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Stepping outside the consultation room. On nurse–patient relationships and nursing responsibilities during a type 2 diabetes walking project
AIMS: To examine the care practices of nurses during the organization of 20 weeks of walking sessions for people with type 2 diabetes and to reflect on implications for nurse–patient relationships and nursing responsibilities in the provision of physical activity (PA) care. DESIGN: Qualitative, ethn...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6852521/ https://www.ncbi.nlm.nih.gov/pubmed/31012151 http://dx.doi.org/10.1111/jan.14037 |
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author | Stuij, Mirjam Elling‐Machartzki, Agnes Abma, Tineke A. |
author_facet | Stuij, Mirjam Elling‐Machartzki, Agnes Abma, Tineke A. |
author_sort | Stuij, Mirjam |
collection | PubMed |
description | AIMS: To examine the care practices of nurses during the organization of 20 weeks of walking sessions for people with type 2 diabetes and to reflect on implications for nurse–patient relationships and nursing responsibilities in the provision of physical activity (PA) care. DESIGN: Qualitative, ethnographic study. METHODS: Almost 70 hr of field work was completed by participant observations and informal conversations with nurses and participating patients of two different walking groups (April–October 2016). Analysis of field notes followed an inductive holistic‐content approach, using both within‐case and across‐case analysis. RESULTS: The analysis revealed four main themes related to the nurses’ care practices: (a) organizational efforts; (b) combining group and individual care; (c) stepping in‐ and outside the patient mode; and (d) implications back inside the consultation room. Underlying these themes was a process of relational development, both with and among patients. CONCLUSION: Stepping outside the consultation room seems to offer more space for patients’ lifeworld narratives and contribute to more continuous and person‐centred care. However, it also raises new questions about the provision of PA care and nursing responsibilities in this. IMPACT: Current nursing repertoires for PA counselling in type 2 diabetes care are insufficient and might be extended by organizing walking sessions for patients. Related nursing care practices impacted relationships both with and among participating patients. These have consequences for boundaries of both nursing responsibilities and care provision. |
format | Online Article Text |
id | pubmed-6852521 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-68525212019-11-20 Stepping outside the consultation room. On nurse–patient relationships and nursing responsibilities during a type 2 diabetes walking project Stuij, Mirjam Elling‐Machartzki, Agnes Abma, Tineke A. J Adv Nurs Research Papers AIMS: To examine the care practices of nurses during the organization of 20 weeks of walking sessions for people with type 2 diabetes and to reflect on implications for nurse–patient relationships and nursing responsibilities in the provision of physical activity (PA) care. DESIGN: Qualitative, ethnographic study. METHODS: Almost 70 hr of field work was completed by participant observations and informal conversations with nurses and participating patients of two different walking groups (April–October 2016). Analysis of field notes followed an inductive holistic‐content approach, using both within‐case and across‐case analysis. RESULTS: The analysis revealed four main themes related to the nurses’ care practices: (a) organizational efforts; (b) combining group and individual care; (c) stepping in‐ and outside the patient mode; and (d) implications back inside the consultation room. Underlying these themes was a process of relational development, both with and among patients. CONCLUSION: Stepping outside the consultation room seems to offer more space for patients’ lifeworld narratives and contribute to more continuous and person‐centred care. However, it also raises new questions about the provision of PA care and nursing responsibilities in this. IMPACT: Current nursing repertoires for PA counselling in type 2 diabetes care are insufficient and might be extended by organizing walking sessions for patients. Related nursing care practices impacted relationships both with and among participating patients. These have consequences for boundaries of both nursing responsibilities and care provision. John Wiley and Sons Inc. 2019-06-06 2019-09 /pmc/articles/PMC6852521/ /pubmed/31012151 http://dx.doi.org/10.1111/jan.14037 Text en © 2019 The Authors Journal of Advanced Nursing Published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Papers Stuij, Mirjam Elling‐Machartzki, Agnes Abma, Tineke A. Stepping outside the consultation room. On nurse–patient relationships and nursing responsibilities during a type 2 diabetes walking project |
title | Stepping outside the consultation room. On nurse–patient relationships and nursing responsibilities during a type 2 diabetes walking project |
title_full | Stepping outside the consultation room. On nurse–patient relationships and nursing responsibilities during a type 2 diabetes walking project |
title_fullStr | Stepping outside the consultation room. On nurse–patient relationships and nursing responsibilities during a type 2 diabetes walking project |
title_full_unstemmed | Stepping outside the consultation room. On nurse–patient relationships and nursing responsibilities during a type 2 diabetes walking project |
title_short | Stepping outside the consultation room. On nurse–patient relationships and nursing responsibilities during a type 2 diabetes walking project |
title_sort | stepping outside the consultation room. on nurse–patient relationships and nursing responsibilities during a type 2 diabetes walking project |
topic | Research Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6852521/ https://www.ncbi.nlm.nih.gov/pubmed/31012151 http://dx.doi.org/10.1111/jan.14037 |
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