“Doing Good Care”—a study of palliative home nursing care

Abstract

Today, more and more people die in own homes and nursing homes, which fundamentally affects community nursing. The aim of this study was to develop a classic grounded theory of palliative home nursing care and we analysed interviews and data related to the behavior of community nurses caring for palliative cancer patients. Doing Good Care emerged as the pattern of behavior through which nurses deal with their main concern, their desire to do good. The theory Doing Good Care involves three caring behaviors; Anticipatory caring, Momentary caring and Stagnated caring. In Anticipatory caring, which is the optimal caring behavior, nurses are doing their best or even better than necessary, in Momentary caring nurses are doing best momentarily and in Stagnated caring nurses are doing good but from the perspective of what is expected of them. When nurses fail in doing good, they experience a feeling of letting the patient down, which can lead to frustration and feelings of powerlessness. Depending on the circumstances, nurses can hover between the three different caring behaviors. We suggest that healthcare providers increase the status of palliative care and facilitate for nurses to give Anticipatory care by providing adequate resources and recognition.

District nurses’ role in palliative care provision: A realist review

“…These elements are empirically supported by some but not all studies. Studies illustrate that district nurses have personal commitments to palliative care patients and a genuine desire to do good which influences their approach to care (Appelin et al, 2005;Oudshoorn et al, 2007;Sandgren et al, 2007;Wallerstedt and Andershed, 2007;Öhman and Söderberg, 2004). This affects the context of the encounter and what district nurses bring to the care encounter (Berterö, 2002;Cartwright, 1991;Grande et al, 2004).…”

Personal and Work-Related Factors Associated with Good Care for Institutionalized Older Adults

“…Good care is everyone’s business [ 44 ]. The theory of ‘doing good care’ involves anticipatory caring, and momentary caring [ 62 ]. Good care conveys to IOA that they are important.…”

De-tabooing dying control - a grounded theory study

“…The procedure was similar to that used in previous studies in other substantive areas and is presented in detail elsewhere [22,23]. Classic grounded theory is the most cited single method for analyzing qualitative data according to Google Scholar where the first grounded theory methodology “Discovery of Grounded Theory” [14] had 47605 citations in December 2012.…”

“…Data was analyzed using the classic grounded theory method according to Glaser and Strauss and Glaser [14-21] applying the same procedures as in recent studies [22,23]. Classic grounded theory uses an inductive approach to generate hypotheses which explain how participants in a studied substantive area resolve their main concern.…”