Patients’ experiences of the caring encounter in health promotion practice: a qualitative study in Swedish primary health care

Autor: Lisbeth Kristiansen, Miek C. Jong, Kristina Lundberg, Mats Jong
Rok vydání: 2020
Předmět:
District nurse
Transpersonal caring
Attitude of Health Personnel
media_common.quotation_subject
Nursing
Caring encounter
03 medical and health sciences
Dignity
0302 clinical medicine
Health Sciences
Humans
Medicine
Healthy Lifestyle
030212 general & internal medicine
Qualitative Research
Primary health care
media_common
Sweden
Relationship-centered care
lcsh:R5-920
Lifestyle habits
VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin
sosialmedisin: 801
030504 nursing
business.industry
Omvårdnad
Hälsovetenskaper
Health promotion
Feeling
Content analysis
Job satisfaction
Organizational structure
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine
Social medicine: 801
lcsh:Medicine (General)
0305 other medical science
Family Practice
business
Research Article
Qualitative research
Zdroj: BMC Family Practice, Vol 21, Iss 1, Pp 1-10 (2020)
BMC Family Practice
ISSN: 1471-2296
DOI: 10.1186/s12875-020-01296-6
Popis: BackgroundPrevious studies have reported that organizational structures and cultures in primary health care are obstacles to district nurses doing successful work in health promotion practice (HPP). Because organizational structures are not easily changed, Jean Watson’s Attending Nurse Caring Model (ANCM) was introduced and piloted at a primary health care center in Sweden, aiming to transform HPP so as to empower district nurses and increase their work satisfaction.AimTo investigate patients’ experiences of the caring encounter in HPP after introduction of the ANCM in Swedish primary health care, the aim being to explore the essential components of the caring encounter between patients and district nurses.MethodsA descriptive and qualitative research design was used. Data collection was performed using individual face-to-face interviews with twelve patients at risk for developing CVD. Data analysis consisted of both deductive content analysis, using a categorization matrix based on the ANCM and, subsequently, inductive latent content analysis.ResultsThe findings were abstracted into three themes: 1.‘Feeling the deepest essence of being cared for’: to be respected and being put at the center of the encounter; 2. ‘Feeling acceptance and worth’: being treated with openness and permissive attitudes, 3. ‘Being in a supportive atmosphere that promotes hope’: to feel trust and being trusted in the encounter, and being empowered by hope. The unifying main theme of the caring encounter was abstracted as ‘Experiencing human dignity’.ConclusionThe present study revealed that the essence of the caring encounter between patients and district nurses in HPP is to be unconditionally accepted in an environment that inspires hope and encouragement. The ANCM seems to be a promising model to use for strengthening the caring encounter and supporting CVD patients in making healthy lifestyle choices. However, further studies of qualitative and quantitative designs are needed to investigate what the ANCM can contribute to HPP in Swedish primary health care.
Databáze: OpenAIRE
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