"New types of stories": a narrative view of good nursing care of severely ill adult patients suffering an eating disorder.

IF 4.5 3区 医学 Q2 NUTRITION & DIETETICS
Berit Støre Brinchmann
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Abstract

Background: This study is based on narratives about good nursing care from nurses with experience of working with adult patients with a severe eating disorder. Its aim is to explore and elaborate on nurses` stories. What do nurses highlight as being good nursing practice, and what can we learn from their accounts of good nursing care for people with a serious eating disorder?

Methods: Riessman's thematic narrative approach was chosen. Twelve nurses were interviewed individually and asked to reflect on stories from their nursing practice in which they had performed good nursing care. Four stories from these interviews were selected for this article. These four stories were analysed deductively, based on virtue ethics. The stories were worked on one at a time and then considered and analysed together toidentify differences and similarities.

Results: The analysis shows how nurses, in addition to scientific knowledge and experience, apply virtues, professional judgement and phronetic knowledge, and take risks in the nursing of patients with a severe eating disorder.

Conclusion: Stories of nurses are needed to complement the medical, psychological and diagnostic language used in the treatment of eating disorder patients and will further enrich both clinical practice and research.

“新类型的故事”:对患有饮食失调症的严重成年患者的良好护理的叙述观点。
背景:本研究是基于护士良好护理的叙述,这些护士有与患有严重饮食失调的成年患者工作的经验。它的目的是探索和阐述护士的故事。护士强调什么是良好的护理实践,我们能从他们对严重饮食失调患者的良好护理中学到什么?方法:采用Riessman的主题叙事方法。12名护士被单独采访,并被要求反映他们在护理实践中表现良好的护理故事。本文从这些采访中选取了四个故事。本文从德性伦理的角度对这四个故事进行了演绎分析。这些故事一次只写一个,然后一起考虑和分析,找出异同。结果:分析护士在科学知识和经验的基础上,如何运用美德、专业判断和体表知识,在护理严重进食障碍患者的过程中如何承担风险。结论:需要护士的故事来补充进食障碍患者治疗中使用的医学、心理和诊断语言,并将进一步丰富临床实践和研究。
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来源期刊
Journal of Eating Disorders
Journal of Eating Disorders Neuroscience-Behavioral Neuroscience
CiteScore
5.30
自引率
17.10%
发文量
161
审稿时长
16 weeks
期刊介绍: Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.
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