Caring relationships with patients suffering from dementia — an interview study

Rundqvist, Ewa; Severinsson, Elisabeth

doi:10.1046/j.1365-2648.1999.00955.x

Cited by 28 publications

(26 citation statements)

References 20 publications

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“…Kubsch (1996) reported that nursing staff on long-term wards, may have poiesis-oriented goals for their nursing care, but a lack of feedback in the organization of existing routines may lead to a task-oriented culture. Also, since residents with dementia give very little feedback (Rundqvist & Severinsson, 1999), dialogue and reflection within the staff group are very important. The regular training and clinical supervision that Group 1 had experience of, was seen as a necessary condition for their chances of managing this demanding work.…”

Section: Comprehensive Understanding and Reflectionsmentioning

confidence: 99%

Different attitudes when handling aggressive behaviour in dementia--narratives from two caregiver groups

Skovdahl

Kihlgren

2003

Aging & Mental Health

135

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This study highlights the experiences of 15 formal caregivers, during interactions with elderly residents suffering from dementia disease and showing aggressive behaviour. The purpose was to study caregivers' reflections about and attitudes to behavioural and psychiatric symptoms of dementia (BPSD) and how they dealt with the symptoms. This was done by comparing care units with high or low levels of aggressive behaviour in residents. A phenomenological-hermeneutic approach was used for the analysis of the interviews. The main themes that emerged were: a need for balance between demands and competence; and a need for support. The findings indicated the importance of a balance for the residents as well as for the caregivers, if a positive relationship was to develop. Furthermore, caregivers stated that support was crucial, not only for the residents but also for themselves, if they were expected to cope with demanding situations. Different types of support were necessary and included: confirmation, feedback, and supervision. Residents who feel appreciated and respected may be less likely to act out their frustrations in an inappropriate manner. Caregivers who strive to understand the meaning behind a resident's behaviour and who master the necessary care-giving skills, and their implementation, could be more successful at curbing distressing behaviour, than caregivers who act merely in a custodial role.

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Section: Comprehensive Understanding and Reflectionsmentioning

confidence: 99%

Different attitudes when handling aggressive behaviour in dementia--narratives from two caregiver groups

Skovdahl

Kihlgren

2003

Aging & Mental Health

135

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“…När relationen mellan patienten och sjuksköterskan är vårdande möjliggörs för patienterna att få den vård de önskar och är i behov av. De upplever sig bli sedda som unika personer och upplever lindring i sitt lidande (Fagerström, Eriksson & Bergbom Engberg 1998;Rundqvist & Severinsson 1999;Råholm & Lindholm 1999;Attree 2001;Kasén 1997;Fredriksson & Eriksson 2001;Milton 2002;McCrea, Atkinson, Bloom, Merkh, Najera & Smith 2003;Jackson 2004;Mok & Chiu 2004). Relationen mellan patienter och sjuksköterskor beskrivs som grunden för vårdandet i omvårdnaden.…”

Section: Inledningunclassified

“…Vårdande som betonar patientens upplevelse stärker patientens värdighet och självbestämmande (Gadow 1984;1995a Vidare påvisar flera studier (Lindsey 1995;Covington 2005) att det är viktigt att se patienten som subjekt där den personliga erfarenheten är av väsentlig betydelse. Det är viktigt för att klara de utmaningar som patienter med långvarig sjukdom möter angående sin hälsa (Lindsey, 1995;Rundqvist & Severinsson 1999). Lindsey (1997) betonar att den biomedicinska dominansen reducerar långvarigt sjuka patienters egen kontroll över sitt dagliga liv.…”

Section: Långvarig Sjukdom Och Hälsaunclassified

“…Strandmark (2004) (Lindsey 1997;Swanson 1991;Rundqvist & Severinsson 1999;Kasén 1997;. I flera empiriska studier beskrivs den vårdande relationen möjliggöra en helhetssyn betydelsefull för patienters hälsa (Wiklund 2000;Öhlén 2001;Attree 2001;Strandberg 2002;Watson 2002;Kasén 1996;Mok & Chiu 2004).…”

Section: Betydelsen Av En Vårdande Relation Som Grund För Omvårdnadenunclassified

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An interpretive phenomenological method for illuminating the meaning of caring relationship

Berg

Skott

Danielson

2006

Scandinavian Caring Sciences

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This study is a part of a larger project in which the aim is to illuminate the meaning of the caring relationship between patients and nurses in daily nursing practice. Empirical studies in this area inspired from the interpretive phenomenological method are not commonly used. The aim of this paper is to describe how an interpretive phenomenological method was used to illuminate the meaning of the phenomenon caring relationship in daily nursing practice. Data were collected during 16 nursing care proceedings using participant observation with field notes, and in addition to that two interviews, one patient and one nurse. The interpretation moved back and forth between the whole and the parts in a dialectic process. Initial interpretive understanding of interviews and field notes, meaning units and comprehensive understanding were presented. Themes from the patient's interviews were competence, lack of continuity, strain and vulnerability. Themes from the nurse's interviews were competence and striving. Themes from the field notes were interactions towards a goal. The use of interpretive phenomenology offered an opportunity for learning to understand the meaning of the phenomenon caring relationship in daily nursing practice with both strengths and limitations. This study gave an understanding of the phenomenon through the illumination of the patient's and the nurse's thoughts, feelings and actions in the nursing care proceedings that led to a more profound knowledge about how they together create an encounter through their unique competence.

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“…For example Rundqvist (1999) found that the principal problem for caregivers of patients with dementia is communication, the ability to interpret their communicative signs and understand their wishes. However, for many caregivers, communication is less a problem than the demands and pressures of care that threaten to overflow their resources (Briggs, 1998).…”

Section: Introductionmentioning

confidence: 99%

The Craft of Care: Family Care of Relatives With Advanced Dementia

Cuesta

2005

Qual Health Res

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Family caregiving is attracting more attention from policy makers and service providers but managing a chronic condition in the home is a very complex activity and usually remains invisible to health care professionals. In this article I describe "The Craft of Care," a category that emerged in qualitative analysis in a study of family care of patients with dementia. Its purpose was to identify strategies family caregivers used in the home to care for their relatives. I collected data from interviews with 18 caregivers and 2 health care professionals, and from participant observation in caregivers' support groups and homes. I used constant comparison analysis after entering data into QSR Nvivo. Caregivers craft care by using three strategies: they create ruses in care, a language to communicate, and spaces and devices for caregiving. They sustain the humanity of the patient in the midst of a condition that tends to destroy it.

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Caring relationships with patients suffering from dementia — an interview study

Cited by 28 publications

References 20 publications

Different attitudes when handling aggressive behaviour in dementia--narratives from two caregiver groups

Different attitudes when handling aggressive behaviour in dementia--narratives from two caregiver groups

An interpretive phenomenological method for illuminating the meaning of caring relationship

The Craft of Care: Family Care of Relatives With Advanced Dementia

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