The establishment of trust in the nurse-parent relationship is espoused to be fundamental in achieving partnership-in-care within paediatric nursing. Paediatric nursing has progressed since the 1960's and in the 1990's, the major breakthrough was the emergence of the partnership model. Hence, it would be ideal to investigate the elements facilitating the foundation of trust in the formation of a nurse-parent relationship. The purpose of this study is to identify the concept of formation of trust in the relationship between parents whose children suffer from chronic asthma and the paediatric nurses responsible for their care in a paediatric medical setting. The study also determined and explored the characteristics of a trustworthy nurse, and identified those factors which facilitated or impeded the development of trust between the paediatric nurse and the parent within the culture of the paediatric medical setting. Parents of hospitalised children were sought for data collection. Data was collected using field observations and semi-structured interviews. Participant observation and all ethnographic field notes were used to describe culture in relation to the concept of trust in the nurse-parent relationship. The findings indicated that elements vital to the development of trust between parents and paediatric nurses were pre-existing trust, knowledge of asthma, communication, building a relationship and confidentiality. Based on these findings, a model of trust and partnership was developed. The implications of the findings have been significantly related to keeping parents informed of their child's condition, the continuity in nursing care and paediatric nurses to introduce themselves at the beginning of each change of shift.

THESIS (D.N.P. (Doctor of Nursing Practice))--School of Nursing, University of San Francisco, 2009. / Title from p. 42 ("Informed consent" page). Bibliography: leaves 30-36.

No description available.

Aim: The aim of this study was to describe intensive care nurses’ experiences communicating with patients during mechanical ventilation. Methods/design: A qualitative interview study. Interviews where analyzed using descriptive content analysis Setting: Nine intensive care nurses from two different intensive care units were interviewed using a semi structured interview guide. Background: Past research has shown that patients during mechanical ventilation in the intensive care unit, feel very vulnerable and the helplessness of being unable to speak. These patients feels that they are completely dependent on the nurses and their competence. It has been shown to be very important that the patient feels included, acknowledged and respected. Results: The analyzed data resulted in a theme; through communication strive to preserve patients´ dignity and three main categories; create relationship to the patient, minimize patients´ vulnerability and don´t give up. These main categories consist of nine subcategories Conclusion: Critical ill patients during mechanical ventilation have a very limited opportunity to communicate. Therefore the patient is put in a very vulnerable position and is completely dependent on the nurse. This study shows that the nurse by communicating with the patient strive to preserve the patients dignity.

Bakgrund: Relationen mellan sjuksköterska och patient har genomgått stora förändringar. Från att patienten tidigare sågs som ett objekt utan egna resurser, till att idag ses ur ett holistiskt perspektiv, som en individ med styrkor, tillgångar och som är expert på sin egen person. Begreppet patientdelaktighet uppmärksammades år 1978 av World Health Organization i  Alma-Ata deklarationen och har sedan dess fått större utrymme i vården. Patienters lagliga rätt till delaktighet i sin vård är idag omfattande och det är vårdpersonalens skyldighet att informera och involvera sina patienter. Patienter idag ställer allt högre krav på sjukvården och det är en utmaning för sjuksköterskor att kunna förhålla sig till dessa. Syfte: Syftet var att belysa faktorer som påverkar patienters delaktighet i sin vård. Metod: En litteraturstudie baserad på elva vetenskapliga artiklar analyserade med induktiv ansats. Resultat: Författarna fann elva underteman som påverkade patienters upplevelse av delaktighet i sin vård. Dessa utmynnade i de tre temana kunskap, relation och tid vilka alla hade gemensamt att individanpassning var önskvärt. Slutsats och klinisk betydelse: Resultatet visar att en förutsättning för känslan av delaktighet är att en vårdrelation uppstår mellan sjuksköterska och patient. När sjuksköterskan bekräftar patienten, anpassar sig efter denne och följer upp sina vårdhandlingar finns förutsättningar för att delaktighet uppnås. / Background: The relationship between nurse and patient has undergone major changes. The patient was previously seen as an object without it’s own resources, to now be seen in a holistic perspective, as an individual with strengths, assets and one who is an expert in his/herown person. The concept of patient participation was highlighted in 1978 by the World Health Organization in the Alma-Ata Declaration and has since then gained extention in care. Patients' legal right to participate in their care is extensive and it is the nursing staff's obligation to inform and involve their patients. Patients of today demand more from health care and it is a challenge for the nurse to be able to relate to them. Aim: The aim was tohighlight factors that influence patients' participation in their care. Method: A literature review based on elevenscientific articles analyzed with an inductive approach. Result: The authors found elevensub-themes that influenced patients' experience of participation in their care. These led to the three themes knowledge, relationship and time which all had in common that personalization was desirable. Conclusion and implication: The results show that a prerequisite for the feeling of participation is that a care relationship arises between nurse and patient. When the nurse confirms the patient, adapts to the patientand follow upon her actions are prerequisites for participation is achieved.

