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Therapeutic relationships in day surgery: a grounded theory study
1Faculty of Health and Social Care, School of Nursing, University of Salford, Salford, UK. a.mottram@salford.ac.uk
Journal of Clinical Nursing
|September 15, 2009
Summary
Patients value therapeutic relationships with nurses in day surgery, experiencing support and comfort. Even brief interactions can be significant, though some patients desired more interpersonal connection.
Area of Science:
- Nursing Care
- Patient Experience
- Day Surgery
Background:
- Therapeutic relationships are crucial in nursing but may be challenged by short hospital stays.
- Day surgery settings present unique opportunities and challenges for forming these relationships.
Purpose of the Study:
- To explore patients' experiences of developing therapeutic relationships in day surgery units.
- To understand the significance of nurse-patient interactions within the context of short-stay surgery.
Main Methods:
- Grounded Theory methodology was employed.
- Semi-structured interviews were conducted with 145 patients in UK day surgery units (2004-2006).
- Data analysis involved transcription, memoing, and constant comparison to identify core categories.
Main Results:
- Patients reported highly positive experiences of therapeutic relationships with day surgery nurses.
- The core category identified was 'therapeutic relationships,' with subcategories including 'presence,' 'extra special,' 'befriending,' and 'comfort-giving.'
Conclusions:
- Therapeutic relationships can be successfully established in short-stay healthcare environments like day surgery.
- Patient-reported interactions, even routine ones, hold significant importance for their well-being, highlighting nurses' therapeutic potential.
- While most patients felt supported, a minority expressed disappointment with perceived a lack of interpersonal responsiveness from nursing staff.
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