Cooperation During Morning Care Between Nurses and Severely Demented Institutionalized Patients

Document type: Journal Articles
Article type: Original article
Peer reviewed: Yes
Author(s): Ingalill R Hallberg, Göran Holst, Åsa Nordmark, Anna-Karin Edberg
Title: Cooperation During Morning Care Between Nurses and Severely Demented Institutionalized Patients
Journal: Clinical Nursing Research
Year: 1995
Volume: 4
Issue: 1
Pagination: 78-104
ISSN: 1054-7738
Organization: Blekinge Institute of Technology
Department: Department of Health, Science and Mathematics (Institutionen för hälso- och naturvetenskap)
Dept. of Health, Science and Mathematics S-371 79 Karlskrona
+46 455 38 50 00
http://www.bth.se/ihn/
Authors e-mail: goran.holst@bth.se
Language: English
Abstract: Nurse-patient cooperation during morning care in two wards for the care of severely demented patients (107 observations) were analyzed by using a hermeneutic-phenomenological approach. Nurse-patient cooperation was found to be characterized by their acting in mutuality or unilaterality and in or out of pace with each other. When acting in pace and mutuality, the nurse and patient turned to each other as persons as well as to the task. This theme related to confirming nurse actions and actions that provided opportunities for the patient to participate. When acting out of pace and unilaterality, cooperation was mainly task oriented and related to acts of resistance, the use of force, loss of attention or turning to others, or the patient wanted to escape. The findings were interpreted within the contexts of power, empowerment, and powerlessness and may serve as indicators of low- or high-quality nurse-patient cooperation during morning care provided for demented patients.
Subject: Nursing & Caring Sciences\General
Keywords: Nurse-Patient-Relations, Cooperative-Behavior, Geropsychiatric-Nursing
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