Challenges in Nursing Practice

Neville, Kathleen; Roan, Nora

doi:10.1097/nna.0000000000000079

Cited by 43 publications

(36 citation statements)

References 10 publications

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“…In our study, these existential feelings of aloneness were identified when the provided care became procedural and equivalent to actions predicted by the algorithm of the procedures, thus rendering the nurses not to see the particularity of the patient. The present study thus draws attention back to the fundamentals of nursing in terms of elucidating that there still is more to care than cure, which is much needed according to previous research within the area of patients suffering from AUD (Lovi & Barr, 2009;Neville & Roan, 2014).…”

Section: Discussionmentioning

confidence: 99%

Considering “the more” of patients suffering from alcohol use disorders. An illustration of acute nursing care from a lifeworld-led perspective

Bové

Lisby

Brünés

et al. 2020

International Journal of Qualitative Studies on Health and Well

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Purpose: The purpose of this study is to illustrate a theoretical value framework for humanisation of healthcare, a lifeworld-led care that has the potential to support nurses in acute medical units in addressing and meeting both challenges and care needs expressed by patients suffering from alcohol use disorders. Providing care to these patients means working with a very divergent and complex group of patients. When hospitalised in an acute medical unit, nurses are often these patients' first encounter, which gives a unique opportunity to initiate and establish a successful care alliance. Method: The present study is a qualitative study based on an amplified secondary analysis of 25 pre-conducted interviews. Following a hermeneutic approach, the analysis was structured in accordance with the conceptual value framework for humanisation of care, drawing on the recognition of the patients' lifeworld as an aspect of importance. Findings: The study showed that while there were examples of humanising care guided by the patients' lifeworld present, there were also situations of care that were dehumanising. Conclusion: When letting the patients' perspective of well-being be the centre of care, the patients' experience of meaningfulness and sincerity within the provided care was nurtured, and they felt more humanly met.

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Section: Discussionmentioning

confidence: 99%

Considering “the more” of patients suffering from alcohol use disorders. An illustration of acute nursing care from a lifeworld-led perspective

Bové

Lisby

Brünés

et al. 2020

International Journal of Qualitative Studies on Health and Well

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“…Third, maternity nurses may need professional role support to overcome barriers to caring for pregnant and postpartum women with SUDs -especially barriers encountered in caring for women who do not fit the norm of the "good patient." Support from other nurses and inter-professional colleagues can help nurses confront any biases that interfere caring for patients with SUDs (Neville & Roan, 2014). Maternity nurses need opportunities to develop strategies to form trusting relationships with pregnant and postpartum women with SUDs and to improve the quality of care they provide for them and their infants.…”

Section: Discussionmentioning

confidence: 99%

Health Care Encounters of Pregnant and Postpartum Women with Substance Use Disorders

et al. 2019

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The purpose of this review is to describe how pregnant and postpartum women with substance use disorders (SUDs) experience health care encounters in prenatal care, labor and delivery, postpartum, and nursery/neonatal intensive care unit (NICU) settings. Findings from 23 qualitative studies on the topic were synthesized using a metasummary approach. The majority of the studies revealed that pregnant and postpartum women with SUDs tend to experience their health care encounters as conflictual, although some studies revealed that some women experience their health care encounters as supportive. The results of metasummary included a taxonomy of health care encounters. Five types of adverse encounters were identified: judgmental, disparaging, scrutinizing, disempowering, and deficient-care. Three types of beneficial encounters were identified: recovery-based, accepting, and effective-care. The findings suggest the importance of stigma awareness, therapeutic patient-provider communication, patient activation, and integrated care.

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“…Det kan vaere veldig forvirrende.» (Vår oversettelse.) (19,22) Frykter å bli lurt «Sykepleiere opplevde å bli lurt når disse pasientene spurte om smertestillende.» Sykepleiere opplevde å bli lurt når disse pasientene spurte om smertestillende. Av sykepleierne mente 20,8 prosent at opioidavhengige forteller sannheten når de formidler smerte, mens 29 prosent av sykepleierne svarte at pasientene forsøker å lure dem når de spør om smertestillende (20).…”

Section: Mangler Kunnskapunclassified