Hauan Marianne, Kvigne Kari, Alteren Johanne
Faculty of Nursing and Health Science, Nord University, Mo i Rana, Norway.
Faculty of Health and Social Science, Inland University of Applied Science, Elverum, Norway.
SAGE Open Nurs. 2023 Feb 19;9:23779608231157969. doi: 10.1177/23779608231157969. eCollection 2023 Jan-Dec.
To accommodate challenges threatening the healthcare sector's sustainability, district nursing in Norway implemented the rehabilitative and health promoting mindset of everyday coping. When implementing new ideas and practices in nursing care, understanding the significance of this mindset on patient care and whether it corresponds to nursing values are important to ensure healthcare quality.
This study aimed to understand how nurses practice care where everyday coping is implemented in district nursing and their experience of everyday coping as a mindset in relation to nursing values.
A qualitative study was conducted including 19 observations and 19 narrative interviews with 10 district nurses, during two data collection periods. Data were analyzed using a phenomenological-hermeneutic method. The analysis process consisted of three steps: naïve reading, structural analysis, and comprehensive understanding.
The following two main themes and four sub-themes emerged from the data analyses: (i) Understanding individual patient situations; "Creating a nurse-patient relationship to understand the patient landscape" and "providing care based on individual patient needs," (ii) knowing when and how to motivate or help patients; "distinction between motivating patients and causing stress" and "realistic and desirable demands to motivate patients to perform tasks."
Participants determined how to provide care to patients based on their values, professional knowledge, and individual patient situations. The patient landscape is diverse and everyday coping is unable to capture the diversity of patient groups. Thus, everyday coping is not expressed as an overall mindset in nursing practice.
为应对威胁医疗保健部门可持续性的挑战，挪威的社区护理采用了日常应对中的康复和健康促进思维模式。在护理实践中实施新想法和做法时，理解这种思维模式对患者护理的重要性以及它是否符合护理价值观对于确保医疗质量至关重要。
本研究旨在了解护士在社区护理中实施日常应对时如何提供护理，以及他们将日常应对作为一种与护理价值观相关的思维模式的体验。
在两个数据收集阶段进行了一项定性研究，包括对10名社区护士进行19次观察和19次叙事访谈。使用现象学-诠释学方法对数据进行分析。分析过程包括三个步骤：初步阅读、结构分析和全面理解。
数据分析得出以下两个主要主题和四个子主题：（i）了解个体患者情况；“建立护患关系以了解患者情况”和“根据个体患者需求提供护理”，（ii）知道何时以及如何激励或帮助患者；“区分激励患者和造成压力”以及“激励患者执行任务的现实和理想要求”。
参与者根据自己的价值观、专业知识和个体患者情况确定如何为患者提供护理。患者情况多种多样，日常应对无法涵盖患者群体的多样性。因此，日常应对在护理实践中并未表现为一种整体思维模式。
