Browsing by Author "Brysiewicz, Petra"

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    Nurses’ perceptions of caring and uncaring nursing encounters in inpatient rehabilitation settings in South Africa: A qualitative descriptive study
    (International Journal of Africa Nursing Sciences, 2019) Cheruiyot, Joan Chebet; Brysiewicz, Petra
    Background: Nursing encounters are face-to-face meetings and interactions occurring between the nurse and the patient and they can be experienced as being caring or uncaring. Caring nursing encounters are those that promote positive care experiences to the patient leading to satisfaction with care, and an improvement in their well-being. Uncaring nursing encounters promote negative care experiences, leading to patients’ dissatisfaction with care and a decrease in patients’ wellness. Purpose: This study describes nurses’ perceptions of caring and uncaring nursing encounters in inpatient rehabilitation settings. Methods: This study utilized an exploratory and descriptive qualitative approach using manifest content analysis. Participants were purposively sampled and a semi-structured interview guide used to collect data through individual interviews. Data redundancy was reached after interviewing 21 participants. This is part of a larger case study aimed at developing guidelines to facilitate caring encounters in inpatient rehabilitation settings. Results: Caring nursing encounters were “keeping their hope alive” and “going the extra mile,” while uncaring nursing encounters were “frustration with patients,” “being inadequate,” and “ignoring the patient.” Conclusion: Caring nursing encounters promoted positive patient care experiences, easing their rehabilitation journey, while uncaring nursing encounters elicited strong negative emotions, giving patients feelings of being denied compassionate care. Recommendation: Nurses must constantly encourage the rehabilitation patient to stay positive in the rehabilitation journey and empower them to self-manage their conditions. Nurses must strive to strike a balance in caring by building trust with rehabilitation patients and encourage them to air their grievances regarding uncaring nursing encounters as they happen
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    Patients’ Perceptions of Caring and Uncaring Nursing Encounters in Inpatient Rehabilitation Settings
    (Africa Journal of Nursing and Midwifery, 2019) Cheruiyot, Joan C.; Brysiewicz, Petra
    This study explores and describes caring and uncaring nursing encounters from the perspective of the patients admitted to inpatient rehabilitation settings in South Africa. The researchers used an exploratory descriptive design. A semi-structured interview guide was used to collect data through individual interviews with 17 rehabilitation patients. Content analysis allowed for the analysis of textual data. Five categories of nursing encounters emerged from the analysis: noticing and acting, and being there for you emerged as categories of caring nursing encounters, and being ignored, being a burden, and deliberate punishment emerged as categories of uncaring nursing encounters. Caring nursing encounters make patients feel important and that they are not alone on the rehabilitation journey, while uncaring nursing encounters make the patients feel unimportant and troublesome to the nurses. Caring nursing encounters give nurses an opportunity to notice and acknowledge the existence of vulnerability in the patients and encourage them to be present at that moment, leading to empowerment. Uncaring nursing encounters result in patients feeling devalued and depersonalized, leading to discouragement. It is recommended that nurses strive to develop personal relationships that promote successful nursing encounters. Further, nurses must strive to minimize the patients’ feelings of guilt and suffering, and to make use of tools, for example the self-perceived scale, to measure this. Nurses must also perform role plays on how to handle difficult patients such as confused, demanding and rude patients in the rehabilitation settings.