To understand complex human phenomena, it is necessary to triangulate the results of multiple separate projects that use diverse methods. Using the example of suffering, a research program emerging from studies exploring comfort was initiated. A model of enduring and emotional suffering (or releasing) was developed, and, using this model as a scaffold, eight subsequent projects explored the interaction of enduring and emotional suffering in various contexts and with different populations. Although there remains much to learn, the researcher argues that using this programmatic approach to explore new areas is an efficient and effective way to gain understanding of complex human phenomena.
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References
1.
Bell, J. (1999). Therapeutic failure: Exploring uncharted territory in family nursing. Journal of Family Nursing, 594, 371-373.
2.
Bogle, E. (1983). And the band played Waltzing Matilda. Chicago: Flying Fish Records.
3.
Brietmayer, B. J. , Ayers, L., & Knafl, K. (1993). Triangulation in qualitative research: Evaluation of completeness and confirmation purposes. Image: Journal of Nursing Scholarship, 25(3), 237-243.
4.
Browning, E. B. (1879). Grief. In The poetical works of Elizabeth Barrett Browning. New York: James Miller.
5.
Ekman, P. , & Friesen, W. V. (1978). Facial action coding system. San Francisco: Department of Psychiatry, University of California, San Francisco.
6.
Estabrooks, C. A. , Field, P. A., & Morse, J. M. (1994). Aggregating qualitative studies: An approach to theory development. Qualitative Health Research, 4, 503-511.
7.
Frank, A. (1995). The wounded story teller: Body, illness and ethics. Chicago: University of Chicago Press.
8.
Hogan, N. , Morse, J. M., & Tasón, M. C. (1996). Toward an experiential theory of bereavement. Omega, 33(1), 43-65.
9.
Kleinman, A. (1988). The illness narratives: Suffering, healing and the human condition. New York: Basic Books.
10.
Morse, J. M. (1992). Comfort: The refocusing of nursing care. Clinical Nursing Research, 1, 91-113.
11.
Morse, J. M. (1999). Qualitative methods: The state of the art. Qualitative Health Research, 9(3), 393-406.
12.
Morse, J. M. (2000a). Conceptualizing processes of comforting. American Journal of Nursing, 100(9), 34-38.
13.
Morse, J. M. (2000b). Responding to the cues of suffering. Health Care for Women International, 21, 1-9.
14.
Morse, J. M. (2001). Toward a praxis theory of comfort. Advances in Nursing Science, 24(1), 47-59.
15.
Morse, J. M. , Beres, M., Spiers, J., Mayan, M., & Olson, K. (2001). Identifying signals of suffering by linking verbal and facial cues. Submitted for publication.
16.
Morse, J. M. , Bottorff, J. L., & Hutchinson, S. (1994). The phenomenology of comfort. Journal of Advanced Nursing, 20, 189-195.
17.
Morse, J. M. , Bottorff, J. L., & Hutchinson, S. (1995). The paradox of comfort. Nursing Research, 44(1), 14-19.
18.
Morse, J. M. , & Carter, B. J. (1995). Strategies of enduring and the suffering of loss: Modes of comfort used by a resilient survivor. Holistic Nursing Practice, 9(3), 33-58.
19.
Morse, J. M. , & Carter, B. (1996). The essence of enduring and the expression of suffering: The reformulation of self. Scholarly Inquiry for Nursing Practice, 10(1), 43-60.
20.
Morse, J. M. , Havens, G. A., & Wilson, S. (1997). The comforting interaction: Developing a model of nurse-patient relationship. Scholarly Inquiry for Nursing Practice, 11(4), 321-347.
21.
Morse, J. M. , & Johnson, J. L. (1991). Towards a theory of illness. In J. M. Morse & J. L. Johnson (Eds.), Understanding the illness experience: Dimensions of suffering (pp. 315-342). Newbury Park, CA: Sage.
22.
Morse, J. M. , & Mitcham, C. (1997). Compathy: The contagion of physical distress. Journal of Advanced Nursing, 26, 649-657.
23.
Morse, J. M. , Mitcham, C., & van der Steen, V. (1998). Compathy or physical empathy: Implications for the caregiver relationship. Journal of Medical Humanities, 19(1), 51-65.
24.
Morse, J. M. , & O’Brien, B. (1995). Preserving self: From victim, to patient, to disabled person. Journal of Advanced Nursing, 21, 886-896.
25.
Morse, J. M. , & Penrod, J. (1999). Linking concepts of enduring, suffering, and hope. Image: Journal of Nursing Scholarship, 31(2), 145-150.
26.
Morse, J. M. , Penrod, J., Kassab, C., & Dellasega, C. (2000). Evaluating the efficiency and effectiveness of approaches to nasogastric tube insertion during trauma care. American Journal of Critical Care, 9(5), 325-333.
27.
Morse, J. M. , & Pooler, C. (in press). Family presence in the resuscitation room. American Journal of Critical Care.
28.
Morse, J. M. , & Proctor, A. (1998). Maintaining patient endurance: The comfort work of trauma nurses. Clinical Nursing Research, 7(3), 250-274.
29.
Morse, J. M. , Whitaker, H., & Tasón, M. (1996). The caretakers of suffering. In J. Chesworth (Ed.), Transpersonal healing: Essays on the ecology of health (pp. 91-104). Thousand Oaks, CA: Sage.
30.
Olson, K. , Morse, J. M., Smith, J., Mayan, M., & Hammond, D. (2001). Linking trajectories of illness and dying. Omega—Journal of Death & Dying, 42(4), 293-308.
31.
Olson, K. , Tom, B., Hewitt, J., Whittingham, J., Buchanan, L., & Ganton, G. (in press). Evolving routines: Managing fatigue associated with lung and colorectal cancer. Qualitative Health Research.
32.
Pennebaker, J. W. (1997). Opening up: The healing power of expressing emotions. New York: Gilford.
33.
Penrod, J. , Morse, J. M., & Wilson, S. (1999). Comforting strategies used during nasogastric tube insertion. Journal of Clinical Nursing, 8, 31-38.
34.
Proctor, A. , Morse, J. M., & Khonsari, E. S. (1996). Sounds of comfort in the trauma center: How nurses talk to patients in pain. Social Sciences & Medicine, 42(12), 1669-1680.
35.
Ray, D. (1977). Enough of flying: Poems inspired by the Ghazals of Ghalib. Calcutta, India: Writers Workshop Press.
36.
Sandelowski, M. (1995). Triangles and crystals: On the geometry of qualitative research. Research in Nursing & Health, 18, 569-574.
37.
Sandelowski, M. , Docherty, S., & Emden, C. (1997). Qualitative metasynthesis: Issues and techniques. Research in Nursing & Health, 20, 365-371.
38.
Van Hooft, S. (2000). The suffering body. Health, 4(2), 179-195.
39.
Wright, L. M. (1997). Suffering and spirituality: The soul of clinical work with families. Journal of Family Nursing, 3(1), 3-14.
