"Den Involverende Stuegang" De pårørendes oplevede muligheder og barrierer ved anvendelsen af metoden

Annika Weihe

Studenteropgave: Speciale

Abstrakt

Problem definition: Which benefits and barriers do relatives to admitted patients experience in the meeting with healthcare professionals practicing “Involving Rounds” (DIS)? This thesis focuses on the recognition of relatives of hospitalized patients in health care. In this context, the method triangulation is used by the field observations at DIS combined with semi-structured interviews with relatives. Involving family members, in general, improves both the standard of care and the patients and their relatives’ daily living. Qualitative and Quantitative studies indicate that there are social and human benefits of recognition and involvement of relatives in patient care. At the same time experiences the relatives a lack of recognition by the health system. What will it take to relatives experiencing more recognition, and thereby involved in patient care than is the case today? Are there any methods exacting in terms of recognizing and thus involve the relatives in the patient care? This is a Qualitative study The DIS method has been used to illuminate the relatives' perspective in relation to recognition in the meeting with the healthcare professionals. The Honneth recognition theory is selected, including the three recognitions and negative forms, to illuminate the problem definition. The patients’ relatives’ experience lack of empathy into the patient’s situation as well as a perceived lack of proximity in the meeting with health professionals as the love recognition barrier. The relatives’ experience of a missing invitation prior to their participation, and the insufficient information regarding the DIS, experienced as a barrier for legal recognition. Another possible barrier for legal recognition is the meeting form, with the doctor as moderator sitting at the end of the table, and all the health care professionals on his left side across the patient and relatives’ also. The relatives’ experienced contingence for social recognition, by the DIS method, as is being well informed about the disease and treatment, to gain insight into the interdisciplinary work around the patient, to be involved in the patient care, to influence the process and to get questions answered regarding treatment. Relatives’ experience of barriers to social recognition is the experience of not being listened to or taken seriously and the experience of the lack of responsiveness to constructive criticism wishes and needs, as well as the predetermined scheduling for the DIS. However, it appears doubtful whether it is the DIS method itself that has an impact on the relatives' experience of love recognition, or whether it perhaps is determined by the health professional ability and interest in empathy with the patient and the relatives' situation. Thesis results suggest the families experiencing social recognition in the form of involvement in the patient care, which corresponds well with the purpose of the DIS. It suggests, however, that relatives are not experiencing legal recognition in the form of an equal partnership. Still, it is not possible to conclude anything universally applicable and finally from the limited empirical data in this thesis. In spite of the limited size of the study, there are findings indicating that there is a need for more research on the relatives' experiences and assessment of DIS. This could help to further develop the method DIS, for the benefit of patients, families and health professionals.

UddannelserSundhedsfremme og Sundhedsstrategier, (Bachelor/kandidatuddannelse) Kandidat
SprogDansk
Udgivelsesdato17 jun. 2015
VejledereSøren Juul

Emneord

  • recognition theory
  • Involving Rounds
  • qualitative
  • Den Involverende Stuegang
  • benefits and barriers
  • relatives
  • Honneth
  • DIS