PMID: 9159784May 1, 1997Paper

Exploring the everyday world of the patient in isolation

Oncology Nursing Forum
D GaskillM Fraser

Abstract

To explore the phenomenon of isolation from the perspective of patients cared for in reverse isolation for bone marrow transplant (BMT). Interpretive, phenomenologic. Hematology and bone marrow transplant unit of a large teaching hospital in Brisbane, Australia. Seven patients undergoing BMT. Phenomenologic interviews and thematic analysis of transcribed data. Patient's day-to-day experiences of reverse isolation. Although appreciative of the physical care and attention given to them, participants did not convey a sense that healthcare professionals understood the experience of the BMT recipient's isolation or illness from their perspective. Major themes elicited from analysis of the transcripts included (a) striving to take charge, which refers to participants' attempts to maintain control in a seemingly out-of-control situation. (b) intellectualizing the need for isolation, and (c) being in touch: contact with family and staff. Elements of caring for the patient appeared to dominate the comments associated with staff contact. Other forms of care (e.g., caring about) emphasize the importance of nurses understanding and connecting with peoples' meanings and experiences of their illness and treatment. Although all participants w...Continue Reading

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