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Evid Based Nurs 6:96 doi:10.1136/ebn.6.3.96
  • Qualitative

Patients and nurses negotiated home care interactions within 6 interpersonal contexts


 
 QUESTIONS: In home care nurse-patient interactions, what are the interpersonal contexts and social acts through which negotiation occurs? What are the outcomes of unsuccessful and successful negotiation?

Design

Qualitative ethology for video based research.

Setting

A large metropolitan home healthcare agency in the western US.

Participants

10 nurse-patient dyads (3 home care nurses and 8 patients; 2 patients were each paired with 2 nurses). Patients were 25–86 years of age and required home care for acute and chronic conditions. Exclusion criterion was inability to communicate verbally because of cognitive or physical impairment. {The 3 home care nurses, who were case managers and had ≥6 years of home care experience, were peer nominated as expert practitioners.}*

Methods

31 routine home care visits were videotaped (19 hours of videotape). Nurses and patients participated in separate semistructured interviews before and after the videotaped sessions. The unit of analysis was the communication strategy (verbal or non-verbal action). Data analysis was cyclical, recursive, and verified with colleagues …

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