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The Meaning of a Positive Client-Nurse Relationship for Senior Home Care Clients with Chronic Disease

Published online by Cambridge University Press:  29 October 2012

Liza J. Turpin ,
Carol L. McWilliam  and
Catherine Ward-Griffin
Liza J. Turpin*
Affiliation:
Arthur Labatt Family School of Nursing, University of Western Ontario
Carol L. McWilliam
Affiliation:
Arthur Labatt Family School of Nursing, University of Western Ontario
Catherine Ward-Griffin
Affiliation:
Arthur Labatt Family School of Nursing, University of Western Ontario
*
*Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Liza Turpin, RN, BScN, MScN 394 Brule Road Sault Ste. Marie, ON P6A 5K8 (lizaturpin@hotmail.com)
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Résumé

Cette étude a exploré la signification d’une relation positive client-infirmière pour les personnes âgées atteintes de maladies chroniques qui reçoivent les soins à domicile. Pour les besoins de cette étude phénoménologique, huit participants âgés de 65 à 86 ont été sélectionnés à partir du Sud-Ouest Centre communautaire d’accès aux soins [or retain as Southwest Community Care Access Centre (SW-CCAC)]? à London, Ontario. Des données narratives ont été recueillies par des entrevues en profondeur capturé sur cassette audio, tout en utilisant un guide d’entretien semi-structuré. L’analyse et l’interprétation des entrevues ont révélé que le sens d’une relation client-infirmière positive de ces personnes âgées englobait deux tendances de sens: avoir de confort, et étant relié au sein de cette relation. Ces deux modèles ont été contextualisés par être une personne âgée avec une maladie chronique et ont été socialement construits à travers l’expérience d’avoir créé un rapport positif. Bien que des recherches supplémentaires sont nécessaires, les connaissances acquises ajouter à ce que l’on sait déjà au sujet de la théorie et la pratique de la promotion de la santé relationnelle pour les personnes âgées vivant avec des maladies chroniques et recevant les soins à domicile.

Keywords

vieillissementmaladie chroniquesoins à domicilepromotion de la santé relationnellerelation client-infirmièreagingchronic diseasehome carerelational health promotionclient-nurse relationship
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 31 , Issue 4 , December 2012 , pp. 457 - 469
Copyright
Copyright © Canadian Association on Gerontology 2012 

