Evaluating care from a care ethical perspective:: A pilot study

Kuis, Esther; Goossensen, Anne

doi:10.1177/0969733015620939

Cited by 11 publications

(23 citation statements)

References 27 publications

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“…In Gadamerian hermeneutic phenomenology interpretation of data is characterised as a dialogue with the texts [36,37,44]. To analyse the content of our data we used a modified framework of care ethical evaluation of Kuis & Goossensen [34], which served as a 'dialogue guide' in this process and as such helped us to arrive at a shared understanding, a 'fusion of horizons'. Both our study and care ethical evaluation intend to explore care from the perspective of patients and are inspired by Tronto's four moral dimensions of care [34].…”

Section: Discussionmentioning

confidence: 99%

“…To analyse the content of our data we used a modified framework of care ethical evaluation of Kuis & Goossensen [34], which served as a 'dialogue guide' in this process and as such helped us to arrive at a shared understanding, a 'fusion of horizons'. Both our study and care ethical evaluation intend to explore care from the perspective of patients and are inspired by Tronto's four moral dimensions of care [34]. The (modified) framework consists of four main aspects: In accordance with our research questions this article focusses on aspects 1c-4a.…”

Section: Discussionmentioning

confidence: 99%

“…Responsiveness: Engagement with the position of the other (the patient) as he or she expresses it. In other words, does the care feel good from the patient's standpoint [34]?…”

Section: Introductionmentioning

confidence: 99%

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Nurse’s attunement to patient’s meaning in life - a qualitative study of experiences of Dutch adults ageing in place

et al. 2020

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Background: Meaning in life (MiL) is considered to be an important part of health and is associated with many positive outcomes in older adults, such as quality of life and longevity. As health promotors, nurses may take patients' MiL into account in the care process. There is a knowledge gap in terms of what constitutes good care in relation to older patients' MiL, and what the benefits may be for patients when nursing is attuned to this aspect. The purpose of this study was to explore the experiences of home nursing older adults in relation to nurses' attunement to MiL. Methods: Gadamerian hermeneutic phenomenological design with semi-structured interviews. Participants were 24 aged home nursing patients. A framework of care ethical evaluation was used in the analysis. Multiple dialogues enhanced understanding. Results: Patients did not expect nurses' regard for their MiL. They rather expected 'normal contact' and adequate physical care. Nurses showed that they were open to patients' MiL by being interested in the patient as a person and by being attentive to specific and hidden needs. Participants explained that the nurse's behaviour upon arrival set the tone: they knew immediately if there was room for MiL or not. All participants had positive and negative experiences with nurses' behaviour in relation to MiL. Valued nursing care included maintaining a long, kind and reciprocal relationship; doing what was needed; and skilled personalised care. Participants mentioned 'special ones': nurses who attuned to them in a special way and did more than expected. Benefits of care that was attuned to patients' MiL were: experiencing a cheerful moment, feeling secure, feeling like a valuable person and having a good day. Older adults also stressed that consideration for MiL helps identify what is important in healthcare. Conclusion: Aged homecare patients value nurses' attunement to their MiL positively. Although patients regard MiL mostly as their own quest, nurses play a modest yet important role. Managers and educators should support nurses' investment in reciprocal nurse-patient relationships.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Nurse’s attunement to patient’s meaning in life - a qualitative study of experiences of Dutch adults ageing in place

et al. 2020

View full text Add to dashboard Cite

show abstract

“…To analyse the content of our data we used a modified framework of care ethical evaluation of Kuis & Goossensen (34), which served as a 'dialogue guide' in this process and as such helped us to arrive at a shared understanding, a 'fusion of horizons'. Both our study and care ethical evaluation intend to explore care from the perspective of patients and are inspired by Tronto's four moral dimensions of care (34). The (modified) framework consists of four main aspects: (see Appendices 2-7).…”

Section: Discussionmentioning

confidence: 99%

Nurses’ attunement to patients’ meaning in life – A qualitative study of experiences of Dutch adults ageing in place

