Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The 'difficult' elderly patient: adjustment or maladjustment?

J English1, J M Morse

  • 1Emergency Service, Royal Jubilee Hospital, Victoria, British Columbia, Canada.

International Journal of Nursing Studies
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Diversity affects microclimate temperature and humidity: an overview of the evidence and major unanswered questions.

The New phytologist·2026
Same author

Atmospheric drying and soil drying: Differential effects on grass community composition.

Global change biology·2024
Same author

Preoperative pain measurements in correlation to deep endometriosis classification with Enzian

Facts, views & vision in ObGyn·2022
Same author

Canadian Surgery Forum.

Canadian journal of surgery. Journal canadien de chirurgie·2022
Same author

EQUSUM: Endometriosis QUality and grading instrument for SUrgical performance: proof of concept study for automatic digital registration and classification scoring for r-ASRM, EFI and Enzian.

Human reproduction open·2021
Same author

A self-report questionnaire to detect hand dermatitis in nurses.

Occupational medicine (Oxford, England)·2020
Same journal

Effect of an enhanced recovery after surgery protocol for children with acute appendicitis: A randomized controlled trial.

International journal of nursing studies·2026
Same journal

Cognitive impairment, no dementia and hospitalizations - the role of formal and informal care: A population-based cohort study.

International journal of nursing studies·2026
Same journal

Rethinking occupational health and safety for healthcare workers treating Ebola.

International journal of nursing studies·2026
Same journal

Integrating fundamentals of care - moving from strategic intent to clinical practice: An organizational case study.

International journal of nursing studies·2026
Same journal

Observation of interprofessional collaborative practice in primary care teams: An updated integrative review.

International journal of nursing studies·2026
Same journal

Comparative effectiveness of individual-level psychosocial interventions for nurse burnout and its core dimensions: A systematic review and network meta-analysis.

International journal of nursing studies·2026
See all related articles

This study explores difficult patient behavior, finding it stems from unmet expectations and a desire for control. Nurses

Area of Science:

  • Nursing
  • Sociology
  • Psychology

Background:

  • The concept of the 'difficult' patient presents a persistent challenge in healthcare settings.
  • Understanding patient behavior requires exploring multiple perspectives to identify underlying causes and effective interventions.
  • Existing literature often lacks a comprehensive model integrating patient and nurse viewpoints on difficult patient encounters.

Purpose of the Study:

  • To explore the phenomenon of the 'difficult' patient using simultaneous triangulation.
  • To develop an explanatory model of difficult patient behavior by integrating diverse data sources.
  • To enhance understanding of patient-nurse interactions in challenging clinical situations.

Main Methods:

  • Simultaneous triangulation approach combining ethnoscience, ethnographic interviews, and content analysis.

Related Experiment Videos

  • Ethnoscience used to capture nurses' perceptions of difficult patient types.
  • Ethnographic interviews elicited patients' perspectives on their hospitalization experiences.
  • Content analysis of 42 vignettes from nursing magazines detailing difficult patient scenarios and resolutions.

    • Main Results:

    • A model was developed explaining difficult behavior as a response to unmet patient expectations.
    • Patients' attempts to maintain personal control during hospitalization were identified as a key factor.
    • Nurses' responses aimed at regaining control often exacerbated the situation.

    Conclusions:

    • Difficult patient behavior is often rooted in patients' unmet expectations and their efforts to assert control.
    • Healthcare providers' reactions can inadvertently escalate challenging patient interactions.
    • An integrated model provides a framework for understanding and addressing difficult patient behaviors more effectively.