Altruism and the Difficult Patient
Background For some nurses, providing altruistic care to difficult patients is a challenge, leading to the use of negative coping strategies such as anger or avoidance, leaving the nurse frustrated and patients feeling rejected. Yet other nurses can deal positively with difficult patients. Purpose T...
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| Veröffentlicht in: | Journal of holistic nursing 2021-03, Vol.39 (1), p.43-55 |
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| container_title | Journal of holistic nursing |
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| creator | Kubsch, Sylvia Tyczkowski, Brenda Passel, Cheryl |
| description | Background
For some nurses, providing altruistic care to difficult patients is a challenge, leading to the use of negative coping strategies such as anger or avoidance, leaving the nurse frustrated and patients feeling rejected. Yet other nurses can deal positively with difficult patients.
Purpose
To study how the stress of caring for difficult patients affects the level of altruism and use of negative coping strategies in their care and to find out what positive coping strategies and interventions could be used.
Design/Method
A mixed-methods design was used. A survey tested the level of altruism, the use of negative coping strategies, and several demographics. Thematic analysis examined narratives generated by participants to three questions regarding how to provide altruistic care to difficult patients.
Findings
A purposive sample of 67 registered nurses (RNs) participated. The average level of altruism used by RNs with difficult patients was 99.7/120 points. An inverse relationship was found between the level of altruism and use of negative coping strategies (r = −0.577, p |
| doi_str_mv | 10.1177/0898010120933123 |
| format | Article |
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For some nurses, providing altruistic care to difficult patients is a challenge, leading to the use of negative coping strategies such as anger or avoidance, leaving the nurse frustrated and patients feeling rejected. Yet other nurses can deal positively with difficult patients.
Purpose
To study how the stress of caring for difficult patients affects the level of altruism and use of negative coping strategies in their care and to find out what positive coping strategies and interventions could be used.
Design/Method
A mixed-methods design was used. A survey tested the level of altruism, the use of negative coping strategies, and several demographics. Thematic analysis examined narratives generated by participants to three questions regarding how to provide altruistic care to difficult patients.
Findings
A purposive sample of 67 registered nurses (RNs) participated. The average level of altruism used by RNs with difficult patients was 99.7/120 points. An inverse relationship was found between the level of altruism and use of negative coping strategies (r = −0.577, p < .001). Qualitative analysis of narratives identified three themes—Developing Psychological Hardiness, Bearing Witness, and Fending for Oneself.
Conclusions
This study provides insight into the experiences of RNs caring for difficult patients and how to ensure altruistic caring.</description><identifier>ISSN: 0898-0101</identifier><identifier>EISSN: 1552-5724</identifier><identifier>DOI: 10.1177/0898010120933123</identifier><identifier>PMID: 32552346</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Altruism ; Avoidance behavior ; Caregiving ; Coping ; Coping strategies ; Hardiness ; Narratives ; Nurses ; Nursing care ; Qualitative research</subject><ispartof>Journal of holistic nursing, 2021-03, Vol.39 (1), p.43-55</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-5aea1fc89631e24ad8c4ab71cffc905e8be1f42be07450c70a9ffdc593ed4a3d3</citedby><cites>FETCH-LOGICAL-c365t-5aea1fc89631e24ad8c4ab71cffc905e8be1f42be07450c70a9ffdc593ed4a3d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0898010120933123$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0898010120933123$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,30999,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32552346$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kubsch, Sylvia</creatorcontrib><creatorcontrib>Tyczkowski, Brenda</creatorcontrib><creatorcontrib>Passel, Cheryl</creatorcontrib><title>Altruism and the Difficult Patient</title><title>Journal of holistic nursing</title><addtitle>J Holist Nurs</addtitle><description>Background
For some nurses, providing altruistic care to difficult patients is a challenge, leading to the use of negative coping strategies such as anger or avoidance, leaving the nurse frustrated and patients feeling rejected. Yet other nurses can deal positively with difficult patients.
Purpose
To study how the stress of caring for difficult patients affects the level of altruism and use of negative coping strategies in their care and to find out what positive coping strategies and interventions could be used.
Design/Method
A mixed-methods design was used. A survey tested the level of altruism, the use of negative coping strategies, and several demographics. Thematic analysis examined narratives generated by participants to three questions regarding how to provide altruistic care to difficult patients.
Findings
A purposive sample of 67 registered nurses (RNs) participated. The average level of altruism used by RNs with difficult patients was 99.7/120 points. An inverse relationship was found between the level of altruism and use of negative coping strategies (r = −0.577, p < .001). Qualitative analysis of narratives identified three themes—Developing Psychological Hardiness, Bearing Witness, and Fending for Oneself.
