Background: Chronic heart failure (CHF) is a syndrome that greatly impacts people's lives. Due to the poor prognosis of CHF, together with the frequent exacerbations of symptoms, death is a topic that is very present in the lives of patients with CHF. Objective: To explore thoughts about death experienced by patients with chronic heart failure in their daily lives. Methods: A hermeneutic phenomenological study was carried out. Conversational interviews were conducted with 20 outpatients with chronic heart failure. Analysis of the responses was based on the method proposed by van Manen. Results: From the analysis, four main themes emerged: (1) Feeling afraid of the possibility of dying; (2) Acceptance of the possibility of death; (3) Desiring death for relief from suffering; and (4) Striving to continue living to enjoy family. Conclusions: This study presents, as a novel finding, that people with CHF experience the possibility of near death on a daily basis. This experience, which they must encounter on their own, makes them afraid. In addition, some of them, in view of the discomfort they are living, wish to die, with some even considering committing suicide. (C) 2021 The Authors. Published by Elsevier Inc.

Currently, the dying process in Spain is moving to the home environment where responsibility for care falls largely on the family, thereby challenging and testing the stability of the family. Previous research has focused on the impact of illness on the primary caregiver; therefore, a knowledge gap exists. This study aimed to understand families' unitary experiences of providing home care to terminally ill family member. Using the "Model of Interpersonal Relationship Between the Nurse and the Person/Family Cared For," narrative research included family and individual interviews with nine families (9 groups/23 individuals). Thematic narrative analysis was used to interpret the interviews. The results highlight the impact of illness on family well-being as a whole. Family members often felt abandoned while caring for an ill family member and wished to be cared for themselves. However, their immediate community and the nurses caring for their ill family member neglected them. A paradigm shift is required by society and in home care at the end of life to better support the family.

Phenomenology of practice is a useful, rigorous way of deeply understanding human phenomena. Therefore, it allows research to be conducted into nursing's most sensitive and decisive aspects. While it is a widely used research approach and methodology in nursing, it is seldom addressed and made use of in its practical and applied value. This article aimed to approach the global outlook of van Manen's hermeneutic¿phenomenological method to better understand its theoretical background and to address and support the contribution this method can make to nursing, if rigorously applied. For a professional discipline like nursing, van Manen's approach is especially interesting because, in addition to contributing to the body of knowledge of nursing, it provides a special kind of knowledge that allows nurses to act in a more reflective manner, and with tact and skill, in certain situations and relationships that arise in their daily practice. A more in¿depth understanding of this research methodology may help nurse¿researchers make good use of it and also harness knowledge derived from this type of research. This comes as a result of assuming that phenomenological texts, the final product of the research, have tremendous educational potential for people who read them carefully.

Aims To offer a complete outlook in a readable easy way of van Manen's hermeneutic¿phenomenological method to nurses interested in undertaking phenomenological research. Background Phenomenology, as research methodology, involves a certain degree of complexity. It is difficult to identify a single article or author which sets out the didactic guidelines that specifically guide research of this kind. In this context, the theoretical¿practical view of Max van Manen's Phenomenology of Practice may be seen as a rigorous guide and directive on which researchers may find support to undertake phenomenological research. Design Discussion paper. Data sources This discussion paper is based on our own experiences and supported by literature and theory. Our central sources of data have been the books and writings of Max van Manen and his website ¿Phenomenologyonline¿. Implications for nursing The principal methods of the hermeneutic¿phenomenological method are addressed and explained providing an enriching overview of phenomenology of practice. A proposal is made for the way the suggestions made by van Manen might be organized for use with the methods involved in Phenomenology of Practice: Social sciences, philosophical and philological methods. Thereby, nurse researchers interested in conducting phenomenological research may find a global outlook and support to understand and conduct this type of inquiry which draws on the art.

Errasti-Ibarrondo, B; Pérez, M; Carrasco, J.M; Lama, M; Zaragoza, A; Arantzamendi, M. Essential elements of the relationship between the nurse and the person with advanced and terminal cancer: A goal-ethnography. Nursing Outlook DOI: 10.1016/j.outlook.2014.12.001 Indexed in: MEDLINE, CINAHL and the Journal Citation Reports published by Thomson Reuters. area : Nursing-SSCI Impact Index (JCR Science 2014): 2.359 Position of the journal in the area: 3/101 Quartile: 1

Introduction. The new university demands require redefining the management model of nursing research in order to consolidate its quality and partner-health impact. Aim. To present the strategies used in the implementation of a management model for the development of nursing research at the University of Navarra (UN). Methodology. The four phases of Marchette (the simulation, the individualistic, the unified and the balanced phases) are the framework to present the management model implemented by the UN to foster research in Nursing. Results. The following strategies are described: organizing conferences and meetings on research; research investment in teacher training; approval of the research areas as organizational structures for the development of nursing knowledge; creation of the Chair Maria Egea for research; implementation of the Research Strategic Plan 2013-2018; approval of the Doctoral Program in Nursing Science. Conclusions. There is a need to adopt and adapt new management structures that encourage disciplinary knowledge, the development competitive research teams, interdisciplinary research, teamwork, and training of new researchers. researchers. Also, these structures must respond to new health and social demands, and promote clinical nursing practice of excellence.