Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Chronically Ill Patients' Perception of Hospital Nurses

만성질환자의 병원간호사에 대한 인식

  • Received : 2018.03.20
  • Accepted : 2018.05.23
  • Published : 2018.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this qualitative research was to investigate chronically ill patients' perception of hospital nurses. Methods: Individual in-depth interviews and qualitative content analysis were used for data collection and analysis respectively. Participants were 13 chronically ill hospitalized patients or outpatients in three universities hospitals. All interviews were recorded and transcribed verbatim. Data were analyzed using the qualitative content analysis suggested by Graneheim and Lundman (2004). Results: Three themes emerged from the 10 sub-themes, which were categorized from the 21 condensed meaning units by interpreting the underlying meanings. The three themes were "person giving comfort and support by caring", "person facilitating the process of healing", and "person taking the initiative in power relations". Two themes involved positive experiences of patients and the other included negative ones. Conclusion: The results showed that the participants perceived the hospital nurses as devoted to caring for patients and facilitating treatments, but authoritative in performing their duty. Based on these results, it is recommended that hospital nurses improve their nursing knowledge, skills and humanistic attitude.

Keywords

References

  1. Lee MA, Gong SW, Cho SJ. Relationship among nursing service quality, medical service satisfaction, and hospital revisit intent. Journal of Korean Academy of Nursing Administration. 2012;18(1):96-105. https://doi.org/10.11111/jkana.2012.18.1.96
  2. de Boer D, Delnoij D, Rademakers J. Do patient experiences on priority aspects of health care predict their global rating of quality of care? A study in five patient groups. Health Expectations. 2010;13(3):285-297. https://doi.org/10.1111/j.1369-7625.2010.00591.x
  3. Kim HS. The essence of nursing practice: Philosophy and perspective. New York: Springer Publishing Company; 2015. p. 15-62.
  4. Yeom EY, Kim M. The 'good nursing' experienced by hemodialysis patients. Korean Journal of Adult Nursing. 2014;26(3):275-286. https://doi.org/10.7475/kjan.2014.26.3.275
  5. Kim DH. Understanding experience of nurses dealing with difficult patients [dissertation]. Seoul: Seoul National University; 2002. p. 1-127.
  6. Cho HK. Patient-nurse relationship perceived by nurse: Q-methodology [dissertation]. Daejeon: Chungnam National University; 2006. p. 1-193.
  7. Lee YM. The meaning of caring that nurses and patients have experienced [master's thesis]. Busan: Pusan National University; 1995. p. 1-65.
  8. Fox S, Chesla C. Living with chronic illness: A phenomenological study of the health effects of the patient-provider relationship. Journal of the American Academy of Nurse Practitioners. 2008;20(3):109-117. https://doi.org/10.1111/j.1745-7599.2007.00295.x
  9. Williams SA. Quality and care: Patients' perceptions. Journal of Nursing Care Quality. 1998;12(6):18-25. https://doi.org/10.1097/00001786-199808000-00006
  10. Gilbody S, Bower P, Fletcher J, Richards D, Sutton AJ. Collaborative care for depression: A cumulative meta-analysis and review of longer-term outcomes. Archives of Internal Medicine. 2006;166(21):2314-2321. https://doi.org/10.1001/archinte.166.21.2314
  11. Trehearne B, Fishman P, Lin EHB. Role of the nurse in chronic illness management: Making the medical home more effective. Nursing Economics. 2014;32(4):178-184.
  12. Kvale K, Bondevik M. Patients' perceptions of the importance of nurses' knowledge about cancer and its treatment for quality nursing care. Oncology Nursing Forum. 2010;37(4):436-442. https://doi.org/10.1188/10.ONF.436-442
  13. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005;15(9):1277-1288. https://doi.org/10.1177/1049732305276687
  14. Elo S, Kyngas M. The qualitative content analysis process. Journal of Advanced Nursing. 2008;62(2):107-115. https://doi.org/10.1111/j.1365-2648.2007.04569.x
  15. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24(2):105-112. https://doi.org/10.1016/j.nedt.2003.10.001
  16. Burnard P. Teaching the analysis of textual data: An experiential approach. Nurse Education Today. 1996;16(4):278-281. https://doi.org/10.1016/S0260-6917(96)80115-8
  17. Bengtsson M. How to plan and perform a qualitative study using content analysis. Nursing Plus Open. 2016;2:8-14. https://doi.org/10.1016/j.npls.2016.01.001
  18. Sandelowski M. The problem of rigor in qualitative research. ANS Advances in Nursing Science. 1986;8(3):27-37. https://doi.org/10.1097/00012272-198604000-00005
  19. Covington H. Caring presence: Providing a safe space for patients. Holistic Nursing Practice. 2005;19(4):169-172. https://doi.org/10.1097/00004650-200507000-00008
  20. Hall JA, Roter DL, Katz NR. Meta-analysis of correlates of provider behavior in medical encounters. Medical Care. 1988;26(7):657-675. https://doi.org/10.1097/00005650-198807000-00002
  21. Hong SH. A phenomenological study of the caring in nursing science. Research in Philosophy and Phenomenology. 2011;50:213-241.
  22. Pamela GR, Nelma CS. Perspectives on nursing theory. 6th ed. Philadelphia: Lippincott; 2016. p. 162-184.
  23. Watson J. Nursing: The philosophy and science of caring. Rev. ed. Boulder: University Press of Colorado; 2008. p. 124-156.
  24. Caruso EM, Cisar N, Pipe T. Creating a healing environment: An innovative educational approach for adopting Jean Watson's theory of human caring. Nursing Administration Quarterly. 2008;32(2):126-132. https://doi.org/10.1097/01.NAQ.0000314541.29241.14
  25. Kim GB, Suh EJ. The caring lived experience of the inpatients. Journal of Korean Academic Society of Adult Nursing. 1999;11(3):540-556.
  26. Dinç L, Gastmans C. Trust in nurse-patient relationships: A literature review. Nursing Ethics. 2013;20(5):501-516. https://doi.org/10.1177/0969733012468463
  27. Gallant MH, Beaulieu MC, Carnevale FA. Partnership: An analysis of the concept within the nurse-client relationship. Journal of Advanced Nursing. 2002;40(2):149-157. https://doi.org/10.1046/j.1365-2648.2002.02357.x
  28. Bakhtiari S, Mohammadzadeh S, Moshtaq Z. Obstacles in nurse-elderly patient relationship from the patients' point of view. Iranian Journal of Nursing and Midwifery Research. 2009;14(2):77-82.
  29. Edvardsson D, Koch S, Nay R. Psychometric evaluation of the English language Person-centred Climate Questionnaire: Staff version. Journal of Nursing Management. 2010;18(1):54-60. https://doi.org/10.1111/j.1365-2834.2009.01038.x
  30. Radwin L. Oncology patients' perceptions of quality nursing care. Research in Nursing & Health. 2000;23(3):179-190. https://doi.org/10.1002/1098-240X(200006)23:3<179::AIDNUR2>3.0.CO;2-T

Cited by

  1. The Effect of Nursing Competence on Patient-Centered Care among Nurses Caring for Patients with Chronic Disease: The Mediating Effect of Burnout and the Moderating Effect of Nursing Work Environment vol.33, pp.2, 2018, https://doi.org/10.7475/kjan.2021.33.2.134
  2. Perceptions Related to Nursing and Nursing Staff in Long-Term Care Settings during the COVID-19 Pandemic Era: Using Social Networking Service vol.18, pp.14, 2018, https://doi.org/10.3390/ijerph18147398