Relationship-based nursing care and destructive demands

Kristoffersen, Margareth; Friberg, Febe

doi:10.1177/0969733015623097

Cited by 8 publications

(17 citation statements)

References 41 publications

(104 reference statements)

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“…Clearly, objectifying the patient is a risk if nurses are simply drawing attention to themselves. However, such a risk may primarily be considered related to boundlessness, described as taking responsibility for what is beyond a nurse's responsibility to control in relation to the patient (Kristoffersen & Friberg, 2017;Kristoffersen, 2019). Realization of self does not necessarily involve such a risk when connected to nurses' horizons of identity and self-understanding.…”

Section: Limitations Of the Modelmentioning

confidence: 99%

Nurses' Remaining in Everyday Nursing Practice—A Comprehensive Model

Kristoffersen

2019

SAGE Open Nursing

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Previous theoretical and empirical models of nurses' remaining in everyday nursing practice are explained by elements such as intent to stay and desire to stay. This study provides a model that expands or expresses an increased understanding of the comprehensiveness of the issue by pointing to the qualitative worth of different desires. The aim of this study is to describe a comprehensive model of nurses' remaining in everyday nursing practice. This study was designed in three sequential stages: first, the empirical foundation of the model; second, the development of the model; and third, the description of the model. The described model is derived from a previous qualitative study's comprehensive understanding of empirical findings. That original study was based on a hermeneutical approach, the aim of which was to understand what is of significance for nurses to remain in everyday practice. The collected data consisted of qualitative interviews and qualitative follow-up interviews with 13 nurses. The research context was the primary and secondary somatic and psychiatric health service. The present comprehensive model is stated in a simple structure, which nonetheless provides a relevant framework for constituent elements of nurses' remaining in everyday practice. Horizons of identity and self-understanding have been identified as constituent elements or key concepts involved in remaining. By focusing on a deepened and broader understanding, the model highlights that remaining may be constituted through a process of identification and taking standpoints, which in turn has a potential to empower nurses to realize themselves.

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Section: Limitations Of the Modelmentioning

confidence: 99%

Nurses' Remaining in Everyday Nursing Practice—A Comprehensive Model

Kristoffersen

2019

SAGE Open Nursing

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“…When nurses experience boundlessness in caring relationships, they need philosophical resources in order to problematize boundaries of care responsibility and reevaluate the premises of the nursing profession (Lindberg, Ö sterberg, & Ho¨rberg, 2016;Risjord, 2010). At least in the Nordic countries, Løgstrup's (1997) writings are used by nurses as a philosophical resource (Alvsva˚g, 2014;Hem et al, 2008;Kristoffersen, 2013;Kristoffersen & Friberg, 2017;Martinsen, 1996Martinsen, , 2012. Grimen (2008) claims that the moral of the profession rests on the political and society-based mandate, clearly implying that nursing cannot rest on philosophical resources such as Løgstrup's (1997) phenomenological philosophy.…”

Section: Discussionmentioning

confidence: 99%

“…Patients can place significant and onerous demands upon nurses (Franz, Zeh, Schablon, Kuhnert, & Nienhaus, 2010; Kristoffersen, 2013; Kristoffersen & Friberg, 2017). Research has documented that these demands which can be understood as destructive demands, appeals, or challenges manifest in caring relationships worldwide (Spector, Zhou, & Che, 2014) and are most obvious or substantive when patients are very ill or cognitively impaired (Gjerberg, Hem, Førde, & Pedersen, 2013; Ünsal Atan et al., 2013).…”