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References

Antonovsky, A. (1985). Health, stress, and coping. San Francisco, CA: Jossey-Bass.Google Scholar
Angen, M.J. (2000). Evaluating interpretive inquiry: Reviewing the validity debate and opening the dialogue. Qualitative Health Research, 10, 378–395.10.1177/104973230001000308CrossRefGoogle ScholarPubMed
Chen, Y.M. (2003). The meaning of health and health promotion practices of Taiwanese elders with chronic illness. Home Health Care Management and Practice, 15(6), 505–510.10.1177/1084822303253885CrossRefGoogle Scholar
College of Nurses of Ontario. (2006). Practice standard: Therapeutic nurse-client relationships. Toronto, ON: College of Nurses of Ontario.Google Scholar
Crawford-Shearer, N.B., Fleury, J.D., & Reed, P.G. (2009). The rhythm of health in older women with chronic illness. Research and Theory for Nursing Practice: An International Journal, 23(2), 148–160.CrossRefGoogle Scholar
Dale, B., Savareid, H.I., Kirkevold, M., & Soderhamn, O. (2010). Older home nursing patients’ perception of social provisions and received care. Scandinavian Journal of Caring Science, 24, 523–532.CrossRefGoogle ScholarPubMed
Dossey, B.M., Keegan, L., & Guzzetta, C.E. (2005). Holistic nursing: A handbook for practice. (4th ed.). Sudbury, MA: Jones and Bartlett.Google Scholar
Dowling, M. (2005). From Husserl to Van Manen: A review of different phenomenological approaches. International Journal of Nursing Studies, 44, 131–142.10.1016/j.ijnurstu.2005.11.026CrossRefGoogle Scholar
Downey, M. (2007). Effects of holistic nursing course: A paradigm shift for holistic health practices. Journal of Holistic Nursing, 25(2), 119–125.CrossRefGoogle ScholarPubMed
Forchuk, C., Westwell, J., Martin, M.L., Bamber-Azzapardi, W., Kosterewa-Tolman, D., & Hux, M. (2000). The developing nurse-client relationship: Nurses’ perspectives. Journal of the American Psychiatric Nurses Association, 6, 3–10.Google Scholar
Gantert, T.W., McWilliam, C.L., Ward-Griffin, C., & Allen, N.J. (2008). The key to me: Seniors’ perceptions of relationship-building with in-home service providers. Canadian Journal on Aging, 27, 23–34.10.3138/cja.27.1.23CrossRefGoogle ScholarPubMed
Gaut, D.A., & Boykin, A. (1994). Caring as healing: Renewal through hope. New York, NY: National League for Nursing Press.Google Scholar
Gropper, E.I. (1992). Promoting health by promoting comfort. Nursing Forum, 27, 5–8.CrossRefGoogle ScholarPubMed
Hagerty, B.M., & Patusky, K.L. (2003). Reconceptualizing the nurse-patient relationship. Journal of Nursing Scholarship, 35(2), 145–150.10.1111/j.1547-5069.2003.00145.xCrossRefGoogle ScholarPubMed
Halldorsdottir, S. (2008). The dynamics of the nurse-patient relationship: Introduction of a synthesized theory from the patient’s perspective. Scandinavian Journal of Caring Science, 22, 643–652.CrossRefGoogle ScholarPubMed
Hartrick, G. (2002). Beyond interpersonal communication: The significance of relationship in health promoting practice. In Young, L. & Hayes, V. (Eds.), Transforming health promotion practice: Concepts, issues, and applications (pp.49–58). Philadelphia, PA: FA Davis.Google Scholar
Hartrick-Doane, G., & Varcoe, C. (2007). Relational practice and nursing obligations. Advances in Nursing Science, 30(3), 192–205.10.1097/01.ANS.0000286619.31398.fcCrossRefGoogle Scholar
Health Canada. (2002). Canada’s aging population. Ottawa, ON: Health Canada.Google Scholar
Hudacek, S.S. (2007). Dimensions of caring: A qualitative analysis of nurses’ stories. Journal of Nursing Education, 47(3), 124–129.10.3928/01484834-20080301-04CrossRefGoogle Scholar
Joachim, G., & Acorn, S. (2000a). Living with chronic illness: The interface of stigma and normalization. Canadian Journal of Nursing Research, 32(3), 37–48.Google ScholarPubMed
