Abstract
Development of basic knowledge about patients’ own health strategies and the impact of professional caring/nursing on the health process are considered essential in order to improve nursing care to people in need of that service. The aim of this licentiate thesis is to explore and describe patients’ health strategies when stricken by a possible terminal disease and the impact of professional caring/nursing on the process illuminated from both patients’ and nurses’ perspectives.
Three studies were conducted within the qualitative paradigm, due to the kind of scientific knowledge wanted. Two methods were used, a descriptive phenomenological method, and a descriptive exploratory method. Ten Danish women, suffering from breast cancer, and sixteen Swedish excellent nurses were interviewed.
The patients' health strategies appeared to be dependent on their determination to go on living. In the health process, it was found imperative that the patient worked actively, created something to live for, and achieved a harmonious relationship with supportive significant others and nature. In the process the patient experienced awareness and avoidance and gained insights about life itself (paper I). The patients perceived the supportive health strategies performed by the excellent nurse as, being able to "catch their wavelength” and in a positive, genuine, supportive connectedness, transfer knowledge and courage to them (paper II).
The nurses perceived the supportive health strategies performed by the excellent nurse, as being able to construct a caring connectedness and maintain that connectedness all the way through. In the health process the nurse should be able to support the patients own health strategies and/or initiate health strategies the patients were not aware of (paper III).
There were great similarities in patients and nurses perception of supportive health strategies. The strategies may be used spontaneously by the patients or if necessary initiated and supported by the nurses.
Key Words: Breast Cancer, Caring Moment, Excellence in Nursing, Excellent Nurses Perspective, Nurse-Patient Relationship, Patients’ Perception, Phenomenology,
Supportive Health Strategies.
Three studies were conducted within the qualitative paradigm, due to the kind of scientific knowledge wanted. Two methods were used, a descriptive phenomenological method, and a descriptive exploratory method. Ten Danish women, suffering from breast cancer, and sixteen Swedish excellent nurses were interviewed.
The patients' health strategies appeared to be dependent on their determination to go on living. In the health process, it was found imperative that the patient worked actively, created something to live for, and achieved a harmonious relationship with supportive significant others and nature. In the process the patient experienced awareness and avoidance and gained insights about life itself (paper I). The patients perceived the supportive health strategies performed by the excellent nurse as, being able to "catch their wavelength” and in a positive, genuine, supportive connectedness, transfer knowledge and courage to them (paper II).
The nurses perceived the supportive health strategies performed by the excellent nurse, as being able to construct a caring connectedness and maintain that connectedness all the way through. In the health process the nurse should be able to support the patients own health strategies and/or initiate health strategies the patients were not aware of (paper III).
There were great similarities in patients and nurses perception of supportive health strategies. The strategies may be used spontaneously by the patients or if necessary initiated and supported by the nurses.
Key Words: Breast Cancer, Caring Moment, Excellence in Nursing, Excellent Nurses Perspective, Nurse-Patient Relationship, Patients’ Perception, Phenomenology,
Supportive Health Strategies.
| Originalsprog | Engelsk |
|---|
| Antal sider | 56 |
|---|---|
| Status | Udgivet - 1999 |
Emneord
- patienter
- sygeplejerske