Facilitation of a Person-Centered Approach in Health Assessment of patients with chronic pain: An Ethnographic Study

Research output: Contribution to journalArticlepeer-review

Authors

External organisations

  • The University of Akureyri
  • University of Iceland

Abstract

A phenomenologically derived assessment tool, Hermes, was developed in a rehabilitation setting for adopting the central ideals of person-centered care and patient participation into health-assessment practices in nursing. This focused ethnographic study aimed at exploring the feasibility of using Hermes for enabling the application of these ideals into assessment of patients with chronic pain upon admission to a rehabilitation center. Participants were patients with chronic pain, enrolled in rehabilitation, and their nurses. Data were collected by participant observation and interviews, and analyzed by thematic analysis. By the use of Hermes, the impact of illness was explored through supportive connection and dialogue with open, reflective, and interpretative features; understanding of the illness situation was enhanced; and possibilities provided in adjusting to health issues of concern. In sum, Hermes facilitated person-centered participation of patients with chronic pain in their health assessment and made a phenomenological philosophy usable in nursing-assessment practices.

Bibliographic note

Funding Information: The authors would like to thank the participants of the study for their valuable contribution, as well as the nursing director of the hospital involved for supporting the study. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The authors acknowledge the financial support obtained from The Icelandic Nurses? Association Science Fund; The University of Iceland, Research Fund (Grant Number 121209); The University of Akureyri, Research Fund (Grant Numbers R1112; R1711); and The Science Fund of Ingibjorg Magn?sd?ttir. The sponsors had no role in the study design, analysis, or preparation of this article. Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The authors acknowledge the financial support obtained from The Icelandic Nurses’ Association Science Fund; The University of Iceland, Research Fund (Grant Number 121209); The University of Akureyri, Research Fund (Grant Numbers R1112; R1711); and The Science Fund of Ingibjorg Magnúsdóttir. The sponsors had no role in the study design, analysis, or preparation of this article. Publisher Copyright: © The Author(s) 2018.

Details

Original languageEnglish
Pages (from-to)471-483
Number of pages13
JournalQualitative Health Research
Volume29
Issue number4
Publication statusPublished - 1 Mar 2019

Keywords

  • chronic, communication, doctor–patient, ethnography, health, holistic care, Iceland, lived experience, nurse–patient, nursing, pain, qualitative, rehabilitation

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