Abstract：
:The aim of this study was to illuminate nurses' experiences of the encounter with elderly patients who developed acute confusional state (ACS) in orthopaedic care. Forty-eight nurses with professional background as registered (n=26) or licensed practical nurses (n=22) who took part in the nursing care of acute confused patients were involved. Open-ended unstructured interviews were conducted with regard to the course of events, experiences and interpretation of what had happened during the ACS as well as the nurses' actions and encounter with the confused patient. The texts were analysed using manifest and latent content analysis, revealing that the nurses had difficulties in reaching the patients and their reality, and thus in understanding their experiences. Interpretation of the nurses' experiences showed that the nurses found it difficult to reach the patients' reality because the patients were in a divided and/or different world. They interpreted the patients as seeking solitude or company, keeping a distance or being suspicious of the nurses. The findings indicated that the interaction in the encounter between the acutely confused patients and the nurses indicated insufficient and/or broken reciprocity. The nurses used various strategies to meet the patients, being a companion and/or being a surrogate. They acted in the encounter based on their view of the patient and their ability to enter into and understand the patients' situation. The strategies were more or less successful, sometimes resulting in contact and calming the patients and in other cases increasing the patients' irritation and anger. The results were more successful when the strategies were derived from the nurses' interpretation of the patients' situation and the nurses paid attention to the patients and confirmed them.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Andersson EM,Hallberg IR,Edberg AKdoi
10.1016/s0020-7489(02)00109-8keywords:
subject
Has Abstractpub_date
2003-05-01 00:00:00pages
437-48issue
4eissn
0020-7489issn
1873-491Xpii
S0020748902001098journal_volume
40pub_type
杂志文章abstract：BACKGROUND:Ever-growing demands on care systems have increased reliance on healthcare support workers. In the UK, their training has been variable, but organisation-wide failures in care have prompted questions about how this crucial section of the workforce should be developed. Their training, support and assessment h...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2017.11.010
更新日期：2018-03-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Clinically, there is an increasing trend in using motivational interviewing as a counseling method to help clients with cardiovascular diseases to modify their unhealthy lifestyle in order to decrease the risk of disease occurrence. As motivational interviewing has gained increased attention, r...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
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更新日期：2016-01-01 00:00:00
abstract：:This paper explores a number of areas for research development in mental health nursing in the United Kingdom. Several potential areas are identified: historical research, policy related research, the role of mental health nurse as a provider of a therapeutic milieu, as therapist and as teacher. Academic centres are i...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/0020-7489(91)90017-w
更新日期：1991-01-01 00:00:00
abstract：BACKGROUND:Parents who are connected into strong family and community networks are said to have high social capital enabling them to provide a positive context where their children's social, emotional and educational needs are met. OBJECTIVES:To identify parent satisfaction with, strengths and weaknesses of, opportuni...
journal_title：International journal of nursing studies
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ijnurstu.2006.09.008
更新日期：2008-03-01 00:00:00
abstract：:Attitudes of psychiatric nursing personnel towards patients who had attempted suicide were examined before and after a training program in psychiatric suicide prevention. The attitudinal changes were measured by a newly constructed scale, the understanding of suicide attempt patients scale (USP-scale), and responses t...
journal_title：International journal of nursing studies
pub_type： 杂志文章
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abstract：:Recruitment and retention of nursing personnel is a major problem in many parts of the world, particularly developing countries. Strategies for promoting job satisfaction can help reduce the costs of high turnover and increase the quality of patient care. As part of a larger international study on women's health, a co...
journal_title：International journal of nursing studies
pub_type： 杂志文章,多中心研究
doi：10.1016/0020-7489(96)00001-6
更新日期：1996-10-01 00:00:00
abstract：BACKGROUND:A high prevalence of postpartum physical symptoms and depressive symptomatology has been reported in Western countries. Although previous studies have shown postpartum physical symptoms and emotional problems are correlated, a causal relationship between the two variables has not been established. OBJECTIVE...
journal_title：International journal of nursing studies
pub_type： 杂志文章
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更新日期：2009-09-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2013.10.003
更新日期：2014-05-01 00:00:00
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journal_title：International journal of nursing studies
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更新日期：2015-07-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(01)00055-4
更新日期：2002-08-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/j.ijnurstu.2004.05.016
更新日期：2005-01-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2009.05.009
更新日期：2010-02-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2003.12.004
更新日期：2004-07-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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更新日期：2020-06-30 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(03)00073-7
更新日期：2004-01-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.ijnurstu.2017.03.003
更新日期：2017-06-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
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更新日期：1999-12-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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更新日期：2015-01-01 00:00:00
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更新日期：2014-07-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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更新日期：1991-01-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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更新日期：2003-02-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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更新日期：2007-07-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
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更新日期：2016-03-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
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更新日期：2002-09-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
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更新日期：1991-01-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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更新日期：2013-10-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
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更新日期：1989-01-01 00:00:00
