Nurse-patient collaboration: A grounded theory study of patients with chronic obstructive pulmonary disease on non-invasive ventilation

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• 作者：Dorthe S&oslash ; rensen^a ; ^{ds@sygeplejevid.au.dk} ; Kirsten Frederiksen^a ; ^{kf@sygeplejevid.au.dk} ; Thorbjoern Groefte^b ; ^{thorgroe@rm.dk} ; Kirsten Lomborg^a ; ^{kl@sygeplejevid.au.dk}
• 关键词：Non-invasive ventilation ; COPD ; Nurse&ndash ; patient collaboration ; Grounded theory ; Nursing ; Treatment failure
• 刊名：International Journal of Nursing Studies
• 出版年：2013
• 出版时间：January, 2013
• 年：2013
• 卷：50
• 期：1
• 页码：26-33
• 全文大小：431 K

文摘

Objectives

This paper provides a theoretical account of nurses¡¯ collaboration with patients with chronic obstructive pulmonary disease during non-invasive ventilation treatment in hospital.

Background

Despite strong evidence for the effect of non-invasive ventilation treatment, success remains a huge challenge. Nurse-patient collaboration may be vital for treatment tolerance and success. A better understanding of how nurses and patients collaborate during non-invasive ventilation may therefore contribute to improvement in treatment success.

Design

A constant comparative classical grounded theory.

Method

The data comprised sessions of qualitative participant observation during the treatment of 21 patients with non-invasive ventilation that included informal conversations with the nurses and semi-structured interviews with 11 patients after treatment completion. Data were collected at three intensive care units and one general respiratory ward in Denmark.

Results

Succeeding emerged as the nurses¡¯ main concern in the nurse-patient collaboration during non-invasive ventilation treatment. Four collaborative typologies emerged as processing their main concern: (1) twofold oriented collaboration; (2) well-being oriented collaboration; (3) outcome oriented collaboration; and (4) absent collaboration.

Conclusions

This study offers a theoretical account of nurses¡¯ main concern and how they activate different ways of collaboration to achieve successful treatment. We offer a theoretical basis for developing complex interventions.