Patient/relative power in home-care nursing: a study of involvement and influence from the district nurses' point of view

Författare
Rydeman I, Törnkvist L, Gustafsson B.
Titel
Patient/relative power in home-care nursing: a study of involvement and influence from the district nurses' point of view
Utgivningsår
2005
Tidskrift
Theoria Journal of Nursing Theory
Volym
14
Häfte
2
Sidor
5-18
Sammanfattning

The aim of the study was to describe district nurses 'views and experiences of patients ' and relatives ' involvement and influence in home-care nursing. Data were collected by means of semi-structured interviews with ten district nurses. The data analysis was interpreted by a hermeneutic method, and the SAUC model for confirming nursing was used as a theoretical framework. The findings revealed that the district nurses' views of human being, and their need to control the home-care situation as experts, were decisive factors for patient/relative power and non power in home-care nursing. The preconditions for patient/relative power, according to the district nurses, were related to whether patients/relatives felt motivated to co-operate, expressed their own wishes, and had competence. Some significant preconditions were required for the district nurses to support patient/relative power i.e., that the district nurses had patient/relative involvement and influence as an explicit nursing goal and believed that it improved home care nursing. Conclusion, this study indicates the importance of the district nurses ' awareness about their own view of human being, their attitudes on patient/relative power and their individual strategies and competence to support the patients/relatives involvement and influence in home- care nursing.

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