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Nursing Ethics, Vol. 13, No. 3,
222-235 (2006)
DOI: 10.1191/0969733006ne873oa
Cancer Patients’ Perception of Being or Not Being Confirmed
Dagfinn Nåden
Oslo University College, Oslo, Norway, Dagfinn.Naden{at}su.hio.no
Berit Sæteren
Rikshospitalet-Radiumhospitalet Health Enterprise, Oslo, Norway
The aim of this study was to obtain in-depth knowledge about caring confirmation of patients with cancer, from the patients’ point of view. The research topic was: what is the significance for patients of their being confirmed by nursing personnel? Fifteen men and women between 43 and 80 years of age participated in this study. The method of data collection used was qualitative research interviewing. A hermeneutic approach was used to interpret the data, in which Kvale’s self-perception, the ‘common sense’ level, and theoretical levels were applied. The results are summarized in three areas: an outer confirmation, an inner confirmation, and a lack of the latter. Outer confirmation meant being understood and taken seriously; the maintenance of human dignity and worth indicated inner confirmation. A lack of inner confirmation is primarily manifest in terms of patients’ mental, spiritual and existential concerns. In relation to the theory of Eriksson, these patients were confirmed at the level of having and being, but seldom at the level of becoming.
Key Words: cancer • confirmation • dignity • patients’ perception • suffering
References
- Siirala M. From transfer to transference, or: Let us not forget Laios when we recognize Oedipus . Int Forum Psychoanal 1993; 2: 90-101 .
- Lindström UÅ. Psykiatrisk vårdlära.(Textbook of psychiatric caring.) Liber Utbildning AB , 1994 (in Swedish).
- Halldorsdottir S. Caring and uncaring encounters in nursing and health care - developing a theory. (Linköping University Medical Dissertations, no. 493.) Linköping University, 1996.
- Nåden D. Når sykepleie er kunstutøvelse. En undersøkelse av noen nødvendige forutsetninger for sykepleie som kunst.(When nursing is an art. A survey of some necessary conditions for nursing as art.) [Thesis] Acta Caritatis Academiae Aboensis, 1998 (in Norwegian).
- Garvin BJ, Kennedy CW. Confirming communication of nurses in interaction with physicians . J Nurs Educ 1988; 27: 161-166 .[Medline]
[Order article via Infotrieve]
- Henningson A. Se mig! Om sjuksköterskestudenters upplevelser av bekräftelse under sin utbildning. (Look at me! On student nurses’ experiences with confirmation during their training.) University of Lund , 1998 (in Swedish).
- Severinsson EI. Confirmation, meaning and self-awareness as core concepts of the nursing supervision model . Nurs Ethics 2001; 8: 36-44 .[Abstract/Free Full Text]
- Talseth A-G, Lindseth A, Jacobsson L, Nordberg A. The meaning of suicidal psychiatric in-patients’ experiences of being cared for by mental health nurses . J Adv Nurs 1999; 29: 1034-1041 .[CrossRef][ISI][Medline]
[Order article via Infotrieve]
- Rundqvist E, Severinsson EI. Caring relationships with patients suffering from dementia - an interview study . J Adv Nurs 1999; 29: 800-808 .[CrossRef][ISI][Medline]
[Order article via Infotrieve]
- Schibbye A-LL. Anerkjennelse - en terapeutisk intervensjon. (Recognition - a therapeutic intervention.) Tidsskrift for norsk psykologforening 1996; 33: 530-537 (in Norwegian).
- Gustafsson B, Willmann AM. Nurses’ self-relation - becoming theoretically competent: The SAUC model for confirming nursing . Nurs Sci Q 2003; 16: 265-271 .[Abstract]
- Kvale S. Interviews. An introduction to qualitative research interviewing. SAGE , 1996.
- Helenius R. Förstå och bättre veta.(To understand and know better.) Ralf Helenius och Carlsson Bokförlag , 1990 (in Swedish).