Spirituality is an integral part of a persons wholeness and therefore has an effect on and plays an important role in health and illness. Nurses are required by national and international nursing bodies as well as hospital accreditation agencies, to identify patients spiritual needs and intervene by integrating spiritual care into their nursing care. However, to date, no nursing studies have described Tanzanian nurses experiences of spirituality and spiritual care. The qualitative method of interpretive description was used. A purposive sample of fifteen registered nurses who were engaged in direct clinical practice at one of the private not-for-profit hospitals in Dar es Salaam, Tanzania was drawn. In-depth interviews using open-ended questions were carried out, tape-recorded, and transcribed verbatim. The data collection and analysis occurred concurrently. The transcripts were coded using inductive analysis. Themes related to spirituality and spiritual care that emerged from data were: meaning of spirituality, meaning of spiritual care, recognition of spiritual needs, interventions to respond to spiritual needs, challenges addressing spiritual care, and factors positively influencing the provision of spiritual care. Several recommendations for enhancing spiritual caregiving practices were given by participants. The findings from this study offer a basis for assessment, planning, and intervention strategies that nurses can apply in integrating spiritual care in clinical practice.

Thesis (MNurs)--University of South Australia, 1999

The purpose of this study was to develop a substantive theory or at least a set of theoretical propositions explaining the process of nurse-patient interaction in the presence of technology. This study was undertaken in Perth, Western Australia. The grounded theory method was chosen to undertake this research.The study's informants consisted of nurses. Theoretical sampling led to the inclusion of patients and patients' relatives. Purposive and theoretical sampling were used to choose the informants. Data were obtained using field observations and formal and informal interviews with nurses and post-discharge patients. Data analysis was conducted using the constant comparative method (Glaser and Strauss, 1967), writing memos and drawing a schema. The Ethnograph software package (Seidel, 1988) was used to organize and manage the data.The findings of the study indicated that nurses were stymied in their person-centered interactions with patients in the presence of technology. Nurses used the process of navigating the course of interaction to deal with this problem. The process of navigating the course of interaction consisted of three phases. These were the phases of embarking, steering and veering and disembarking. The action/interaction of the process occurred during the steering and veering phase and four specific strategies of interaction became evident in this research. These strategies of interaction were steadying, demurring, coasting and maximizing. The strategies of interaction used by nurses did not center on one type. There was rather a movement between strategies during and between interactions with patients in the presence of technology. This movement was termed oscillating connections. Conditions that modified the core process of navigating the course of interaction were also identified. The findings of the study provide an understanding of the problem ++ / encountered by nurses in their interaction with patients in the presence of technology and the process used by the nurses to deal with this problem.

Thesis (Ph. D.)--University of Virginia, 1989. / Includes bibliographical references (leaves 131-143). Also available online through Digital Dissertations.

Thesis (M.S.)--University of Missouri--Columbia, 1998. / "May 1998." Typescript. Vita. Includes bibliographical references (leaves 54-55). Also available on the Internet.