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Patients' understanding of medical technology in palliative home care: a qualitative analysis
Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ, Quality Improvement and Leadership in Health and Welfare.
Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ, Quality Improvement and Leadership in Health and Welfare.
Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. ADULT. Jönköping University, School of Health Science, HHJ, Quality Improvement and Leadership in Health and Welfare.
Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. ADULT.
2012 (English)In: Journal of Hospice and Palliative Nursing, ISSN 1522-2179, E-ISSN 1539-0705, Vol. 14, no 3, 191-198 p.Article in journal (Refereed) Published
Abstract [en]

Healthcare reforms and reductions in the number of hospital beds are leading to an increasing amount of medical technology moving from hospitals into home care, affecting the daily lives of patients. The aim of this study was therefore to describe the ways patients understand medical technology in palliative home care. With use of a phenomenographic approach, 15 patients with medical technology were interviewed, and data were analyzed in a 7-step process. Three ways of understanding the phenomenon emerged: a masterful patient, an adjustable patient, and a restricted patient. Masterful patients took control over the medical technology and were mostly independent of assistance from personnel. Adjustable patients accepted and adapted their lives to the medical technology and were satisfied with assistance from the personnel. Restricted patients were reminded daily of the medical technology and dependent on assistance from personnel. Depending on the patients’ health conditions, the support from the personnel, and the impact of medical technology, a transfer between the different ways of understanding occurred with a simultaneous movement between independence and dependence. The patient exhibited various ways of understanding, although one way of understanding was more dominant.

Place, publisher, year, edition, pages
2012. Vol. 14, no 3, 191-198 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-17024DOI: 10.1097/NJH.0b013e3182404b71OAI: oai:DiVA.org:hj-17024DiVA: diva2:474449
Available from: 2012-01-09 Created: 2012-01-09 Last updated: 2017-05-04Bibliographically approved
In thesis
1. Medical technology and its impact on palliative home care as a secure base experienced by patients, next-of-kin and district nurses
Open this publication in new window or tab >>Medical technology and its impact on palliative home care as a secure base experienced by patients, next-of-kin and district nurses
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Jönköping: School of Health Sciences, 2011. 148 p.
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 21
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-17026 (URN)
Public defence
2011-12-02, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2012-01-09 Created: 2012-01-09 Last updated: 2017-05-04Bibliographically approved

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Munck, BeritSandgren, AnnaFridlund, BengtMårtensson, Jan
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