Gratitude in Health Care: A Meta-narrative Review

Day, Giskin; Robert, Glenn; Rafferty, Anne Marie

doi:10.1177/1049732320951145

Cited by 41 publications

(61 citation statements)

References 78 publications

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“…Gratitude is inherent in vulnerable human beings and all participants expressed expressions of gratitude to the professionals and health system and for the medical treatment received [35]. Something similar was reflected in the study by Niner et al on the birth experiences in Australia of Karen and Kayin women displaced from Burma [36].…”

Section: Discussionsupporting

confidence: 52%

Lived Experiences of Hospitalized COVID-19 Patients: A Qualitative Study

Venturas

Prats

Querol

et al. 2021

IJERPH

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The COVID-19 pandemic has resulted in many hospitalized patients and deaths worldwide. Coronavirus patients were isolated from their relatives and visits were banned to prevent contagion. This has brought about a significant change in deeply rooted care habits in Mediterranean and Latin American countries where the family normally accompanies vulnerable hospitalized patients. The aim of this qualitative study was to examine the hospitalization experience of COVID-19 patients and their family members. A phenomenological qualitative approach was used. Data collection included inductive, in-depth interviews with 11 COVID-19 hospitalized patients. The mean age of patients was 55.4 years and 45% were female. Nearly 50% required Intensive Care Unit (ICU) admission. Ten meaningful statements were identified and grouped in three themes: Positive and negative aspects of the care provided, the patient’s perspective, and perception of the experience of the disease. In conclusion, COVID-19 patients, aware of the severity of the pandemic, were very adaptable to the situation and had full confidence in health professionals. Patient isolation was perceived as necessary. Technology has helped to maintain communication between patients and relatives.

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Section: Discussionsupporting

confidence: 52%

Lived Experiences of Hospitalized COVID-19 Patients: A Qualitative Study

Venturas

Prats

Querol

et al. 2021

IJERPH

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“…It also was a direct indication that they were doing a good job as nurses. As Day et al [ 42 ] note, gratitude is important in enhancing nurses’ worklife and caregiving relationships. For retired nurses in rural and remote communities, gratitude is as important to have from the community as it is from the workplace.…”

Section: Discussionmentioning

confidence: 99%

The meaning of nursing practice for nurses who are retired yet continue to work in a rural or remote community

et al. 2021

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Background Although much research has focused on nurses’ retirement intentions, little is known about nurses who formally retire yet continue to practice, particularly in rural and remote settings where mobilization of all nurses is needed to assure essential health services. To optimize practice and sustain the workforce stretched thin by the COVID-19 pandemic, it is necessary to understand what it means for retired registered nurses (RNs) and licensed practical nurses (LPNs) to work after retirement. This study explored what nursing practice means for RNs and LPNs who have formally retired but continue to practice in rural and remote communities. Methods A pan-Canadian cross-sectional survey conducted in 2014–2015 of nurses in rural and remote Canada provided data for analysis. Textual responses from 82 RNs and 19 LPNs who indicated they had retired but were occasionally employed in nursing were interpreted hermeneutically. Results Retired nurses who continued to practice took on new challenges as well as sought opportunities to continue to learn, grow, and give back. Worklife flexibility was important, including having control over working hours. Nurses’ everyday practice was inextricably tied up with their lives in rural and remote communities, with RNs emphasizing serving their communities and LPNs appreciating community recognition and the family-like character of their work settings. Conclusions Retired nurses who continue to work in nursing see retirement as the next phase in their profession and a vital way of engaging with their rural and remote communities. This study counters the conventional view of retaining retired nurses only to combat nursing shortages and alleviate a knowledge drain from the workplace. Rural and remote nurses who retire and continue working contribute to their workplaces and communities in important and innovative ways. They can be characterized as dedicated, independent, and resilient. Transitioning to retirement in rural and remote practice can be re-imagined in ways that involve both the community and the workplace. Supporting work flexibility for retired nurses while facilitating their practice, technological acumen, and professional development, can allow retired nurses to contribute their joy of being a nurse along with their extensive knowledge and in-depth experience of nursing and the community.

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“…Our recent meta‐narrative review of gratitude in healthcare identified a need for research on the ways in which gratitude acquires meaning in real‐world situations. 13 Yoshimura and Berzins 14 have called for a focus on expressions of gratitude to extend and enrich the plethora of research on gratitude experiences. In particular, they call for examinations of the semantic features of gratitude expressions and the topics on which people focus when thanking others.…”

Section: Introductionmentioning

confidence: 99%

An outbreak of appreciation: A discursive analysis of tweets of gratitude expressed to the National Health Service at the outset of the COVID‐19 pandemic

Day

Robert

Leedham‐Green

et al. 2021

Health Expectations

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Background The early stages of the coronavirus disease 2019 pandemic prompted unprecedented displays of gratitude to healthcare workers. In the United Kingdom, gratitude was a hotly debated topic in public discourse, catalysing compelling displays of civic togetherness but also attracting criticism for being an unhelpful distraction that authorized unrealistic expectations of healthcare workers. Expressions of thanks tend to be neglected as drivers of transformation, and yet, they are important indicators of qualities to which people attach significance. Objective This study aimed to use discursive analysis to explore how the National Health Service (NHS) was constructed in attention‐attracting tweets that expressed and/or discussed gratitude to the NHS. Methods Having determined that Twitter was the most active site for traffic relating to gratitude and the NHS, we established a corpus of 834 most‐liked tweets, purposively sampled from Twitter searches on a day‐by‐day basis over the period of the first lockdown in the United Kingdom (22 March–28 May 2020). We developed a typology for tweets engaging with gratitude as well as analysing what the NHS was thanked for. Results Our analysis, informed by a discursive psychology approach, found that the meanings attributed to gratitude were highly mobile and there were distinct patterns of activity. The NHS was predominantly—and sometimes idealistically—thanked for working, effort, saving and caring. Displays of gratitude were seen as incommensurable with failures of responsibility. The clap‐for‐carers campaign was a potent driver of affect, especially in the early parts of the lockdown. Conclusions The social value of gratitude is implicated in the re‐evaluation of the risks and rewards of healthcare and social care work in the wake of the pandemic. We caution against cynicism about gratitude overshadowing the well‐being effects that expressing and receiving gratitude can engender, particularly given concerns over the detrimental effects of the pandemic on mental health. Public Contribution This study involves the analysis of data provided by the public and published on social media.

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Gratitude in Health Care: A Meta-narrative Review

Cited by 41 publications

References 78 publications

Lived Experiences of Hospitalized COVID-19 Patients: A Qualitative Study

Lived Experiences of Hospitalized COVID-19 Patients: A Qualitative Study

The meaning of nursing practice for nurses who are retired yet continue to work in a rural or remote community

An outbreak of appreciation: A discursive analysis of tweets of gratitude expressed to the National Health Service at the outset of the COVID‐19 pandemic

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