Experiencing Hospitalisation

Question 1

Florence nightingale influence

Answer 1

1. Acknowledged importance of environment during crimean war (clean living areas, fresh air, light)
2. Shifted focus from disease process towards enviro conducive to healing

Question 2

Illness

Answer 2

Subjective experience, diminution in physical, emotional, intellectual, social, developmental, spiritual functioning

Question 3

Disease

Answer 3

Alteration in bodily functions resulting in reduction of capacities , objective state of ill

Question 4

Impact of illness

Answer 4

Pt: anxiety, helplessness, shock, denial
Family: role adjustment/reversals, heightened vulnerability to illness

Question 5

Genogram do what

Answer 5

1. Concise visual depiction of family structure
2. Helps team members understand family situation

Question 6

Lack of what in hospital for pt (ex sharing room)

Answer 6

Privacy/confidentiality

Question 7

4 main threats to hospitalization

Answer 7

1. Powerlessness
2. Dependency
3. Depersonalization
4. Loneliness

Question 8

Powerlessness: loss of control

Answer 8

1. Physical (illness)
2. Psychological (must provide personal info, don’t know doctor)
3. Lack control abt unit/room/equipment
4. Feelings of frustration

Question 9

Increase sense of control by

Answer 9

1. Provide explanations (procedures, incisions)
2. Allow expression feeling
3. Ensure needed objects within reach (call bell, tissues…)
4. Encourage participation (hygiene care)

Question 10

Powerlessness: lack of knowledge

Answer 10

Can imagine unrealistic complications/limitations
Avoid that by
1. Not use medical jargon
2. Clarify pt understanding/situation
3. Give time to absorb info

Question 11

Dependency

Answer 11

1. On institutions
2. Stripped individuality by procedures and rituals of institutions
3. Pt express anger but gratitude is expected

Question 12

Decrease dependency by

Answer 12

1. Respond to anger, investigate the need expressed
2. Give pt choices if possible

Question 13

Depersonalization

Answer 13

1. When seen more as illness than person
2. Privacy forgotten
3. Most common emotional response is anger

Question 14

Decrease dehumanization by

Answer 14

1. Introduce yourself
2. Use pt preferred name
3. Don’t talk down (our instead of your (ex walk))
4. Promote pictures and belongings
5. Insure privacy

Question 15

Loneliness

Answer 15

1. Desire contact (meaningful)
   Decrease loneliness by
2. Spend time w pt
3. Get to know pt
4. Take out of room
5. Encourage family visits

Question 16

3 prominent themes experienced on acute care

Answer 16

1. Disconnection vs connection
2. Fear vs less fear
3. Confinement vs freedom

Question 17

Disconnection vs connection

Answer 17

Connection to nurse is crucial for experience of acute care, staff make or break pt’s stay”

Question 18

Promote connection

Answer 18

1. Friendly, attentive, encouraging nurse (increased comfort and feeling of being cared for)
2. Positive connections through non verbal
3. Frequent check ins

Question 19

Fear vs less fear

Answer 19

1. Vulnerability
2. Health/illness/disability
3. Powerlessness

Question 20

Decrease fear

Answer 20

1. Physical proximity
2. Attentiveness of staff (more safe and secure feelings)
3. Check ins (caring attitude)
4. Nurse advocacy

Question 21

Confinement vs freedom

Answer 21

See hospital as place don’t want to go, be, glad to leave

Question 22

Provide sense of freedom

Answer 22

1. Nurse being “right there for pt”
2. Check ins
3. Positive relationship w staff (to allow pt to leave unit for ex)
4. Wide open spaces
5. Windows (temporary escape)
6. Keep door open

Question 23

Pt wants interpersonal connections

Answer 23

1. Friendly, check ins, responsive nurses
2. Positive non verbal, presence, protective against possible errors, non intervention time

Question 24

Implications for nursing practice

Answer 24

1. Brief but frequent contact: competent, organized but caring nurse
2. Regular presence creates security/comfort/caring attitude
3. Positive demeanour
4. Attend pt feelings of confinement
5. Have family present to decrease isolation/fear