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Cooperation during Morning Care between Nurses and Severely Demented Institutionalized Patients

Author

Listed:
  • Ingalhll R. Hallbierg

    (University of Lund and Kristianstad College for Health Professions)

  • Goran Holst

    (University of Lund and Kristianstad College for Health Professions)

  • Asa Nordmark

    (University of Lund and Kristianstad College for Health Professions)

  • Anna-Karen Edberg

    (University of Lund and Kristianstad College for Health Professions)

Abstract

Nurse-patient cooperation during morning care in two wards for the care of severely demented patients (107 observations) were analyzed by using a hermeneutic-phenomenological approach. Nurse-patient cooperation was found to be characterized by their acting in mutuality or unilaterality and in or out of pace with each other. When acting in pace and mutuality, the nurse and patient turned to each other as persons as well as to the task. This theme related to confirming nurse actions and actions that provided opportunities for the patient to participate. When acting out of pace and unilaterality, cooperation was mainly task oriented and related to acts of resistance, the use of force, loss of attention or turning to others, or the patient wanted to escape. The findings were interpreted within the contexts of power, empowerment and powerlessness and may serve as indicators of low- or high-quality nurse-patient cooperation during morning care provided for demented patients.

Suggested Citation

  • Ingalhll R. Hallbierg & Goran Holst & Asa Nordmark & Anna-Karen Edberg, 1995. "Cooperation during Morning Care between Nurses and Severely Demented Institutionalized Patients," Clinical Nursing Research, , vol. 4(1), pages 78-104, February.
    • Handle: RePEc:sae:clnure:v:4:y:1995:i:1:p:78-104
    DOI: 10.1177/105477389500400108
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