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Nurses' experiences of the encounter with elderly patients in acute confusional state in orthopaedic care.

Andersson, Edith LU ; Rahm Hallberg, Ingalill LU and Edberg, Anna-Karin LU (2003) In International Journal of Nursing Studies 40(4). p.437-448
Abstract
The aim of this study was to illuminate nurses’ experiences of the encounter with elderly patients who developed acute confusional state (ACS) in orthopaedic care. Forty-eight nurses with professional background as registered (n=26) or licensed practical nurses (n=22) who took part in the nursing care of acute confused patients were involved. Open-ended unstructured interviews were conducted with regard to the course of events, experiences and interpretation of what had happened during the ACS as well as the nurses’ actions and encounter with the confused patient. The texts were analysed using manifest and latent content analysis, revealing that the nurses had difficulties in reaching the patients and their reality, and thus in... (More)
The aim of this study was to illuminate nurses’ experiences of the encounter with elderly patients who developed acute confusional state (ACS) in orthopaedic care. Forty-eight nurses with professional background as registered (n=26) or licensed practical nurses (n=22) who took part in the nursing care of acute confused patients were involved. Open-ended unstructured interviews were conducted with regard to the course of events, experiences and interpretation of what had happened during the ACS as well as the nurses’ actions and encounter with the confused patient. The texts were analysed using manifest and latent content analysis, revealing that the nurses had difficulties in reaching the patients and their reality, and thus in understanding their experiences. Interpretation of the nurses’ experiences showed that the nurses found it difficult to reach the patients’ reality because the patients were in a divided and/or different world. They interpreted the patients as seeking solitude or company, keeping a distance or being suspicious of the nurses. The findings indicated that the interaction in the encounter between the acutely confused patients and the nurses indicated insufficient and/or broken reciprocity. The nurses used various strategies to meet the patients, being a companion and/or being a surrogate. They acted in the encounter based on their view of the patient and their ability to enter into and understand the patients’ situation. The strategies were more or less successful, sometimes resulting in contact and calming the patients and in other cases increasing the patients’ irritation and anger. The results were more successful when the strategies were derived from the nurses’ interpretation of the patients’ situation and the nurses paid attention to the patients and confirmed them. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Confusion, Nurse–patient relationship, Encounter, Elderly, Nursing care
in
International Journal of Nursing Studies
volume
40
issue
4
pages
437 - 448
publisher
Elsevier
external identifiers
  • wos:000182175200011
  • pmid:12667520
  • scopus:0038624391
ISSN
1873-491X
DOI
10.1016/S0020-7489(02)00109-8
language
English
LU publication?
yes
id
18655797-86a6-415f-a4c8-3209b912513d (old id 113649)
date added to LUP
2007-07-20 16:03:13
date last changed
2018-05-29 11:40:38
@article{18655797-86a6-415f-a4c8-3209b912513d,
  abstract     = {The aim of this study was to illuminate nurses’ experiences of the encounter with elderly patients who developed acute confusional state (ACS) in orthopaedic care. Forty-eight nurses with professional background as registered (n=26) or licensed practical nurses (n=22) who took part in the nursing care of acute confused patients were involved. Open-ended unstructured interviews were conducted with regard to the course of events, experiences and interpretation of what had happened during the ACS as well as the nurses’ actions and encounter with the confused patient. The texts were analysed using manifest and latent content analysis, revealing that the nurses had difficulties in reaching the patients and their reality, and thus in understanding their experiences. Interpretation of the nurses’ experiences showed that the nurses found it difficult to reach the patients’ reality because the patients were in a divided and/or different world. They interpreted the patients as seeking solitude or company, keeping a distance or being suspicious of the nurses. The findings indicated that the interaction in the encounter between the acutely confused patients and the nurses indicated insufficient and/or broken reciprocity. The nurses used various strategies to meet the patients, being a companion and/or being a surrogate. They acted in the encounter based on their view of the patient and their ability to enter into and understand the patients’ situation. The strategies were more or less successful, sometimes resulting in contact and calming the patients and in other cases increasing the patients’ irritation and anger. The results were more successful when the strategies were derived from the nurses’ interpretation of the patients’ situation and the nurses paid attention to the patients and confirmed them.},
  author       = {Andersson, Edith and Rahm Hallberg, Ingalill and Edberg, Anna-Karin},
  issn         = {1873-491X},
  keyword      = {Confusion,Nurse–patient relationship,Encounter,Elderly,Nursing care},
  language     = {eng},
  number       = {4},
  pages        = {437--448},
  publisher    = {Elsevier},
  series       = {International Journal of Nursing Studies},
  title        = {Nurses' experiences of the encounter with elderly patients in acute confusional state in orthopaedic care.},
  url          = {http://dx.doi.org/10.1016/S0020-7489(02)00109-8},
  volume       = {40},
  year         = {2003},
}