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Titolo:
The importance of 'knowing the patient': community nurses' constructions of quality in providing palliative care
Autore:
Luker, KA; Austin, L; Caress, A; Hallett, CE;
Indirizzi:
Univ Manchester, Sch Nursing Midwifery & Hlth Visiting, Manchester M13 9PL, Lancs, England Univ Manchester Manchester Lancs England M13 9PL M13 9PL, Lancs, England
Titolo Testata:
JOURNAL OF ADVANCED NURSING
fascicolo: 4, volume: 31, anno: 2000,
pagine: 775 - 782
SICI:
0309-2402(200004)31:4<775:TIO'TP>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERSPECTIVE; CANCER; HOME; DIE;
Keywords:
community; palliative/terminal care; knowing the patient; critical incident; district nursing; awareness contexts; new nursing; health care reform;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Luker, KA Univ Manchester, Sch Nursing Midwifery & Hlth Visiting, Coupland111 Bldg,Oxford Rd, Manchester M13 9PL, Lancs, England Univ Manchester Coupland 111 Bldg,Oxford Rd Manchester Lancs England M13 9PL
Citazione:
K.A. Luker et al., "The importance of 'knowing the patient': community nurses' constructions of quality in providing palliative care", J ADV NURS, 31(4), 2000, pp. 775-782

Abstract

This paper reports findings from a study conducted in one community healthcare trust where 62 members of the district nursing team (grades B-H) wereinterviewed. An adaptation of the critical incident technique was used to determine factors which contributed or detracted from high quality care fora number of key areas including palliative care. The centrality of knowingthe patient and his/her family emerged as an essential antecedent to the provision of high quality palliative care. Factors enabling the formation ofpositive relationships were given prominence in descriptions of ideal care. Strategies used to achieve this included establishing early contact with the patient and family, ensuring continuity of care, spending time with thepatient and providing more than the physical aspects of care. The characteristics described by the community nurses are similar to those advocated in'new nursing' which identifies the uniqueness of patient needs, and where the nurse-patient relationship is objectified as the vehicle through which therapeutic nursing can be delivered. The link with 'new nursing' emerges at an interesting time for community nurses. The past decade has seen many changes in the way that community nursing services are configured. The work of the district nursing service has been redefined, making the ideals of new nursing, for example holism, less achievable than they were a decade ago. This study reiterates the view that palliative care is one aspect of district nursing work that is universally valued as it lends itself to being an exemplar of excellence in terms of the potential for realizing the ideals of nursing practice. This is of increasing importance in the context of changes that militate against this ideal.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/08/20 alle ore 15:14:54