What contributes to abuse in health care? A grounded theory of female patients' stories.
Background: In Sweden, 20% of female patients have reported lifetime experiences of abuse in any health care setting. Corresponding prevalence among male patients is estimated to be 8%. Many patients report that they currently suffer from these experiences. Few empirical studies have been conducted...
| Publicado en: | International Journal of Nursing Studies Vol. 50; no. 3; pp. 404 - 413 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104244710&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104244710 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00207489 JHV jtl: International Journal of Nursing Studies issn: 00207489 maglogo: N pubinfo: dt: 2013 vid: 50 iid: 3 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 104244710 85917871 10.1016/j.ijnurstu.2012.10.003 NLM23122025 104244710 ppf: 404 ppct: 9 formats: fmt: @attributes: type: P tig: atl: What contributes to abuse in health care? A grounded theory of female patients' stories. aug: au: Brüggemann, A. Jelmer Swahnberg, Katarina affil: Linköping University, Faculty of Health Sciences, Gender and Medicine, SE-581 83, Linköping, Sweden sug: subj: Quality of Health Care Patient Abuse Human Grounded Theory Power Professional Misconduct Sweden Female Interviews Thematic Analysis Convenience Sample Audiorecording Vulnerability Professional-Patient Relations Qualitative Validity Conceptual Framework Patient Attitudes Evaluation Outpatients Ambulatory Care Facilities Patient Abuse Classification Constant Comparative Method Funding Source Female ab: Background: In Sweden, 20% of female patients have reported lifetime experiences of abuse in any health care setting. Corresponding prevalence among male patients is estimated to be 8%. Many patients report that they currently suffer from these experiences. Few empirical studies have been conducted to understand what contributes to the occurrence of abuse in health care. Objectives: To understand what factors contribute to female patients' experiences of abuse in health care. Design: Constructivist grounded theory approach. Settings: Women's clinic at a county hospital in the south of Sweden. Participants: Twelve female patients who all had reported experiences of abuse in health care in an earlier questionnaire study. Methods: In-depth interviews. Results: The analysis resulted in the core category, the patient loses power struggles, building on four categories: the patient's vulnerability, the patient's competence, staff's use of domination techniques, and structural limitations. Participants described how their sensitivity and dependency could make them vulnerable to staff's domination techniques. The participants' claim for power and the protection of their autonomy, through their competence as patients, could catalyze power struggles. Conclusions: Central to the participants' stories was that their experiences of abuse in health care were preceded by lost power struggles, mainly through staff's use of domination techniques. For staff it could be important to become aware of the existence and consequences of such domination techniques. The results indicate a need for a clinical climate in which patients are allowed to use their competence. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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