Abstract
OBJECTIVES: This paper provides a theoretical account of nurses' collaboration with patients with chronic obstructive pulmonary disease during non-invasive ventilation treatment in hospital.
BACKGROUND: Despite strong evidence for the effect of non-invasive ventilation treatment, success remains a huge challenge. Nurse-patient collaboration may be vital for treatment tolerance and success. A better understanding of how nurses and patients collaborate during non-invasive ventilation may therefore contribute to improvement in treatment success.
DESIGN: A constant comparative classical grounded theory.
METHOD: The data comprised sessions of qualitative participant observation during the treatment of 21 patients with non-invasive ventilation that included informal conversations with the nurses and semi-structured interviews with 11 patients after treatment completion. Data were collected at three intensive care units and one general respiratory ward in Denmark.
RESULTS: Succeeding emerged as the nurses' main concern in the nurse-patient collaboration during non-invasive ventilation treatment. Four collaborative typologies emerged as processing their main concern: (1) twofold oriented collaboration; (2) well-being oriented collaboration; (3) outcome oriented collaboration; and (4) absent collaboration.
CONCLUSIONS: This study offers a theoretical account of nurses' main concern and how they activate different ways of collaboration to achieve successful treatment. We offer a theoretical basis for developing complex interventions.
Original language | English |
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Journal | International Journal of Nursing Studies |
Volume | 50 |
Issue number | 1 |
Pages (from-to) | 26-33 |
Number of pages | 8 |
ISSN | 0020-7489 |
DOIs | |
Publication status | Published - Jan 2013 |
Externally published | Yes |
Keywords
- Adaptation, Psychological
- Adult
- Aged
- Aged, 80 and over
- Denmark
- Female
- Humans
- Inpatients
- Male
- Middle Aged
- Noninvasive Ventilation
- Nurse-Patient Relations
- Patient Participation
- Patient Preference
- Problem Solving
- Pulmonary Disease, Chronic Obstructive
- Treatment Failure
- Treatment Outcome
- Journal Article
- Multicenter Study
- Research Support, Non-U.S. Gov't