Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden.
Int J Qual Stud Health Well-being. 2021 Dec;16(1):1983950. doi: 10.1080/17482631.2021.1983950.
nurses working in home care often encounter patients with multiple diagnoses in unpredictable environments. This may cause ethical and emotional challenges and influence nurses' daily work. The aim of this study was to illuminate the meaning of nurses' lived experiences of encountering patients in home care.
narrative interviews were conducted with 11 nurses. These interviews were audiotaped and transcribed verbatim and analysed using a phenomenological hermeneutic approach.
the findings are presented under three main themes: (1)"Being receptive to the other" (with subthemes "Caring about the encounter," and "Establishing trusting relationships"). (2) "Need to handle Handling the unpredictable" (with subthemes "Being alone in the encounter" and "Being experienced and competent"). (3) "Managing frustration" (with subthemes "Feeling insufficient" and "Feeling restricted". Having overall nursing responsibility challenged the nurse's self-confidence in providing care trustfully.
encountering patients in home care means relating to the other unconditionally, which aim to highlight patients' needs. Being a nurse in home care is both emotionally demanding and rewarding. Having the courage to face their own and the patients' vulnerabilities will entail the promotion of natural receptivity and responsiveness to patients' needs.
在居家护理环境中，护士经常会遇到患有多种疾病的患者，这种情况具有不可预测性，这可能会给护士带来伦理和情感上的挑战，并影响护士的日常工作。本研究旨在阐明护士在居家护理中遇到患者时的生活体验的意义。
对 11 名护士进行了叙事访谈。这些访谈被录音并逐字转录，并采用现象学解释学方法进行分析。
研究结果呈现出三个主题：（1）“对他人的接纳”（包含“关心相遇”和“建立信任关系”两个子主题）。（2）“需要处理不可预测性”（包含“在相遇中感到孤独”和“有经验和能力”两个子主题）。（3）“应对挫折”（包含“感到不足”和“感到受限”两个子主题）。总体护理责任对护士充满信心地提供信任护理的能力提出了挑战。
在居家护理中遇到患者意味着无条件地与他人建立关系，旨在突出患者的需求。作为居家护理护士，这份工作既充满情感挑战，也带来回报。有勇气面对自己和患者的脆弱性，将促进对患者需求的自然接受和反应。
