Abstract:
BACKGROUND:Against the backdrop in the western world of increasing prevalence of chronic disease, active and informed patients and a policy emphasis on self-management, this English study explored health professionals' responses to expert patients. OBJECTIVES:To: DESIGN:A grounded theory approach was utilised with two concurrent data strands. SETTING:A relatively affluent English county including community, primary and secondary care settings. PARTICIPANTS:Via purposeful and theoretical sampling 100 health professionals (nurses, doctors, physiotherapists) and 100 adults affected by chronic disease participated. METHODS:Focus groups, interviews and observation. RESULTS:Nurses were found to be most anxious about expert patients when compared to other professionals, which appeared to be linked with a lack of professional confidence and unfounded fears regarding litigation. However, nurse specialists often provided a negative case for this. As a whole, nurses were most able to meet the emotional needs of patients, but apart from nurse specialists did not articulate this as a skill. CONCLUSION:Apart from nurse specialists the majority of nurses appeared limited in appropriately facilitating self-management. It is suggested that this is linked to an ongoing nursing culture of patient as passive, an over-emphasis on empirical knowledge and a feeling of vulnerability on the nurses' part towards expert patients. The findings also indicate a rhetoric rather than reality of autonomous nursing roles within the chronic disease management agenda.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Wilson PM,Kendall S,Brooks Fdoi
10.1016/j.ijnurstu.2005.10.011keywords:
subject
Has Abstractpub_date
2006-09-01 00:00:00pages
803-18issue
7eissn
0020-7489issn
1873-491Xpii
S0020-7489(05)00203-8journal_volume
43pub_type
杂志文章abstract:OBJECTIVES AND DESIGN:This review paper provides an overview of the current state of knowledge on work environment antecedents of workplace bullying and proposes an integrative model of bullying applied to registered nurses. DATA SOURCES AND REVIEW METHODS:A literature search was conducted on the databases PsycInfo, P...
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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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
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更新日期:2018-03-01 00:00:00
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