Section: Introductionmentioning

confidence: 99%

“…Research has further documented that nurses are aware of and acknowledge threats to their physical and psychological safety (Carlsson et al., 2000) and recognize that unpleasant and occasionally dangerous relationships with patients may be a part of nursing (Franz et al., 2010; Kristoffersen, 2013; Kristoffersen & Friberg, 2017; Kristoffersen, Friberg, & Brinchmann, 2016). Psychiatric nurses in particular work in and through relationally challenging situations, and violence or the threat of violence is frequently present (Yang, Stone, Petrini, & Morris, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Research has nevertheless documented that nurses have persistent and real concerns about the burden that demanding relationship work places upon them (Baker et al., 2013; Ünsal Atan et al., 2013; Wilstrand et al., 2007). The capability of nurses to endure has been questioned, and when overwhelming loads are placed on nurses, they can fail to adequately care for themselves and also lose their principal focus on patient care (Kristoffersen & Friberg, 2017; Molin, Hällgren Graneheim, Ringnér, & Lindgren, 2016). In such circumstances, it might be prudent for nurses experiencing moral distress (Jameton, 1984) to set aside intentions to fully care for patients (Varcoe, Pauly, Storch, Newton, & Makaroff, 2012).…”

Section: Introductionmentioning

confidence: 99%

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Problematizing Boundaries of Care Responsibility in Caring Relationships

Kristoffersen

2019

SAGE Open Nursing

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Introduction: Nursing care takes place within nurse-patient relationships that can be demanding. In exceptional circumstances, the relationship may be destructive, and when this happens, significant onerous demands, appeals, or challenges can arise from patients and be placed upon nurses. Aim: The aim is to explore what can be termed boundaries of care responsibility when relationships with patients place significant destructive demands on nurses. Method: Based on a hermeneutical approach, this study introduces aspects of phenomenological philosophy as described by the Danish theologian and philosopher Knud E. Løgstrup and provides examples of nurses' experiences in everyday nursing practice drawn from a Norwegian empirical study focusing on remaining in everyday nursing practice. Data in that original study consisted of qualitative interviews and qualitative follow-up interviews with 13 nurses working in somatic and psychiatric health service. Discussion: The exploration of empirical examples demonstrates that nurses consider confronting demands from patients which manifest themselves as onerous and that they have to set limits to safeguard themselves. When the nurses had to manage acting out or actions from patients by opposing what was said and done, they experienced the situation as more than very unpleasant or connected to a perversion. Significant destructive caring relationships cannot be without boundaries, and explicating boundaries are of relevance to protect nurses from onerous demands. Protecting them implies reducing a hazard, that is, that nurses carry on even when this may be unhealthy for them. Conclusion: Consistently pinpointing boundaries between demands is assumed to be essential in caring relationships, as onerous or destructive demands are strongly connected to a content where boundlessness is involved. To protect both nurses and patients as valued human beings, thus raising and preserving the status of the nurse and the patient, the nature and possible detrimental effects of destructive caring relationships should be considered and examined.

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Intersectionality in nursing research: A systematic review

Siira,

Linden,

Wallström

et al. 2023

Nursing Open

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AimThis systematic literature review aimed to identify, appraise and synthesize available research studies that apply intersectionality in nursing research.DesignSystematic review.Data SourcesEmpirical and theoretical nursing studies published before February 2022 were identified from the PubMed and CINAHL databases. Studies were eligible for inclusion if they substantially covered the topics of intersectionality and nursing, had undergone peer‐review, and were written in English.Review MethodsThe PRISMA 2020 statement for reporting systematic reviews was used to report findings. The Joanna Briggs Institute Critical Appraisal tools were used to assess the quality of the included research studies.ResultsOut of 331 identified studies, 60 studies were substantially about nursing and intersectionality, and were included in the review. There are a myriad of ways that the concept of intersectionality has been adopted in nursing research. Furthermore, there was great heterogeneity in the definition and application of the concept of intersectionality, and only a few studies were empirical.ConclusionThere is a need for robust and clear framing of how the concept of intersectionality is defined and understood in nursing research. There is also a need for more empirical research effectively adopting the concept of intersectionality to enhance our understanding of how health inequities operate within the field of nursing.No Patient or Public ContributionNo patients, service users, caregivers or members of the public were involved in this work.

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Relationship-based nursing care and destructive demands

Cited by 8 publications

References 41 publications

Nurses' Remaining in Everyday Nursing Practice—A Comprehensive Model

Nurses' Remaining in Everyday Nursing Practice—A Comprehensive Model

Problematizing Boundaries of Care Responsibility in Caring Relationships

Intersectionality in nursing research: A systematic review

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