Joachim, G., & Acorn, S. (2000b). Stigma of visible and invisible chronic conditions. Journal of Advanced Nursing, 32(1), 243–248.CrossRefGoogle ScholarPubMed
Jonsdottir, H., Litchfield, M., & Dexheimer-Pharris, M. (2004). The relational core of nursing practice as partnership. Journal of Advanced Nursing, 47(3), 241–250.CrossRefGoogle ScholarPubMed
Kapborg, I. (2000). The nursing education programme in Lithuania: Voices of student nurses. Journal of Advanced Nursing, 32(4), 857–863.CrossRefGoogle ScholarPubMed
Kaufman, S.R. (2011). Toward a phenomenology of boundaries in medicine: Chronic illness experience in the case of stroke. Topics in Stroke Rehabilitation, 18, 6–17.CrossRefGoogle Scholar
Khademian, Z., & Vizeshfar, F. (2007). Nursing student’ perceptions of the importance of caring behaviours. Journal of Advanced Nursing, 61(4), 456–462.CrossRefGoogle Scholar
Kolcaba, K. (2003). Comfort theory and practice: A vision for holistic health care and research. New York, NY: Springer.Google Scholar
Kolcaba, K., & DiMarco, M.A. (2005). Comfort theory and its application to pediatric nursing. Paediatric Nursing, 31(3), 187–194.Google ScholarPubMed
Kolcaba, K.Y., & Wykle, M. (1997). Comfort research: Spreading comfort around the world. Reflections, 23, 12–13.Google ScholarPubMed
Kuzel, A.J., & Like, R.C. (1991). Standards of trustworthiness for qualitative studies in primary care. In Norton, P.G., Stewart, M., Tudiver, F., Bass, M.J., & Dunn, E.V. (Eds.), Primary care research: Traditional and innovative approaches (pp. 138–158). Newbury Park, CA: Sage Publications.Google Scholar
Lincoln, Y.S., & Guba, E.G. (1985). Naturalistic inquiry. Newbury Park, CA: Sage Publications.10.1016/0147-1767(85)90062-8CrossRefGoogle Scholar
Lopez, K.A., & Willis, D.G. (2004). Descriptive versus interpretive phenomenology: Their contributions to nursing knowledge. Qualitative Health Research, 14(5), 726–735.10.1177/1049732304263638CrossRefGoogle ScholarPubMed
Malinowski, A., & Stamler, L.L. (2002). Comfort: Exploration of the concept in nursing. Journal of Advanced Nursing, 39(6), 599–606.CrossRefGoogle ScholarPubMed
McConnell-Henry, T., Chapman, Y., & Francis, K. (2009). Husserl and Heidegger: Exploring the disparity. International Journal of Nursing Practice, 15, 7–15.CrossRefGoogle ScholarPubMed
McGarry, J. (2008). Defining roles, relationships, boundaries and participation between elderly people and nurses within the home: An ethnographic study. Health and Social Care in the Community, 17, 83–91.10.1111/j.1365-2524.2008.00802.xCrossRefGoogle ScholarPubMed
McWilliam, C.L. (2009). Patients, persons or partners? Involving those with chronic disease in their care. Chronic Illness, 5, 277–292.CrossRefGoogle ScholarPubMed
McWilliam, C.L., Stewart, M., Brown, J.B., McNair, S., Desai, K., Patterson, M.L., et al. . (1997). Creating empowering meaning: An interactive process of promoting health with chronically ill older Canadians. Health Promotion International, 12(2), 111–123.CrossRefGoogle Scholar
McWilliam, C.L., Ward-Griffin, C., Sweetland, D., Sutherland, C., & O’Halloran, L. (2001). The experience of empowerment in in-home services delivery. Home Health Care Services Quarterly, 20(4), 49–71.CrossRefGoogle ScholarPubMed
Milton, C.L. (2008). Boundaries: Ethical implications for what it means to be therapeutic in the nurse-person relationship. Nursing Science Quarterly, 21, 18–21.CrossRefGoogle ScholarPubMed
Miner-Williams, D. (2007). Connectedness in the nurse-patient relationship: A grounded theory study. Issues in Mental Health Nursing, 28, 1215–1234.CrossRefGoogle ScholarPubMed
Montgomery, C.L. (1993). Healing through communication: The practice of caring. Newbury Park, CA: Sage Publications.10.4135/9781483326429CrossRefGoogle Scholar
Moyle, W. (2003). Nurse-patient relationship: A dichotomy of expectations. International Journal of Mental Health Nursing, 12, 103–109.CrossRefGoogle ScholarPubMed
