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Calhermeneutical approach for interpreting interview text, for the reason that the aim on the process was to disclose the which means of nurses’ knowledge of residents’ spiritual requirements [44]. The system of evaluation was inspired by Ricoeur’s philosophy [45]. Interpretations of your text consist of a dialectic movement in between understanding the whole text and components of the text, that is consistent using the hermeneutic approach [46]. This closeness and distance with the text implies interpreting the text in terms of reading the text for what it says and additional understanding what the text suggests. The analysis followed three methods: na e reading, structural evaluation and formulation of a complete understanding.Na e reading (initial reading)Data were collected from June 2011 to January 2012. At the very least a single interview was performed at each and every in the four institutions, along with a d-Bicuculline supplier follow-up interview was conducted. Study shows that recurrent understanding dialogue within a unique group may enhance the understanding of a theme [40,41]. By way of obtaining a follow-up interview, we wanted to obtain the participants’ reflections following the initial interview and deepen a few of the topics that the nurses discussed within the initially interview [40]. Precisely the same moderator (very first author) and observer (second author) conducted all eight interviews that were situated in the nursing homes, lasted 1 ?- 2 hours and recordedThe text was read several occasions to grasp the which means as a complete. Throughout the reading, we attempted to concentrate on the nurses’ lived experiences as they reflected on the residents spiritual and existential expressions. Na e reading was discussed amongst the researchers and further guided the thematic structural evaluation.Structural analysisAll four researchers performed data coding. Initial, the text was divided into meaning units. We reflected around the meaning units primarily based on the background of PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/20425085 the na e understanding after which condensed the units to reflect the vital which means. We study through all of the condensed which means units and reflected on their similarities and variations. Sub-themes have been then produced, which were assembled to themes and key themes. We additional reflected on the themes in relation towards the na e understanding, andbehr et al. BMC Nursing 2014, 13:12 http://www.biomedcentral.com/1472-6955/13/Page four ofif we discovered a discrepancy involving the na e understanding and themes, the structural analysis procedure was repeated until there was compliance.Comprehensive understandingWe reflected on the themes and sub-themes in relation to our pre-understanding, research question, and also the context with the study, in which we sought a comprehensive understanding. The credibility from the findings was assessed within the procedure of coding, in that we selected significant sections in the participants’ statements and identified explicit themes. We sought to safeguard transparency and trustworthiness through quotations from distinctive participations inside the presentation in the findings. During the whole method, we attempted to assess consistency in between the information presented along with the study findings, such as both major and minor themes. By comparing themes to the naive reading, we strengthened the validity with the evaluation.Ethical considerationsreligious activities, such as prayer and singing hymns. In addition, they observed that residents wanted to connect to them on a private level. The nurses described residents’ earlier interests, such as nature experiences, culture and traditions as spiritual wants, as.