Italian nurses' perception of the avoidability of problems affecting older people with multiple chronic diseases

Journal of Clinical Nursing
Luisa SaianiAlvisa Palese

Abstract

The aim of this study was to discover whether problems experienced by older people with multiple chronic diseases were considered to be avoidable from the perspective of nurses. The concept of avoidability is defined as 'that which can be avoided'; when something is perceived as avoidable, action is taken 'to prevent the occurrence'. It is possible that the nurses' perception on the avoidability of problems in chronically-ill older people, could have a role in the decisions they make about the most suitable type of care (e.g. therapeutic, preventive) while if they perceive a problem to be unavoidable they adopt palliative interventions. No literature is available on the factors that nurses take into account when judging whether a patient's problem could be avoided or not, and no nursing diagnosis title includes the concept of an 'unavoidable' problem (e.g. unavoidable depression related to nursing home institutionalisation). A phenomenological method was used to identify and understand the meaning of a human being's experience by means of direct reporting and interviews. Participants were forty 40 nurses working in homecare services and nursing homes in Northern Italy. Various factors were assumed to make certain problems inesc...Continue Reading

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