In tandem or in tension? Patient-nurse negotiations from ICU to hospital discharge

Persistent Link:
http://hdl.handle.net/10150/292039
Title:
In tandem or in tension? Patient-nurse negotiations from ICU to hospital discharge
Author:
Templeton, Karen Jobe
Issue Date:
1988
Publisher:
The University of Arizona.
Rights:
Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
Abstract:
Using grounded theory methodology, six intensive care patients were interviewed regarding their perceptions of their own needs, concerns and wants and how nurses responded to those. Each patient was interviewed three times to detect any change in responses during the hospitalization. A theme of patient-nurse negotiation emerged. Patients came into the health care setting with a "generative source," the issues and beliefs they had regarding health-care and nurses in general. This affected patients' definition of themselves, their situation, the caregiver, their relationship with the caregiver, and their own needs and expectations. When a patient's definitions of self or situation varied form the nurse's, negotiation would occur. Two main categories of negotiation were used by both patient and nurse: Personal knowledge & Strategies. If negotiation failed to bring consensus, resulting actions were negative feelings and dissatisfaction, and a sense of vulnerability for the patient. This in turn impacted negatively on the patient's generative source and definitions. As the patient progressed through the hospital system toward discharge, the greatest changes were noted in how they defined themselves and the caregiver, and in the style of negotiation they used.
Type:
text; Thesis-Reproduction (electronic)
Keywords:
Nurse and patient.; Negotiation.; Intensive care nursing.
Degree Name:
M.S.
Degree Level:
masters
Degree Program:
Graduate College; Nursing
Degree Grantor:
University of Arizona
Advisor:
Mishel, Merle H.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_US
dc.titleIn tandem or in tension? Patient-nurse negotiations from ICU to hospital dischargeen_US
dc.creatorTempleton, Karen Jobeen_US
dc.contributor.authorTempleton, Karen Jobeen_US
dc.date.issued1988en_US
dc.publisherThe University of Arizona.en_US
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.en_US
dc.description.abstractUsing grounded theory methodology, six intensive care patients were interviewed regarding their perceptions of their own needs, concerns and wants and how nurses responded to those. Each patient was interviewed three times to detect any change in responses during the hospitalization. A theme of patient-nurse negotiation emerged. Patients came into the health care setting with a "generative source," the issues and beliefs they had regarding health-care and nurses in general. This affected patients' definition of themselves, their situation, the caregiver, their relationship with the caregiver, and their own needs and expectations. When a patient's definitions of self or situation varied form the nurse's, negotiation would occur. Two main categories of negotiation were used by both patient and nurse: Personal knowledge & Strategies. If negotiation failed to bring consensus, resulting actions were negative feelings and dissatisfaction, and a sense of vulnerability for the patient. This in turn impacted negatively on the patient's generative source and definitions. As the patient progressed through the hospital system toward discharge, the greatest changes were noted in how they defined themselves and the caregiver, and in the style of negotiation they used.en_US
dc.typetexten_US
dc.typeThesis-Reproduction (electronic)en_US
dc.subjectNurse and patient.en_US
dc.subjectNegotiation.en_US
dc.subjectIntensive care nursing.en_US
thesis.degree.nameM.S.en_US
thesis.degree.levelmastersen_US
thesis.degree.disciplineGraduate Collegeen_US
thesis.degree.disciplineNursingen_US
thesis.degree.grantorUniversity of Arizonaen_US
dc.contributor.advisorMishel, Merle H.en_US
dc.identifier.proquest1335857en_US
dc.identifier.oclc22607761en_US
dc.identifier.bibrecord.b17462940en_US
All Items in UA Campus Repository are protected by copyright, with all rights reserved, unless otherwise indicated.