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Lived Experience of Mutuality in a Caring Moment between the Nurse and Patient in an Acute Care Setting.

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Title:Lived Experience of Mutuality in a Caring Moment between the Nurse and Patient in an Acute Care Setting.
Authors:Potter-Dunlop, Julie A.
Contributors:Nursing (PhD) (department)
Keywords:Authentic caregiving
Theory of Human Relatedness
show 1 moretherapeutic relationships
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Date Issued:Dec 2017
Publisher:University of Hawaiʻi at Mānoa
Abstract:Therapeutic relationships are the foundation of nursing practice. Nurses can enhance these relationships through use of effective communication skills, their understanding of human behavior, and their insights into the caring relationship itself. More recently, nurses and nurse educators are looking to The Quality and Safety Education for Nurses (QSEN) initiative for new ways to narrow existing communication gaps between nurses and patients in order to provide safe care and improve clinical outcomes. It is thought that through nursing workforce development in establishing therapeutic relationships with patients, nurses can more accurately identify health problems, promote patient safety, and improve clinical outcomes (Sherwood, 2012) by reflecting on how they communicate with patients. The purpose of this dissertation is to explore the concept of Mutuality, as a social competency, in the context of exchanges between nurses and patients in an acute care setting. The findings of an exhaustive literature review of the concept of Mutuality in psychosocial and nursing-related databases are presented. A review of relevant contributions on this subject suggests the following research question: What are nurses’ perceptions of Mutuality and its use in their interactions with patients? To address this question, Mutuality is viewed through the lens of Hagerty, Lynch-Sauer, Patusky, and Bouwsema’s (1993), nursing Theory of Relatedness (THR) framework, and is used to inform and direct a qualitative descriptive phenomenological inquiry design. In-depth interviews with registered nurses on two medical-surgical units at Maui Memorial Medical Center in Wailuku, Hawai`i
were conducted, the transcripts coded, and data analyzed according to Colaizzi’s (1978), Nine-Step Comparative Data Analysis Method (Munhall, 1994; Streubert & Rinaldi-Carpenter, 2011), Categories (including the frequency of occurrence), theme clusters, and themes are presented and discussed as are nursing considerations and recommendations for future research with a focus on the patient in the nurse-patient therapeutic relationship.
Description:Ph.D. Thesis. University of Hawaiʻi at Mānoa 2017.
Rights:All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
Appears in Collections: Ph.D. - Nursing

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