Thesis (M.S.)--University of Wisconsin. School of Nursing, 1974. / eContent provider-neutral record in process. Description based on print version record.

Syfte: Syftet med denna studie var att beskriva hur personer med HIV upplevde bemötandet inom vården i I-länder. Metod: Studien genomfördes som en litteraturöversikt. Artikelsökningarna gjordes i databaserna Cinahl och Pubmed. Både kvalitativa och kvantitativa studier hittades men författarna har enbart använt sig av de kvalitativa studierna (n=11). Studierna granskades sedan med modifierade granskningsmallar för kvalitetsbedömning. Resultat: De funna studiernas resultat granskades och utifrån detta identifierade författarna fyra teman; Att hållas på avstånd, Att bli annorlunda bemött, Att få en stämpel och Positivt bemötande. Resultatet visade att vårdpersonalen höll avstånd från patienter genom att använda sig av överdrivna hygienrutiner, och i vissa fall förekom det att patienterna blev nekade vård på grund av sin HIV diagnos. Att bli annorlunda bemött handlade i många fall om att patienterna blev utsatta för kränkande behandling. Flera patienter beskrev hur de upplevde att personalen kategoriserade dem och gav dem en stämpel på grund av sin diagnos. De upplevde även att vårdpersonalen offentliggjorde deras diagnos genom att bryta mot sekretessen. Resultatet visade att patienter upplevt positivt bemötande och att vårdpersonalen gett dem stöd. Litteraturöversikten visade också att flera patienter föredrog att söka vård på specialistkliniker. Slutsats: Många patienter kände sig kränkta och annorlunda bemötta i möte med sjukvårdspersonal. De föredrog att söka vård på speciella HIV kliniker eftersom de kände att personalen där hade bättre förståelse för sjukdomen.

This phenomenological study was designed to explore the essential structure of caring and uncaring encounters, as perceived by recipients of nursing care in their interactions with nurses, with the aim of adding to the knowledge and understanding of these phenomena. Data were collected through 18 in-depth interviews with nine former recipients of nursing care. The interviews were tape-recorded and transcribed verbatim for each participant. The researcher saw the participants in the study as coresearchers and through inter-subjective interaction, or dialogue, the essential description of a caring and an uncaring encounter was constructed. The essential structures of both caring and uncaring encounters are composed of three basic components: the approach by the nurse, the presence or absence of relationship formation, and finally, the patient responses to the encounter. The first component in the essential structure of a caring encounter with a nurse — from the client's perspective, is the professional caring nurse approach. The nurse is perceived to be competent, administering her care with genuine concern for the patient as a person, giving him full attention when with him, and constituting a cheerful presence for the patient. The coresearchers reported that these characteristics, which were perceived by them as evidence of caring, had promoted in them a feeling of trust, which had facilitated a development of a nurse-patient relationship. The development of a nurse-patient relationship, or professional attachment, comprises the second essential component of a caring encounter. Developing a nurse-patient relationship was conceptualized in this study as a process involving five phases: initiating attachment, consisting of reaching out and responding by both nurse and patient; mutual acknowledgement of personhood, where nurse and patient recognize each others as persons; acknowledgement of attachment, involving confirmation of attachment; professional intimacy, when the patient feels safe enough in the relationship to reveal to the nurse particulars about his present condition and how he feels about them; and finally negotiation of care, when the nurse works collaboratively with the patient and truely takes his perspective into account when giving nursing care. Throughout the attachment development the professional nurse keeps a distance, an important dimension of professional attachment which the coresearchers clearly articulated had to be present in order to keep the nurse-patient relationship within the professional domain. This combination of intimacy and distance is referred to as nurse-patient attachment with professional distance. The professional caring nurse approach and the resulting nurse-patient attachment with professional distance form the essential structure of professional caring. The patient responses to professional caring comprise the last component in the structure of a caring encounter with a nurse. Five themes were identified in the coresearchers' accounts: sense of acceptance and self-worth; sense of encouragement and support; sense of confidence and control; sense of well-being and healing; and finally sense of gratitude and liking. The essential structure of an uncaring encounter with a nurse — from the client's perspective is also comprised of three basic components: the nurse's approach to the patient, which is perceived by the patient as indifference to him as a person; the resulting nurse-patient detachment with total distance between the nurse and the patient; and finally patient responses to uncaring. Four dimensions of an uncaring nurse approach were identified in the data, characterized by increased indifference, inattentiveness, and insensitivity to the patient and his needs: apathetic inattention, unconcerned insensitivity unkind coldness, and harsh inhumanity. Perceived nurse indifference to the patient as a person makes the patient distrustful of the nurse. The patient often perceives the nurse as an authoritarian person with a need to control, and the patient's encounter with her is characterized by a lack of professional attachment, limited verbal communication, negative nonverbal communication by the nurse, and a lack of collaboration and negotiation of care. This is referred to as nurse-patient detachment with total distance. It was the core searchers' unanimous perception that uncaring encounters with nurses were very discouraging and distressing experiences for them as patients. The coresearchers responses to the uncaring encounters were many-sided. Seven major themes were identified in their accounts: puzzlement and disbelief; anger and resentment; despair and helplessness; feelings of alienation and identity-loss; feelings of vulnerability; perceived effects on healing; and finally long-term effects of uncaring encounters. It was the coresearchers' unanimous perception that the uncaring encounters made an indelible impression on them, had a longer lasting effect than caring encounters, and tended to be both acid edged and memorable unresolved experiences. / Applied Science, Faculty of / Nursing, School of / Graduate