- Seedhouse D. Practical nursing philosophy. The universal ethical code. Wiley , 2000.
- Edlund M. Människans värdighet - ett grundbegrepp inom vårdvetenskapen.(Human dignity - a basic caring science concept.) [Thesis] Åbo Akademi University, 2002 (in Swedish).
- Eriksson K. Lidandets idé. In: Eriksson K ed. Möten med lidanden.(The encounter with suffering.) (Research repport 1993, no. 4.) Åbo Akademi University , 1993: 1-27 (in Swedish).
- Eriksson K. Vårdvetenskap som akademisk disciplin.(Health care science as an academic discipline.) (Research report 2001, no. 7.) Åbo Akademi University , 2001 (in Swedish).
- Bishop AH, Scudder JR. Nursing ethics: therapeutic caring presence. Jones and Bartlett , 1996.
- Thorne SE. Helpful and unhelpful communications in cancer care: the patient’s perspective . Oncol Nurs Forum 1988; 15: 167-172 .[Medline]
[Order article via Infotrieve]
- Nåden D, Eriksson K. The phenomenon of confirmation: an aspect of nursing as an art . Int J Hum Caring 2000; 4: 23-28 .
- Halldorsdottir S, Hamrin E. Experiencing existential changes: the lived experience of having cancer . Cancer Nurs 1996; 19: 29-36 .[CrossRef][ISI][Medline]
[Order article via Infotrieve]
- Sæteren B. Åndelig omsorg. [Spiritual care.] In: Reitan A-M, Schjölberg TK eds. Kreftsykepleie. Pasient - utfordring - handling.(Cancer care. Patient - challenge - action.) Akribe , 2004: 230-241 (in Norwegian).
- Eriksson K, Bondas-Salonen T, Herberts S, Lindholm L, Matilainen D eds. Den mångdimensionella hälsan - verklighet og visioner.(Multi-dimensional health - reality and visions.) (Final research report.) Vasa Health District SKN and Department of Caring Science, Åbo Akademi University , 1995 (in Swedish).
- Nåden D, Eriksson K. Encounter: a fundamental category of nursing as an art . Int J Hum Caring 2002; 6: 34-40 .
- Sæteren B. Omsorg for døende pasienter. (Caring for dying patients.) In: Reitan A-M, Schjölberg TK eds. Kreftsykepleie. Pasient - utfordring - handling.(Cancer care. Patient - challenge - action.) Akribe , 2004: 174-192 (in Norwegian).
- Rehnsfeldt A, Arman Rehnsfeldt M. Livsforståelseetik. (Life comprehension ethics.) In: Eriksson K, Lindström UÅ eds. Gryning II. Klinisk vårdvetenskap.(Gryning II. Clinical caring science.) Åbo Akademi University , 2003: 97-108 (in Swedish).
- Rehnsfeldt A, Eriksson K. The progression of suffering implies alleviated suffering . Scand J Caring Sci 2004; 18: 264-272 .[CrossRef][ISI][Medline]
[Order article via Infotrieve]
- Fredriksson L, Eriksson K. The ethics of the caring conversation . Nurs Ethics 2003; 10: 138-148 .[Abstract/Free Full Text]
- Rehnsfeldt A. Mötet med patienten i ett livsavgörande skeende.(The encounter with the patient in a life-changing process.) [Thesis]. Åbo Akademi University, 1999 (in Swedish).
- Helin K, Lindström UÅ. Sacrifice: an ethical dimension of caring that makes suffering meaningful . Nur Ethics 2003; 10: 414-427 .
- Eriksson K. Pro caritate. En lägesbestämning av caritativ vård. Vårdforskning.(Pro caritate. A description of caritative care. Care Science.) (Research report 1990, no. 2.) Å bo Akademi University , 1990 (in Swedish).
- Nåden D, Eriksson K. Understanding the importance of values and moral attitudes in nursing care in preserving human dignity . Nurs Sci Q 2004; 17: 86-91 .[Abstract]
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