A Heideggerian Analysis of Good Care in an Acute Hospital Setting: Insights from Healthcare Workers, Patients and Families.

Date
2023-05-17
Authors
Dewar, Jan
Cook, Catherine
Smythe, Elizabeth
Spence, Deborah
Supervisor
Item type
Journal Article
Degree name
Journal Title
Journal ISSN
Volume Title
Publisher
Wiley
Abstract

This study articulates the relational constituents of good care beyond techno-rational competence. Neoliberal healthcare means that notions of care are readily commodified and reduced to quantifiable assessments and checklists. This novel research investigated accounts of good care provided by nursing, medical, allied and auxiliary staff. The Heideggerian phenomenological study was undertaken in acute medical-surgical wards, investigating the contextual, communicative nature of care. The study involved interviews with 17 participants: 3 previous patients, 3 family members and 11 staff. Data were analysed iteratively, dwelling with stories and writing and rewriting to surface the phenomenality of good care. The data set highlighted the following essential constituents: authentic care: caring encompassing solicitude (fürsorge); impromptu care: caring beyond role category; sustained care: caring beyond specialist parameters; attuned care: caring encompassing family and culture; and insightful care: caring beyond assessment and diagnosis. The findings are clinically significant because they indicate the importance of nurse leaders and educators harnessing the potential capacity of all healthcare workers to participate in good care. Healthcare workers reported that participating in or witnessing good care was uplifting and added meaning to their work, contributing to a sense of shared humanity.

Description
Keywords
Heidegger , auxiliary healthcare staff , good care , health professionals , healthcare assistants , hospital care , nurses , phenomenology , 1110 Nursing , Nursing , 4204 Midwifery , 4205 Nursing
Source
Nurs Inq, ISSN: 1320-7881 (Print); 1440-1800 (Online), Wiley, e12561-. doi: 10.1111/nin.12561
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