Nolan, M.R., Davies, S., Brown, J., Keady, J., & Nolan, J. (2003). Beyond ‘person-centred’ care: A new vision for gerontological nursing. Journal of Clinical Nursing, 13, 45–53.CrossRefGoogle Scholar
Omery, A. (1983). Phenomenology: A method for nursing research. Advances in Nursing Science, 5(2), 49–63.10.1097/00012272-198301000-00010CrossRefGoogle ScholarPubMed
Oudshoorn, A., Ward-Griffin, C., & McWilliam, C. (2007). Client-nurse relationship in home based palliative care: A critical analysis of power relations. Issues in Clinical Nursing, 16, 1435–1443.CrossRefGoogle ScholarPubMed
Patton, M.Q. (2002). Qualitative research and evaluation methods. (3rd ed.). Thousand Oaks, CA: Sage Publications.Google Scholar
Peternelj-Taylor, C.A., & Yonge, O. (2003). Exploring boundaries in the nurse-client relationship: Professional roles and responsibilities. Perspectives in Psychiatric Care, 39(2), 55–66.CrossRefGoogle ScholarPubMed
Racher, F.E., & Robinson, S. (2002). Are phenomenology and post-positivism strange bedfellows? Western Journal of Nursing Research, 25(5), 464–481.10.1177/0193945903253909CrossRefGoogle Scholar
Sahlsten, M.J.M., & Plos, K.A.E. (2009). Nurse strategies for optimising patient participation in nursing care. Scandinavian Journal of Caring Sciences, 23, 490–497.CrossRefGoogle ScholarPubMed
Schoot, T., Proot, I., Ter Meulen, R., & de Witte, L. (2005). Actual interaction and client centeredness in home care. Clinical Nursing Research, 14, 370–393.CrossRefGoogle ScholarPubMed
Segrin, C., & Domschke, T. (2011). Social support, loneliness, recuperative processes, and their direct and indirect effects on health. Health Communication, 26, 221–232.CrossRefGoogle ScholarPubMed
Sirri, L., Magelli, C., & Grandi, S. (2010). Predictors of perceived social support in long-term survivors of cardiac transplant: The role of psychological distress, quality of life, demographic characteristics and clinical course. Psychology and Health, 26, 77–94.CrossRefGoogle Scholar
Spiegelberg, H. (1982). The phenomenological movement: A historical introduction (3rd ed.). The Hague: Martinus Hijoff Publishers.Google Scholar
Statistics Canada. (2011). Seniors: Canada yearbook 2011. Ottawa, ON: Statistics Canada.Google Scholar
Thorne, S., Paterson, B., Acorn, S., Canam, C., Joachim, G., & Jillings, C. (2002). Chronic illness experience: Insights from a metastudy. Qualitative Health Research, 12(4), 437–452.CrossRefGoogle ScholarPubMed
van Manen, M. (1996). Phenomenological pedagogy and the question of meaning. In Vandenberg, D. (Ed.), Phenomenology and Educational Discourse (pp. 39–64). Durban: Heinemann Higher and Further Education.Google Scholar
Watson, J. (2009). Caring science and human caring theory: Transforming personal and professional practices of nursing and health care. Journal of Health and Human Services Administration, 31(4), 466–482.Google ScholarPubMed
World Health Organization. (1986). Ottawa charter for health promotion. Ottawa: Health and Welfare, Canada.Google Scholar
Wilkin, K., & Slevin, E. (2003). The meaning of caring to nurses: An investigation into the nature of caring work in an intensive care unit. Journal of Clinical Nursing, 13, 50–59.10.1111/j.1365-2702.2004.00814.xCrossRefGoogle Scholar
Williams, A. (2001). A study of practising nurses’ perceptions and experiences of intimacy within the nurse-patient relationship. Journal of Advanced Nursing, 35(2), 188–196.CrossRefGoogle ScholarPubMed
Wiman, E., & Wikblad, K. (2003). Caring and uncaring encounters in nursing in an emergency department. Journal of Clinical Nursing, 13, 422–429.CrossRefGoogle Scholar
Yousefi, H., Abedi, H.A., Yarmohammadian, M.H., & Elliott, D. (2009). Comfort as a basic need in hospitalized patients in Iran: A hermeneutic phenomenology study. Journal of Advanced Nursing, 65(9), 1891–1898.CrossRefGoogle ScholarPubMed