J Korean Acad Nurs.  2018 Jun;48(3):311-322. 10.4040/jkan.2018.48.3.311.

Chronically Ill Patients' Perception of Hospital Nurses

Affiliations
  • 1College of Nursing, Keimyung University, Daegu, Korea.
  • 2Department of Nursing, Dongguk University, Gyeongju, Korea. juliet@dongguk.ac.kr

Abstract

PURPOSE
The purpose of this qualitative research was to investigate chronically ill patients' perception of hospital nurses.
METHODS
Individual in-depth interviews and qualitative content analysis were used for data collection and analysis respectively. Participants were 13 chronically ill hospitalized patients or outpatients in three universities hospitals. All interviews were recorded and transcribed verbatim. Data were analyzed using the qualitative content analysis suggested by Graneheim and Lundman (2004).
RESULTS
Three themes emerged from the 10 sub-themes, which were categorized from the 21 condensed meaning units by interpreting the underlying meanings. The three themes were "person giving comfort and support by caring", "person facilitating the process of healing", and "person taking the initiative in power relations". Two themes involved positive experiences of patients and the other included negative ones.
CONCLUSION
The results showed that the participants perceived the hospital nurses as devoted to caring for patients and facilitating treatments, but authoritative in performing their duty. Based on these results, it is recommended that hospital nurses improve their nursing knowledge, skills and humanistic attitude.

Keyword

Chronic Illness; Patients; Perception; Nurse; Qualitative research

MeSH Terms

Chronic Disease*
Data Collection
Humans
Nursing
Outpatients
Qualitative Research

Reference

1. Lee MA, Gong SW, Cho SJ. Relationship among nursing service quality, medical service satisfaction, and hospital revisit intent. J Korean Acad Nurs Adm. 2012; 18(1):96–105. DOI: 10.11111/jkana.2012.18.1.96.
Article
2. de Boer D, Delnoij D, Rademakers J. Do patient experiences on priority aspects of health care predict their global rating of quality of care? A study in five patient groups. Health Expect. 2010; 13(3):285–297. DOI: 10.1111/j.1369-7625.2010.00591.x.
Article
3. Kim HS. The essence of nursing practice: Philosophy and perspective. New York: Springer Publishing Company;2015. p. 15–62.
4. Yeom EY, Kim M. The ‘good nursing’ experienced by hemodialysis patients. Korean J Adult Nurs. 2014; 26(3):275–286. DOI: 10.7475/kjan.2014.26.3.275.
Article
5. Kim DH. Understanding experience of nurses dealing with difficult patients [dissertation]. Seoul: Seoul National University;2002. 1–127.
6. Cho HK. Patient-nurse relationship perceived by nurse: Q-methodology [dissertation]. Daejeon: Chungnam National University;2006. 1–193.
7. Lee YM. The meaning of caring that nurses and patients have experienced [master's thesis]. Busan: Pusan National University;1995. 1–65.
8. Fox S, Chesla C. Living with chronic illness: A phenomenological study of the health effects of the patient-provider relationship. J Am Acad Nurse Pract. 2008; 20(3):109–117. DOI: 10.1111/j.1745-7599.2007.00295.x.
Article
9. Williams SA. Quality and care: Patients' perceptions. J Nurs Care Qual. 1998; 12(6):18–25. DOI: 10.1097/00001786-199808000-00006.
Article
10. Gilbody S, Bower P, Fletcher J, Richards D, Sutton AJ. Collaborative care for depression: A cumulative meta-analysis and review of longer-term outcomes. Arch Intern Med. 2006; 166(21):2314–2321. DOI: 10.1001/archinte.166.21.2314.
11. Trehearne B, Fishman P, Lin EHB. Role of the nurse in chronic illness management: Making the medical home more effective. Nurs Econ. 2014; 32(4):178–184.
12. Kvåle K, Bondevik M. Patients' perceptions of the importance of nurses' knowledge about cancer and its treatment for quality nursing care. Oncol Nurs Forum. 2010; 37(4):436–442. DOI: 10.1188/10.ONF.436-442.
Article
13. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9):1277–1288. DOI: 10.1177/1049732305276687.
Article
14. Elo S, Kyngäs M. The qualitative content analysis process. J Adv Nurs. 2008; 62(2):107–115. DOI: 10.1111/j.1365-2648.2007.04569.x.
Article
15. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004; 24(2):105–112. DOI: 10.1016/j.nedt.2003.10.001.
Article
16. Burnard P. Teaching the analysis of textual data: An experiential approach. Nurse Educ Today. 1996; 16(4):278–281. DOI: 10.1016/S0260-6917(96)80115-8.
Article
17. Bengtsson M. How to plan and perform a qualitative study using content analysis. NursingPlus Open. 2016; 2:8–14. DOI: 10.1016/j.npls.2016.01.001.
Article
18. Sandelowski M. The problem of rigor in qualitative research. ANS Adv Nurs Sci. 1986; 8(3):27–37. DOI: 10.1097/00012272-198604000-00005.
Article
19. Covington H. Caring presence: Providing a safe space for patients. Holist Nurs Pract. 2005; 19(4):169–172. DOI: 10.1097/00004650-200507000-00008.
20. Hall JA, Roter DL, Katz NR. Meta-analysis of correlates of provider behavior in medical encounters. Med Care. 1988; 26(7):657–675.
Article
21. Hong SH. A phenomenological study of the caring in nursing science. Res Philos Phenomenol. 2011; 50:213–241.
22. Pamela GR, Nelma CS. Perspectives on nursing theory. 6th ed. Philadelphia: Lippincott;2016. p. 162–184.
23. Watson J. Nursing: The philosophy and science of caring. Rev. ed. Boulder: University Press of Colorado;2008. p. 124–156.
24. Caruso EM, Cisar N, Pipe T. Creating a healing environment: An innovative educational approach for adopting Jean Watson's theory of human caring. Nurs Adm Q. 2008; 32(2):126–132. DOI: 10.1097/01.NAQ.0000314541.29241.14.
25. Kim GB, Suh EJ. The caring lived experience of the inpatients. J Korean Acad Adult Nurs. 1999; 11(3):540–556.
26. Dinç L, Gastmans C. Trust in nurse-patient relationships: A literature review. Nurs Ethics. 2013; 20(5):501–516. DOI: 10.1177/0969733012468463.
27. Gallant MH, Beaulieu MC, Carnevale FA. Partnership: An analysis of the concept within the nurse-client relationship. J Adv Nurs. 2002; 40(2):149–157. DOI: 10.1046/j.1365-2648.2002.02357.x.
Article
28. Bakhtiari S, Mohammadzadeh S, Moshtaq Z. Obstacles in nurse-elderly patient relationship from the patients' point of view. Iran J Nurs Midwifery Res. 2009; 14(2):77–82.
29. Edvardsson D, Koch S, Nay R. Psychometric evaluation of the English language Person-centred Climate Questionnaire: Staff version. J Nurs Manag. 2010; 18(1):54–60. DOI: 10.1111/j.1365-2834.2009.01038.x.
30. Radwin L. Oncology patients' perceptions of quality nursing care. Res Nurs Health. 2000; 23(3):179–190. DOI: 10.1002/1098-240X(200006)23:3<179::AIDNUR2>3.0.CO;2-T.
Article
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