Conclusions
This study provides insight into the experiences of RNs caring for difficult patients and how to ensure altruistic caring.</description><subject>Altruism</subject><subject>Avoidance behavior</subject><subject>Caregiving</subject><subject>Coping</subject><subject>Coping strategies</subject><subject>Hardiness</subject><subject>Narratives</subject><subject>Nurses</subject><subject>Nursing care</subject><subject>Qualitative research</subject><issn>0898-0101</issn><issn>1552-5724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp1kD1PwzAQhi0EoqWwM6EIFpaAzx-JM6LyKVWCAWbLcc6QKh_FTgb-Pa5aQKrEdMM973unh5BToFcAeX5NVaEoUGC04BwY3yNTkJKlMmdin0zX63S9n5CjEJY0ghnND8mEs0hxkU3J-U0z-LEObWK6Khk-MLmtnavt2AzJixlq7IZjcuBME_BkO2fk7f7udf6YLp4fnuY3i9TyTA6pNGjAWVVkHJAJUykrTJmDdc4WVKIqEZxgJdJcSGpzagrnKisLjpUwvOIzcrnpXfn-c8Qw6LYOFpvGdNiPQTMBkikJnEX0Ygdd9qPv4neaSYDoQyoVKbqhrO9D8Oj0ytet8V8aqF7707v-YuRsWzyWLVa_gR9hEUg3QDDv-Hf138JvlQV1OQ</recordid><startdate>202103</startdate><enddate>202103</enddate><creator>Kubsch, Sylvia</creator><creator>Tyczkowski, Brenda</creator><creator>Passel, Cheryl</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>202103</creationdate><title>Altruism and the Difficult Patient</title><author>Kubsch, Sylvia ; Tyczkowski, Brenda ; Passel, Cheryl</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-5aea1fc89631e24ad8c4ab71cffc905e8be1f42be07450c70a9ffdc593ed4a3d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Altruism</topic><topic>Avoidance behavior</topic><topic>Caregiving</topic><topic>Coping</topic><topic>Coping strategies</topic><topic>Hardiness</topic><topic>Narratives</topic><topic>Nurses</topic><topic>Nursing care</topic><topic>Qualitative research</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kubsch, Sylvia</creatorcontrib><creatorcontrib>Tyczkowski, Brenda</creatorcontrib><creatorcontrib>Passel, Cheryl</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of holistic nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kubsch, Sylvia</au><au>Tyczkowski, Brenda</au><au>Passel, Cheryl</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Altruism and the Difficult Patient</atitle><jtitle>Journal of holistic nursing</jtitle><addtitle>J Holist Nurs</addtitle><date>2021-03</date><risdate>2021</risdate><volume>39</volume><issue>1</issue><spage>43</spage><epage>55</epage><pages>43-55</pages><issn>0898-0101</issn><eissn>1552-5724</eissn><abstract>Background
For some nurses, providing altruistic care to difficult patients is a challenge, leading to the use of negative coping strategies such as anger or avoidance, leaving the nurse frustrated and patients feeling rejected. Yet other nurses can deal positively with difficult patients.
Purpose
To study how the stress of caring for difficult patients affects the level of altruism and use of negative coping strategies in their care and to find out what positive coping strategies and interventions could be used.
Design/Method
A mixed-methods design was used. A survey tested the level of altruism, the use of negative coping strategies, and several demographics. Thematic analysis examined narratives generated by participants to three questions regarding how to provide altruistic care to difficult patients.
Findings
A purposive sample of 67 registered nurses (RNs) participated. The average level of altruism used by RNs with difficult patients was 99.7/120 points. An inverse relationship was found between the level of altruism and use of negative coping strategies (r = −0.577, p < .001). Qualitative analysis of narratives identified three themes—Developing Psychological Hardiness, Bearing Witness, and Fending for Oneself.
Conclusions
This study provides insight into the experiences of RNs caring for difficult patients and how to ensure altruistic caring.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>32552346</pmid><doi>10.1177/0898010120933123</doi><tpages>13</tpages></addata></record> |
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| ispartof | Journal of holistic nursing, 2021-03, Vol.39 (1), p.43-55 |
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| language | eng |
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| source | Access via SAGE; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Altruism Avoidance behavior Caregiving Coping Coping strategies Hardiness Narratives Nurses Nursing care Qualitative research |
| title | Altruism and the Difficult Patient |
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