Grounded theory qualitative approach from Foucault's ethical perspective:Deconstruction of patient self-determination in the clinical setting

This paper aims to explain the construction of the autonomous subject from Foucault's ethical perspective for the qualitative analysis of interprofessional relationships,patient-professional relationships,and moral ethics critique.Foucault tried to break loose from the self,which is merely the result of a biopol-itical subjectivation and constituted an interpersonal level.From this,different elements involved in the decision-making capacity of patients in a clinical setting were analysed.Firstly,the context in which decision-making occurs has been explained,distinguishing between traditional practices involved in self-care and the more modern conceptions that make certain possible transformations.Secondly,an attempt is made to explain the formation of the medicalisation of society using the transformations of what Foucault called"techniques of the self".Finally,the ethical framework for a subject's"self-creation",insisting more on the exercises of self-subjectivation,reinforcing the ethics of the self by itself,the"care of the self",has been explained.The role of the patient is understood as an autonomous subject to the extent that the clinical institution and the professionals involved comprehend how the patient’s autonomy in the clinical environment is constituted.All these elements could generate grounded theory on the qualitative methodology of this phenomenon.The current ethical model based on universal principles is not useful to provide a capacity for patients decision-making,relegating to the background their opinions and beliefs.Consequently,a new ethical perspective emerges that aims to return the patient to the fundamental axis of attention.

The Interaction and Life Experiences between the Patient and the Nurse Caring for the Patient with COVID-19 in Turkey: A Qualitative Dyadic Approach

Previous research and observations have shown that COVID-19 affected both patients’and nurses’mental health.Even in the best times,one of the best ways to improve patients’experiences is to improve the health workers’experience.Therefore,it is important to be aware of the patterns of interaction between patients diagnosed with COVID-19 and the nurses caring for them and to help them recognize the strengths of their relationship.In this study,we aimed that purposed to discover the interaction and life experiences between the COVID-19 patients and the nurses who provided care for them in Turkey.With the dyadic approach,a qualitatively descriptive design has been used.The research examples consisted of 12 patients diagnosed with COVID-19 selected by purposeful exemplification and 12 nurses who provided care to them.Semi-structured individual in-depth interviews were conducted with individuals.The study adheres to the COREQ guidelines.As a result of the content analysis,four main themes came forward:life change,pandemic journey,getting strong together,new horizons.Institutions should focus on appropriate psychological interventions in order to fortify the relations and mental health of dyad members.Institutions should focus on appropriate psychological interventions in order to fortify the relations and mental health of dyad members.In our research,it is expected to guide related public institutions and non-governmental organizations on formulating policies related to protecting and maintaining the mental health of nurses and patients,extending the scope of existing information,providing patient-health worker security,to assess the problems on thefield through the eyes of patients-health workers and to take necessary precautions.This study,which deals with the interaction and life experiences of patients with COVID-19 and nurses who care for them,will shed light on patients,families,communities,organizations,health policies and systems.