Szelin YapSzelin Yap22ndnd Year Nursing Student Year Nursing Student

““How and why do How and why do perspectives of perspectives of

electroconvulsive therapy electroconvulsive therapy differ between clients and differ between clients and

clinicians?”clinicians?”

DepressionDepressionVan Gogh, 1890Van Gogh, 1890

One in six New Zealanders One in six New Zealanders will be affected by serious will be affected by serious depression at some point depression at some point in their lives- MOH, 2009in their lives- MOH, 2009

Neuroskeptic, 2010Neuroskeptic, 2010

• In the past, misuse and inappropriate use of ECT certainly occurred in New

Zealand and overseas. However, current practice

guidelines and high-level training requirements for ECT are designed to

minimise side effects and improve client experiences (Melding, 2006).

Qualitative ResearchQualitative Research

Qualitative research associates inc., n.d.

• Qualitative data is non-numerical and Qualitative data is non-numerical and allows for greater detail and meaning allows for greater detail and meaning to arise from research (Babbie, to arise from research (Babbie, 2008). 2008).

• My research question requires in My research question requires in depth and personal opinions from a depth and personal opinions from a sample of clients who have sample of clients who have undergone ECT and clinicians undergone ECT and clinicians involved with ECT. involved with ECT.

CNA job search, n.d.

Phenomenological Interviewing

• A phenomenological approach involves A phenomenological approach involves using open ended questions in interview in using open ended questions in interview in order to obtain in-depth opinions on an order to obtain in-depth opinions on an experience (Creswell, 2003). experience (Creswell, 2003).

• The intention of my research project is to The intention of my research project is to give clinicians a general idea of how their give clinicians a general idea of how their perspectives of ECT differ to those of perspectives of ECT differ to those of clients. This is in congruence with clients. This is in congruence with phenomenological analysis where the phenomenological analysis where the “essence” of the interview or observation “essence” of the interview or observation is obtained (Creswell, 2003). is obtained (Creswell, 2003).

Coding, memoing & concept Coding, memoing & concept mappingmapping

• Coding involves classifying your data Coding involves classifying your data in order to find trends in order to find trends

• Memoing involves writing notes Memoing involves writing notes which allow a clearer understanding which allow a clearer understanding of your analysis. of your analysis.

• Concept mapping allows a Concept mapping allows a clarification of how concepts relate in clarification of how concepts relate in an illustration (Babbie, 2008). an illustration (Babbie, 2008).

Picsicio, 2010

Implications on PracticeImplications on Practice

• This an applied research project as the This an applied research project as the results are intended to be used in clinical results are intended to be used in clinical settings (Babbie, 2008).settings (Babbie, 2008).

• I expect that my research will result in a I expect that my research will result in a greater understanding by clinicians of how greater understanding by clinicians of how to educate clients and improve their to educate clients and improve their experience of ECT. experience of ECT.

• A direct comparison of differing A direct comparison of differing perspectives on ECT would allow clinicians perspectives on ECT would allow clinicians to understand why clients generally have a to understand why clients generally have a negative outlook on ECT, creating an negative outlook on ECT, creating an opportunity to address these issues. opportunity to address these issues.

ReferencesReferences• Babbie, E. (2008). Babbie, E. (2008). The Basics of Social ResearchThe Basics of Social Research (4th ed.). California: Thomson (4th ed.). California: Thomson

Wadsworth.Wadsworth.

• Creswell, J. W. (2003). Creswell, J. W. (2003). Research Design: Qualitative, quantitative and mixed Research Design: Qualitative, quantitative and mixed method approaches. method approaches. Thousand Oaks, CA: Sage Publications Inc.Thousand Oaks, CA: Sage Publications Inc.

• CNA job search. (n.d.). CNA job search. (n.d.). CNA job interview. CNA job interview. Retrieved from http://cnajobsearch.comRetrieved from http://cnajobsearch.com

• Melding, P. (2006). Electroconvulsive therapy in New Zealand: terrifying orMelding, P. (2006). Electroconvulsive therapy in New Zealand: terrifying or

electrifying? electrifying? The New Zealand Medical Journal, 199The New Zealand Medical Journal, 199(1237), 1-9. Retrieved from (1237), 1-9. Retrieved from Ebsco host. Ebsco host.

• Ministry of Health. (2009). Ministry of Health. (2009). Is this depression? Is this depression? Retrieved from Retrieved from http://www.depression.org.nz/content/depressionhttp://www.depression.org.nz/content/depression

• Neuroskeptic. (2010). Neuroskeptic. (2010). Monoamine shock. Monoamine shock. Retrieved from Retrieved from http://neuroskeptic.blogspot.com/http://neuroskeptic.blogspot.com/

• Picsicio. (2010). Picsicio. (2010). Conceptual mapping. Conceptual mapping. Retrieved from Retrieved from http://picsicio.us/keyword/conceptual%20mapping/http://picsicio.us/keyword/conceptual%20mapping/

• Van Gogh, V, (Artist). (1890). Van Gogh, V, (Artist). (1890). Old man in sorrow (On the threshold of eternity) Old man in sorrow (On the threshold of eternity) [Painting][Painting]. . Otterlo, The Netherlands. Retrieved from Otterlo, The Netherlands. Retrieved from http://www.vangoghgallery.comhttp://www.vangoghgallery.com

• Qualitative research associates inc. (n.d.). Qualitative research associates inc. (n.d.). Home page. Home page. Retrieved from Retrieved from http://www.qualitativeresearchassociates .com/index.phphttp://www.qualitativeresearchassociates .com/index.php