Hupkens

Goumans

Derkx

et al. 2020

Preprint

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Background: Meaning in life (MiL) is considered to be an important part of health and is associated with many positive outcomes in older adults, such as quality of life and longevity. As health promotors, nurses may take patients’ MiL into account in the care process. There is a knowledge gap in terms of what constitutes good care in relation to older patients’ MiL, and what the benefits may be for patients when nursing is attuned to this aspect. The purpose of this study was to explore the experiences of home nursing older adults in relation to nurses’ attunement to MiL. Methods: Gadamerian hermeneutic phenomenological design with semi-structured interviews. Participants were 24 aged home nursing patients. A framework of care ethical evaluation was used in the analysis. Multiple dialogues enhanced understanding. Results: Patients did not expect nurses’ regard for their MiL. They rather expected ‘normal contact’ and adequate physical care. Nurses showed that they were open to patients’ MiL by being interested in the patient as a person and by being attentive to specific and hidden needs. Participants explained that the nurse’s behaviour upon arrival set the tone: they knew immediately if there was room for MiL or not. All participants had positive and negative experiences with nurses’ behaviour in relation to MiL. Valued nursing care included maintaining a long, kind and reciprocal relationship; doing what was needed; and skilled personalised care. Participants mentioned ‘special ones’: nurses who attuned to them in a special way and did more than expected. Benefits of care that was attuned to patients’ MiL were: experiencing a cheerful moment, feeling secure, feeling like a valuable person and having a good day. Older adults also stressed that consideration for MiL helps identify what is important in healthcare. Conclusion: Aged homecare patients value nurses’ attunement to their MiL positively. Although patients regard MiL mostly as their own quest, nurses play a modest yet important role. Managers and educators should support nurses’ investment in reciprocal nurse-patient relationships.

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“…The cultivation of virtues are necessary for critical thinking skills and attitudes and consequently, for nursing care (Campelia & Tate, 2019; Kuis & Goossensen, 2017; Kuis et al, 2014). The attitudes, including the critical thinking attitudes, constitute an important part of the idea of good care, of the good professional (Kotzee & Ignatowicz, 2016).…”

Section: Introductionmentioning

confidence: 99%

Critical thinking in nursing clinical practice, education and research: From attitudes to virtue

et al. 2020

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Critical thinking is a complex, dynamic process formed by attitudes and strategic skills, with the aim of achieving a specific goal or objective. The attitudes, including the critical thinking attitudes, constitute an important part of the idea of good care, of the good professional. It could be said that they become a virtue of the nursing profession. In this context, the ethics of virtue is a theoretical framework that becomes essential for analyse the critical thinking concept in nursing care and nursing science. Because the ethics of virtue consider how cultivating virtues are necessary to understand and justify the decisions and guide the actions. Based on selective analysis of the descriptive and empirical literature that addresses conceptual review of critical thinking, we conducted an analysis of this topic in the settings of clinical practice, training and research from the virtue ethical framework. Following JBI critical appraisal checklist for text and opinion papers, we argue the need for critical thinking as an essential element for true excellence in care and that it should be encouraged among professionals. The importance of developing critical thinking skills in education is well substantiated; however, greater efforts are required to implement educational strategies directed at developing critical thinking in students and professionals undergoing training, along with measures that demonstrate their success. Lastly, we show that critical thinking constitutes a fundamental component in the research process, and can improve research competencies in nursing. We conclude that future research and actions must go further in the search for new evidence and open new horizons, to ensure a positive effect on clinical practice, patient health, student education and the growth of nursing science.

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Evaluating care from a care ethical perspective:: A pilot study

Abstract: The touchpoint method is a valuable instrument for evaluating care; it generates evaluation data about the core care ethical principle of responsiveness.

Cited by 11 publications

References 27 publications

Nurse’s attunement to patient’s meaning in life - a qualitative study of experiences of Dutch adults ageing in place

Nurse’s attunement to patient’s meaning in life - a qualitative study of experiences of Dutch adults ageing in place

Nurses’ attunement to patients’ meaning in life – A qualitative study of experiences of Dutch adults ageing in place

Critical thinking in nursing clinical practice, education and research: From attitudes to virtue

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