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by Lau Ming Ho Victor. / Thesis submitted in: Dec. 1998. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1999. / Includes bibliographical references (leaves [111-120]). / Abstract also in Chinese. / Chapter Chapter 1: --- Introduction --- p.1 / Chapter Chapter 2: --- Review of Literature --- p.3 / Chapter 2.1 --- The Learning Disability Hospital as an institution --- p.3 / Chapter 2.2 --- Social Policy --- p.4 / Chapter 2.3 --- Findings of The Interpretative Studies --- p.10 / Chapter 2.3.1 --- Institutional context for staff practice --- p.10 / Chapter 2.3.2 --- Critique of Goffman work --- p.12 / Chapter 2.3.3 --- Theoretical studies in learning disability hospitals: residents as objects --- p.13 / Chapter 2.3.4 --- Institutionally-oriented practice --- p.15 / Chapter 2.3.5 --- Instrumental control --- p.15 / Chapter 2.3.6 --- A ffective control --- p.16 / Chapter 2.4 --- Observational Studies in Hospital Wards for People with Learning Disability --- p.19 / Chapter 2.5 --- Institutional Influences --- p.21 / Chapter 2.6 --- Role Redefinition of Ward Nurses --- p.22 / Chapter 2.7 --- Staff-Resident Dynamic --- p.23 / Chapter 2.8 --- Summary of Literature Review --- p.24 / Chapter 2.9 --- Aims and Objectives of Study --- p.25 / Chapter Chapter 3: --- Methods --- p.26 / Chapter 3.1 --- Operational Definition of Interaction --- p.26 / Chapter 3.2 --- Research Design --- p.26 / Chapter 3.3 --- Setting --- p.28 / Chapter 3.4 --- Data Collection Method: Systematic Observation --- p.30 / Chapter 3.4.1 --- Staff-Resident Interaction Chronograph (SRIC) --- p.30 / Chapter 3.4.2 --- Conducting the observations --- p.34 / Chapter 3.5 --- Data Collection Method: Qualitative Interview --- p.35 / Chapter 3.5.1 --- Conducting the qualitative interviews --- p.35 / Chapter 3.6 --- Sampling for Observation --- p.35 / Chapter 3.7 --- Sampling for Qualitative Interview --- p.36 / Chapter 3.8 --- Ethical issues --- p.39 / Chapter 3.9 --- Pilot Work --- p.40 / Chapter 3.10 --- Major Changes in The Main Study --- p.41 / Chapter Chapter 4: --- Reliability and Validity Issues --- p.44 / Chapter 4.1 --- Validity and Reliability of Systematic Observation --- p.44 / Chapter 4.1.1 --- Observer training --- p.44 / Chapter 4.1.2 --- Enhancement of inter-observer reliability --- p.45 / Chapter 4.1.3 --- Evidence of inter-observer reliability --- p.45 / Chapter 4.1.4 --- Validity of observational data --- p.46 / Chapter 4.2 --- Reliability and Validity of Interview Data --- p.47 / Chapter 4.2.1 --- Strategies to secure validity and reliability of interview data --- p.48 / Chapter Chapter 5: --- Data Analysis --- p.50 / Chapter 5.1 --- Analysis of Observational Data --- p.50 / Chapter 5.1.1 --- Treatment of written description of nursing behaviours --- p.50 / Chapter 5.1.2 --- Interaction and non-interaction cells --- p.51 / Chapter 5.1.3 --- Calculation of interaction rate --- p.51 / Chapter 5.2 --- Qualitative Data Analysis --- p.52 / Chapter 5.2.1 --- Immersion in the data --- p.52 / Chapter 5.2.2 --- Category building --- p.52 / Chapter Chapter 6: --- Results of Observation Data --- p.54 / Chapter 6.1 --- Overall Findings --- p.54 / Chapter 6.1.1 --- Nursing behaviours towards 'Appropriate 226}0ة resident behavior --- p.56 / Chapter 6.1.2 --- Nursing behaviours Towards 226}0بInappropriate Failure' resident behaviour --- p.57 / Chapter 6.1.3 --- Nursing behaviours Towards 226}0بInappropriate Crazy 226}0ب resident behaviour --- p.58 / Chapter 6.1.4 --- "Nursing behaviours towards 226}0بRequest, resident behaviour" --- p.59 / Chapter 6.1.5 --- Nursing behaviours towards 226}0بNeutral 226}0ة resident behaviour --- p.60 / Chapter 6.1.6 --- Resident behavioural profile in the ward and the Training Center --- p.61 / Chapter 6.2 --- Nurse-Resident Interactions in Ward --- p.62 / Chapter 6.2.1 --- Communication with residents --- p.62 / Chapter 6.2.2 --- Doing nursing care --- p.64 / Chapter 6.3 --- Not Interacting With Residents --- p.65 / Chapter 6.3.1 --- Ward activities --- p.66 / Chapter 6.3.2 --- Self-engaged activities --- p.67 / Chapter 6.3.3 --- Nursing activities --- p.68 / Chapter 6.4 --- Summary of Observational Results --- p.70 / Chapter Chapter 7: --- Results of Interview Data --- p.71 / Chapter 7.1 --- Orientation to A New Clinical Setting --- p.72 / Chapter 7.1.1 --- Meeting with residents 226}0ب disabilities --- p.72 / Chapter 7.1.2 --- Perceptions of residents lives --- p.73 / Chapter 7.1.3 --- Sense of a difference --- p.74 / Chapter 7.2 --- Stressors in Care Setting --- p.75 / Chapter 7.2.1 --- Powerless in caring --- p.75 / Chapter 7.2.2 --- Sense of frustration --- p.77 / Chapter 7.2.3 --- Relative-related stress --- p.78 / Chapter 7.3 --- Experiencing Contextual Constraints --- p.79 / Chapter 7.3.1 --- System constraints --- p.80 / Chapter 7.3.2 --- Managerial constraint --- p.81 / Chapter 7.3.3 --- Time constraint --- p.82 / Chapter 7.4 --- Personal Resolution --- p.83 / Chapter 7.4.1 --- Work attitude --- p.83 / Chapter 7.4.2 --- Self-determination --- p.84 / Chapter 7.5 --- Priority of Care --- p.85 / Chapter 7.5.1 --- Interpretation of care --- p.86 / Chapter 7.5.2 --- Dissimilar approach --- p.87 / Chapter 7.5.3 --- Preference to residents --- p.88 / Chapter Chapter 8: --- Discussion --- p.89 / Chapter 8.1 --- Comparison of present results and previous findings --- p.89 / Chapter 8.2 --- Convergence --- p.91 / Chapter 8.2.1 --- Extrinsic Factors --- p.92 / Chapter 8.2.1.1 --- Contextual constraints --- p.92 / Chapter 8.2.1.2 --- Care Problems --- p.94 / Chapter 8.2.1.2.1 --- Feeding Problems --- p.94 / Chapter 8.2.1.2.2 --- Communication Problem --- p.95 / Chapter 8.2.2 --- Intrinsic Factors --- p.96 / Chapter 8.2.2.1 --- Frustration and powerlessness --- p.97 / Chapter 8.2.2.2 --- Stress coping --- p.99 / Chapter 8.2.2.3 --- Individual work style --- p.101 / Chapter 8.2.3 --- A summary of intrinsic and extrinsic factors --- p.102 / Chapter Chapter 9: --- Recommendations and Conclusion --- p.105 / Chapter 9.1 --- Training Issues --- p.105 / Chapter 9.2 --- Implications for Organisational Change --- p.106 / Chapter 9.3 --- Conclusion --- p.107 / Chapter 9.4 --- Need For Further Research --- p.108 / Chapter 9.5 --- Limitation of the Study --- p.109 / References / Appendices / Appendix A. Geographic map of ward setting / Appendix B. A section of modified behaviour checklist / Appendix C. Interview guides / Appendix D. Observation time-table / Appendix E. Ethical approval / Appendix F. Consent form / Appendix G. Nursing behaviour codes / Appendix H. A section of interview transcript / Appendix I. Sample of interview notes / Appendix J. Sample of matrix method

