Receiving person-centred care in a hospital-A qualitative study of socially marginalised patients' experiences of social nursing.

IF 1.9 4区 医学 Q2 NURSING Scandinavian Journal of Caring Sciences Pub Date : 2024-03-01 Epub Date: 2023-09-25 DOI:10.1111/scs.13212
Lisa Kvist Antonsen, Annmarie Touborg Lassen, Dorthe Nielsen, Christina Østervang
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Abstract

Background: Socially marginalised people are at a substantially increased risk of diseases and typically have several contacts with the healthcare system. Health professionals at hospitals often lack the knowledge, skills, confidence, and time to provide relevant care for socially marginalised patients. Danish hospitals have implemented a social nursing initiative consisting of social nurses with specialised knowledge about marginalisation to support socially marginalised patients. Limited research into patients' perceptions of social nursing has been undertaken.

Objective: To explore patients' experiences with the in-hospital social nursing initiative.

Design: A qualitative study was conducted using a phenomenological hermeneutical approach.

Setting: Odense University Hospital, Denmark.

Participants: Patients aged 18 years and older who had been in contact with a social nurse during hospital admission were purposely sampled. Data saturation was reached when 15 participants were recruited.

Methods: In-depth patient interviews were conducted from November 2021 to April 2022 using a semi-structured interview guide. The interviews were transcribed verbatim and analysed using systematic text condensation. NVivo 12 software was employed for the analysis. Patient representatives were involved to validate the analysis and interpretations.

Results: Three themes were identified: (1) an equal and trusting relationship, (2) receiving person-centred care, and (3) coherence in the patient trajectory. The results show that when patients have established a relationship with a social nurse, they are willing to let her into their lives and share personal information. Patients also experience person-centred care and coherence in their trajectory when a social nurse participated in their treatment and care.

Conclusion: The findings indicate that the social nursing initiative bridges the gap between socially marginalised patients and healthcare services.

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在医院接受以人为中心的护理——对社会边缘化患者社会护理体验的定性研究。
背景:社会边缘化人群患疾病的风险大大增加,通常与医疗系统有多次接触。医院的卫生专业人员往往缺乏为社会边缘化患者提供相关护理的知识、技能、信心和时间。丹麦医院实施了一项社会护理倡议,由具有边缘化专业知识的社会护士组成,以支持社会边缘化患者。对患者对社会护理的看法进行了有限的研究。目的:探讨住院病人实施社会护理的经验。设计:采用现象学解释学方法进行定性研究。地点:丹麦欧登塞大学医院。参与者:18岁的患者 有意对住院期间与社会护士有过接触的岁及以上人群进行抽样。当招募了15名参与者时,数据达到饱和。方法:使用半结构化访谈指南,于2021年11月至2022年4月对患者进行深度访谈。访谈被逐字转录,并使用系统的文本浓缩进行分析。采用NVivo 12软件进行分析。患者代表参与验证分析和解释。结果:确定了三个主题:(1)平等和信任的关系,(2)接受以人为本的护理,以及(3)患者轨迹的一致性。结果表明,当患者与社会护士建立了关系时,他们愿意让她进入他们的生活并分享个人信息。当社会护士参与患者的治疗和护理时,患者也会体验到以人为中心的护理和轨迹的连贯性。结论:研究结果表明,社会护理倡议弥合了社会边缘化患者和医疗服务之间的差距。
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来源期刊
CiteScore
4.60
自引率
5.30%
发文量
71
期刊介绍: Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.
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