Achieving therapeutic clarity in assisted personal body care: professional challenges in interactions with severely ill COPD patients

Journal of Clinical Nursing
Kirsten Lomborg, Marit Kirkevold

Abstract

This paper aims to present a theoretical account of professional nursing challenges involved in providing care to patients suffering from chronic obstructive pulmonary disease. The study objectives are patients' and nurses' expectations, goals and approaches to assisted personal body care. The provision of help with body care may have therapeutic qualities but there is only limited knowledge about the particularities and variations in specific groups of patients and the nurse-patient interactions required to facilitate patient functioning and well-being. For patients with severe chronic obstructive pulmonary disease, breathlessness represents a particular challenge in the performance of body care sessions. We investigated nurse-patient interactions during assisted personal body care, using grounded theory with a symbolic interaction perspective and a constant comparative method. Twelve cases of nurse-patient interactions were analysed. Data were based on participant observation, individual interviews with patients and nurses and a standardized questionnaire on patients' breathlessness. Nurses and patients seemed to put effort into the interaction and wanted to find an appropriate way of conducting the body care session accordin...Continue Reading

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Citations

Jul 29, 2015·Journal of Advanced Nursing·Georgia TobianoWendy Chaboyer
Jun 22, 2010·Heart & Lung : the Journal of Critical Care·Mary Beth HappLeslie A Hoffman
Dec 10, 2013·Scandinavian Journal of Caring Sciences·Henny Torheim, Marit Kvangarsnes
Apr 26, 2014·Palliative & Supportive Care·Cecilia Håkanson, Joakim Ohlén
Mar 15, 2015·International Journal of Nursing Studies·Georgia TobianoWendy Chaboyer
Apr 30, 2016·BMC Nursing·Maria Omel JellingtonErik Elgaard Sørensen
Aug 1, 2012·Chronic Respiratory Disease·Pauline BoeckxstaensAn De Sutter
Dec 31, 2009·Western Journal of Nursing Research·Marilyn Plummer, Lynne E Young
Sep 7, 2017·International Journal of Qualitative Studies on Health and Well-being·Ingrid Charlotte AndersenLise Hounsgaard

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