Prenkert Malin, Carlsson Eva, Svantesson Mia, Anderzén-Carlsson Agneta
University Health Care Research Center, Faculty of Health Sciences, Örebro University, Örebro, Sweden.
School of Health Sciences, Örebro University, Örebro, Sweden.
J Clin Nurs. 2017 Jun;26(11-12):1725-1736. doi: 10.1111/jocn.13604. Epub 2017 Mar 10.
To describe the variation of conceptions of being ill and hospitalised, from the perspective of healthcare-professional patients.
Previous literature focuses on either physicians' or nurses' experiences of being a patient, without aiming at determining a variation of ways of understanding that phenomena. Nor have we been able to identify any study reporting other healthcare professionals' experiences.
This study has an inductive descriptive design.
Qualitative interviews with healthcare professionals (n = 16), who had been hospitalised for at least two days. Phenomenographic data analysis was conducted.
The feelings of security were based on knowledge, insight and trust, and acceptance of the healthcare system. Being exposed and totally dependent due to illness provoked feelings of vulnerability and insecurity. The patients used their knowledge to achieve participation in the care. The more severe they perceived their illness to be, the less they wanted to participate and the more they expressed a need for being allowed to surrender control. The patients' ideal picture of care was sometimes disrupted, and based on their experience, they criticised care and made suggestions that could contribute to general care improvements.
Healthcare-professional patients have various conceptions of being ill and hospitalised. Based on the general nature of the many needs expressed, we believe that the insights provided in this study can be transferred so as to also be valid for lay patients. Possibly, an overhaul of routines for discharge planning and follow-up, and adopting a person-centred approach to care, can resolve some of the identified shortcomings.
The results can be used for the purpose of developing knowledge for healthcare professions and for educational purposes.
从医护专业人员患者的角度描述患病和住院观念的变化。
以往文献要么聚焦于医生作为患者的经历，要么聚焦于护士作为患者的经历，而无意确定理解该现象方式的差异。我们也未能找到任何报告其他医护专业人员经历的研究。
本研究采用归纳描述性设计。
对至少住院两天的医护专业人员（n = 16）进行定性访谈。进行了现象学数据分析。
安全感基于知识、洞察力、信任以及对医疗系统的接受。因疾病而暴露且完全依赖他人引发了脆弱感和不安全感。患者利用自身知识来实现参与护理。他们认为自己的病情越严重，就越不想参与，越表示需要被允许放弃控制权。患者理想的护理图景有时会被打乱，基于自身经历，他们批评护理并提出有助于总体护理改进的建议。
医护专业人员患者对患病和住院有多种观念。基于所表达的众多需求的普遍性，我们认为本研究提供的见解可以推广，对普通患者也同样有效。或许，对出院计划和随访流程进行全面改革，并采用以患者为中心的护理方法，可以解决一些已发现的不足之处。
研究结果可用于为医护专业发展知识以及用于教育目的。
