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Nurses' views of shortcomings in patent care encounters in one hospital in Sweden
Luleå tekniska universitet, Omvårdnad.
Luleå tekniska universitet, Omvårdnad.
Luleå tekniska universitet, Omvårdnad.
2015 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 19-20, 2807-2814 p.Article in journal (Refereed) Published
Abstract [en]

Aim and objectiveTo describe nurses' views of shortcomings in patient care encounters in one hospital in Sweden.BackgroundShortcomings in encounters in healthcare have increased during recent years. Dissatisfaction with encounters in healthcare can affect patients' experiences of dignity, health and well-being.DesignA qualitative design was used in the study.MethodsThree focus group discussions with 15 nurses were conducted. The nurses worked in five different wards. The focus group discussions were subjected to a thematic content analysis.ResultsThe results are presented in two themes. The first theme, ‘Disregard for the patient's unique nursing needs’, describes that information without consideration of the patient's needs, and nurses not being completely present in the meeting with the patient affected healthcare encounters and experiences of quality of care. In the second theme, ‘Difficulty managing obstacles’, nurses described care situations over which they could not always prevail due to lack of time and/or lack of awareness of the patient's vulnerability.ConclusionThe findings illustrate the importance of nurses and their approaches to patients. The nurse's attitude is important for the patient's experiences of participation, security, dignity, and well-being. The findings also illustrate the importance of routines in the healthcare organisation that support and facilitate positive encounters between patients, their close relatives and the healthcare staff.Relevance to clinical practiceNurses require understanding, presence and commitment in their relationships to every unique patient, and their goal should be to adopt interventions with regard to positive healthcare encounters based on each patient's experiences of good nursing care.

Place, publisher, year, edition, pages
2015. Vol. 24, no 19-20, 2807-2814 p.
National Category
Nursing
Research subject
Nursing
Identifiers
URN: urn:nbn:se:bth-14304DOI: 10.1111/jocn.12886Local ID: ddbc7983-ab16-4ebd-8cfb-3e597c677b93OAI: oai:DiVA.org:bth-14304DiVA: diva2:1098237
Note

Validerad; 2015; Nivå 2; 20150717 (andbra)

Available from: 2016-09-29 Created: 2017-05-23Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf