.307 KB) | DOI: 10.14710/nmjn.v1i2.972

Abstract

Background: Nowadays, the end-of-life care becomes an indicator of the quality of care in a hospital. However, current nursing standards and quality of care related to the end of life do not meet the desired expectations of both dying patients and their families. Therefore, caring behaviors of nurses need to be described.Purpose: The purpose of this descriptive research was to describe the level of nurses’ caring behaviors for dying patients in southern Thailand. Method: Proportionate stratified random sampling was used to select 360 registered nurses who had been working in general hospitals and regional/university hospitals in southern Thailand for at least one year. Instruments used in the study included the Demographic Data Questionnaire (DDQ) and the Nurse’s Caring Behavior for Dying Patients Questionnaire (NCBDQ). The questionnaires were content validated by three experts. The reliability of the NCBDQ was tested with 30 nurses yielding a Cronbach’s alpha coefficient of .97. The data were analyzed by using frequency, percentage, mean and standard deviation.Results: The level of nurses’ caring behaviors for dying patients was high (M = 2.12, SD = .43). The five dimensions of the nurses' caring behaviors including compassion, confidence, conscience, commitment and comportment were also at a high level. However, the competence dimension was at a moderate level (M = 1.82, SD = .51). Conclusion: The results of this study indicated that nurses perceived themselves as having a moderate level of competency in taking care of dying patients. Therefore, educational intervention on enhancing nurses’ competency for end of life care is recommended. In addition, factors relating to nurses’ caring behavior for dying patients should be further explored.Keywords: caring behaviors, dying patients, nurses, southern Thailand
Co-Authors Adiratna Sekar Siwi Alivian, Galih Noor Barry, Charlotte D. Betriana, Feni Chuleeporn Prompahakul Galvez, Barbara Galvez, Barbara Lyn Hidayat, Arif Imam Kittikorn Nilmanat Schoenhofer, Savina O. Urai Hatthakit Xia Li