Background: The amount of elderly patients who’s suffering from dementhia increases every year. Many of these patients develop and decrease in their cognitive ability. The development can lead to people's communication skills deteriorate. It can be a problem for the nurse to communicate with these patients. It´s there fore of great importance for the nurse to learn communiations skills that can increase the communication with elderly patiants suffering from dementia. Aim: The aim of this study is to illuminate the significance of communication in nursing care of elderly patients with dementia. Which communication strategies can the nurse use and what are the consequences for nursing care? Method: To study the selected study area a litterature review was selected. This review was based on five qualitative articles, five quantitative articles and one qualitative-quantitative article. The authors looked for differences and similarites in results of the articles. Results: The results showed that the communication was of great significance in the nursing care between nursing staff and older patients with dementia. It showed that specific communication strategies increaseed many of the patients security, participation and facilitated cooperation between nursing staff and the patients with dementia. Three main themes emerged from the articles: the spoken language, music and pictures. Conclusion: By using specific communication strategies nurses could help patients to express themselves and participate in nursing care and conversations.

Thesis (M.S.)--University of Wisconsin--1981. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 75-78).

Thesis (M.S.)--University of Wisconsin, School of Nursing. / eContent provider-neutral record in process. Description based on print version record.

Thesis (M.S.)--University of Wisconsin, School of Nursing, 1966. / Typewritten. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Thesis (M.S.)--University of Wisconsin-Madison. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves : 35-39).