Mid Sweden University

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Nurses’ experiences of encounters in home care: a phenomenological hermeneutic study
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).ORCID iD: 0000-0002-5008-4885
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).ORCID iD: 0000-0002-1614-7379
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).ORCID iD: 0000-0001-8669-416x
2023 (English)In: Abstraktkatalog, 2023, p. 48-Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Background: Nurses working in home care often encounter patients with multiple diagnoses in an unpredictable environment, which can cause ethical and emotional challenges and affect their daily work. However, research about encounters in home care is sparse.

Aim: To illuminate the meaning of nurses’ lived experiences of encountering patients in home care.

Method: The study has a qualitative design and adopts a phenomenological hermeneutic approach. This approach was chosen to shed light on the meaning of the nurses’ everyday experiences by interpreting texts transcribed from lived narrations. After obtaining ethical approval participants (n=11) were recruited through purposive sampling.

Findings: The findings are presented under three main themes:

1) “Being receptive to the other”, which illustrates the meaning of being open-minded and taking the time to acknowledge the patient.

2) “Handling the unpredictable”, which illustrates the meaning of encountering the unknown in the patient’s home.

3) “Managing frustration”, which illustrates the meaning of managing your emotions to highlight the needs of the patients. The variety of encounters made different impressions on the nurses which affected the provided care.

Discussion: During unpredictable encounters, it was sometimes hard to determine and assess the best care for the patients. The findings highlight that misinterpreting the patients’ needs worried the nurses and caused their consciences to be troubled. Nurses must manage their own and their patients’ vulnerability in order to be receptive to what the patients conveyed. When doing so, nurses will discover a genuine interest in the other and counteract the risk of overlooking the patients. The unilateral ethical demand requires the nurses to take care of the patients’ lives selflessly. We are all in each other’s power because our vulnerability and loneliness will facilitate a natural trust. A trust that we hope will be answered and fulfilled by measures that touch and show care and affection.

Conclusions: Although encountering patients in home care means relating to the other unconditionally, it is sometimes hard to perceive the wishes and needs of the patient and to respond to the ethical demand. However, this was facilitated by shifting the focus from problem-solving an deficiency to get to know the person. Additionally, management of vulnerability will also increase the ability of the nurse to encounter the patient in home care more perceptively.

Place, publisher, year, edition, pages
2023. p. 48-
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-50429OAI: oai:DiVA.org:miun-50429DiVA, id: diva2:1834527
Conference
Norrskenskoferensen, Luleå, 14-15 september 2023
Available from: 2024-02-05 Created: 2024-02-05 Last updated: 2024-02-05Bibliographically approved

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Poster(646 kB)7 downloads
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Larsson Gerdin, AnnaHellzén, OveRising Holmström, Malin

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1415161718192018 of 20
CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
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Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
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  • Other locale
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Output format
  • html
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