Therapeutic relationships in day surgery: a grounded theory study

Mottram, Anne

doi:10.1111/j.1365-2702.2009.02853.x

Cited by 33 publications

(25 citation statements)

References 27 publications

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“…Mottram expressed that some nurses’ behaviors such as adequate explanation, timely satisfaction of patient’s requests, intimacy and a friendly interaction with the patient are characteristics of therapeutic communication in nursing care. 27 In Finch’s study, patients expected a professional, respectful, intimate, and professional behavior from nurses. 28 Nestel and Kidd believed that listening actively, speaking clearly and behaving respectfully were verbal and nonverbal skills crucial to effective communication.…”

Section: Discussionmentioning

confidence: 99%

Exploring Nurse’s Communicative Role in Nurse-Patient Relations: A Qualitative Study

Fakhr‐Movahedi¹,

Rahnavard²,

Salsali³

et al. 2016

J Caring Sci

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Introduction: Recognition the nurses’ communicative roles can influence quality of patient’s care. Therefore, this study was aimed to explore nurse’s role in nurse-patient relations. Methods: This study was a qualitative research in which collected data was analyzed by content analysis method. The participants were 23 nurses, patients and their families in medical and surgical wards of a referral hospital in Tehran, Iran. Data were collected by semi-structured interview and observation. Results: Data analysis was led to the emergence of a main conceptual category: The patient's need-based communication. This category was derived from two categories: 1) Identifying the patient’s needs; and 2) Communicative behavior in the face of the patient’s needs. "Identifying the patient’s needs" was related to "type of the patient’s problem", "patients’ inquiring about their health status" and "monitoring the patient’s health status". "Communicative behavior in the face of the patient’s needs" was composed of four subcategories: "caring attention", "informal education of the patient", "inducing calmness to the patient", and "obtaining the trust of the patient". Conclusion: The nurse’s role in relationship with patients is designed according to patients’ needs. Therefore, if the patients’ needs in clinical settings are defined and clarified appropriately, the nurse-patient relations will be enhanced and thereby the quality of care will be improved.

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Section: Discussionmentioning

confidence: 99%

Exploring Nurse’s Communicative Role in Nurse-Patient Relations: A Qualitative Study

Fakhr‐Movahedi¹,

Rahnavard²,

Salsali³

et al. 2016

J Caring Sci

View full text Add to dashboard Cite

show abstract

“…In the day case surgery setting, spiritual expressions may be connected with existential aspects or with fear and patients may wish to connect with the surgical staff. Staff should be aware of this, since at present, the results of this research indicate that staff are not always aware of their therapeutic potential, a finding that has been identified previously by Mottram [18].…”

Section: Recommendationsmentioning

confidence: 61%

Searching for the Hidden: A Phenomenological Study Exploring the Spiritual Aspects of Day Case Surgery from Staff Perspectives

Pike

2017

Religions

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Recent healthcare literature has shown an increasing interest in spiritual care and the way in which it supports patients as they deal with illness; but; as the body of evidence grows in many areas; the spiritual aspects of day surgery have been under-researched. The aims of this interpretive phenomenological study were to identify the patients' spiritual needs and concerns prior to surgery both from the patients' and surgical healthcare staffs' perspectives and to investigate whether there was congruence between the groups. The results of the staff focus groups are presented here. A purposive; convenience sample of 13 staff (nurses; consultants and pharmacists) attended one of three focus groups. Data were analysed utilising interpretive phenomenological analysis in order to discover the meaning for participants derived from their own contexts. Caring for spiritual and existential concerns was expressed through staff's relationships with patients; by a caring attitude and connection with them; helping patients to cope. Results show that spiritual care can be embedded in day surgery practice; and can be given during fleeting care episodes; though awareness is needed of the way in which this can be achieved.

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“…Data from this same study demonstrated that the nurses had managed, on the whole, to humanise the day surgery process against all the odds (Mottram, 2009 With many press reports of hospital acquired infection it is little wonder that cleanliness was very important to patients and was often a major reason for patients' preference for day surgery: the shorter time you are in the less time you have to acquire an infection.…”

Section: Time As a Conveyor Beltmentioning

confidence: 89%

“Like a trip to McDonalds”: A grounded theory study of patient experiences of day surgery

Mottram

2011

International Journal of Nursing Studies

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Abstract:Background: The amount and complexity of (ambulatory) day surgery is rapidly expanding internationally. Nurses have a responsibility to provide quality care for day surgery patients. To do this they must understand all aspects of the patient experience. There is dearth of research into day surgery using a sociological frame of reference. Objective: The study investigated patients' experiences of day surgery using a sociological frame of reference. Design: A qualitative study using the Grounded Theory approach was used. Setting: The study was based in two day surgery units in two urban public hospitals in the United Kingdom. Participants: 145 patients aged 18-70 years and 100 carers were purposely selected from the orthopaedic, ear nose and throat and general surgical lists. They were all English speaking and were of varied socio-economic background. Methods: The data was collected from [2004][2005][2006]. Semi-structured interviews were conducted on 3 occasions: before surgery, 48 hours following surgery and one month following discharge. Permission was received from the Local Research Ethics Committee. Analysis of the data involved line-by line analysis, compilation of key words and phrases (codes) and constant comparison of the codes until categories emerged. Findings: Patients liked day surgery and placed it within the wider societal context of efficiency and speed. Time was a major issue for them. They wished surgery, like all other aspects of their life to be a speedy process. They likened it to a McDonald's experience with its emphasis on speed, predictability and control. Conclusion: This study throws new light on patient experiences and offers an understanding of day surgery against a western culture which emphasises the importance of speed and efficiency. It is a popular choice for patients but at times it can be seen to be a mechanistic way of providing care. The implications for nurses to provide education and information to add to the quality of the patient experience are discussed.

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Therapeutic relationships in day surgery: a grounded theory study

Cited by 33 publications

References 27 publications

Exploring Nurse’s Communicative Role in Nurse-Patient Relations: A Qualitative Study

Exploring Nurse’s Communicative Role in Nurse-Patient Relations: A Qualitative Study

Searching for the Hidden: A Phenomenological Study Exploring the Spiritual Aspects of Day Case Surgery from Staff Perspectives

“Like a trip to McDonalds”: A grounded theory study of patient experiences of day surgery

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