A loss of compassion

Mitchell, Vincent

doi:10.7748/ns.17.18.23.s38

Cited by 2 publications

(1 citation statement)

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“…Studies concerning meeting the suffering and vulnerable patient have increased during the last 10 years (e.g., Arman, 2003 ; Cronqvist, 2004 ; Delmar, 2002 , 2004 ; Delmar et al, 2005 ; Delmar et al, submitted 2011 ; Eriksson, 1993 , 1995 ; Hasselhorn, Tackenberg, & Muller, 2003 ; Heggen, 2003 ; Kelly, 1998 ; Lindqvist, 1991 ; Mitchell, 2003 ; Posig & Kickul, 2003 ; Rehnsfeldt, 1999 ; Rowe, 2003 ; Rundqvist, 2004 ; Söderberg, 1999 ; Sörlie, 2001 ; Thiedemann, 2005 ).…”

Section: Introductionmentioning

confidence: 99%

The implications of autonomy: Viewed in the light of efforts to uphold patients dignity and integrity

Delmar

Alenius-Karlsson

Mikkelsen

2011

International Journal of Qualitative Studies on Health and Well

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This article focuses on Danish patients’ experience of autonomy and its interplay with dignity and integrity in their meeting with health professionals. The aim is to chart the meanings and implications of autonomy for persons whose illness places them in a vulnerable life situation. The interplay between autonomy and personal dignity in the meeting with health care staff are central concepts in the framework. Data collection and findings are based on eight qualitative semi-structured interviews with patients. Patients with acute, chronic, and life threatening diseases were represented including surgical as well as medical patients. The values associated with autonomy are in many ways vitalising, but may become so dominant, autonomy seeking, and pervasive that the patient's dignity is affected. Three types of patient behaviour were identified. (1) The proactive patient: Patients feel that they assume responsibility for their own situation, but it may be a responsibility that they find hard to bear. (2) The rejected patient: proactive patients take responsibility on many occasions but very active patients are at risk of being rejected with consequences for their dignity. (3) The knowledgeable patient: when patients are health care professionals, the patient's right of self-determination was managed in a variety of ways, sometimes the patient's right of autonomy was treated in a dignified way but the opposite was also evident. In one way, patients are active and willing to take responsibility for themselves, and at the same time they are “forced” to do so by health care staff. Patients would like health professionals to be more attentive and proactive.

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Section: Introductionmentioning

confidence: 99%

The implications of autonomy: Viewed in the light of efforts to uphold patients dignity and integrity

Delmar

Alenius-Karlsson

Mikkelsen

2011

International Journal of Qualitative Studies on Health and Well

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Spirituality as a Coping Mechanism

Kelly

2004

Dimensions of Critical Care Nursing

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Spirituality as a coping mechanism can be observed to be a powerful resource in the provision of comfort, peace, and resolution for patients confronted with critical illness. While the exact machinery of spirituality in adaptation and adjustment to illness is enigmatic, the complementary benefits are clearly illustrated in the analysis of recounted personal experiences. Analysis of interactions with patients living the experience of coping with critical illness provides nurses with a means of reflection and transformational learning which improves and preserves the spiritual heritage of nursing care.

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A loss of compassion

Cited by 2 publications

References 0 publications

The implications of autonomy: Viewed in the light of efforts to uphold patients dignity and integrity

The implications of autonomy: Viewed in the light of efforts to uphold patients dignity and integrity

Spirituality as a Coping Mechanism

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