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Nurse-patient encounters in the hospital ward, from the perspectives of older persons: an analysis using the Authentic Consciousness Framework.

Biomedical Sciences Research Institute Computer Science Research Institute Environmental Sciences Research Institute Nanotechnology & Advanced Materials Research Institute

Mitchell, Liz and McCance, Tanya (2010) Nurse-patient encounters in the hospital ward, from the perspectives of older persons: an analysis using the Authentic Consciousness Framework. International Journal of Nursing Older People, 10 . [Journal article]

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URL: http://onlinelibrary.wiley.com/doi/10.1111/j.1748-3743.2010.00233.x/abstract

DOI: 10.1111/j.1748-3743.2010.00233.x

Abstract

Background. Despite a growing theoretical base to support the development of person-centred practice, the evidence would suggest that this way of working is somewhat elusive in the care of older people.Aims. The study aims to explore nurse–older person encounters and relationships within the context of person-centredness.Design and methods. This study involved secondary analysis of interview data originally collected from a commissioned study investigating whole-systems approaches in services for older people. The process of analysis used the Authentic Consciousness Framework.Results. Nurses are often invisible to the patient, unless they are providing care to address a physical need. A sense of rolelessness pervaded the data, when patients were deprived from actively participating in important decisions about their future care.Conclusions. Patients would like nurses to work with them in more transparent ways. Patients are very conscious that nurses are busy and attempt to share the coping with the busy workload by limiting their expectations of the nurse.Relevance to clinical practice. Person-centred strategies must enhance the capacity of not only older patients and their ability to assert self, but also the capacity of their nurses. Nurses must work to actively recruit the patient in all decision making.

Item Type:Journal article
Keywords:autonomy;nurse–patient relationships;older adults;person-centred care
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Nursing
Research Institutes and Groups:Institute of Nursing and Health Research
Institute of Nursing and Health Research > Person-centred Practice
ID Code:15506
Deposited By:Ms Liz Laird
Deposited On:13 Sep 2010 14:02
Last Modified:16 Oct 2012 14:57

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