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To intend but not being able to: frequent attenders' experiences of suffering and of their encounter with the health care system
Mälardalen University, School of Health, Care and Social Welfare.ORCID iD: 0000-0002-9714-577X
2011 (English)In: Journal of Holistic Nursing, ISSN 0898-0101, E-ISSN 1552-5724, Vol. 29, no 3, p. 211-220Article in journal (Refereed) Published
Abstract [en]

PURPOSE: Patients who frequently consult the health care system are supposed to      cause great economic costs, and they also trouble the health care staff, as it      seems as if there are no interventions that will help and keep them healthy. The       researcher assumes that these patients attend for a reason and that they attend      frequently because they, from a holistic point of view, do not get their health      care needs fulfilled. This article aims to describe how frequent attenders      experience their suffering and their encounter with the health care system.      DESIGN AND METHOD: The study has an inductive hermeneutic design. Interviews with      persons identified as frequent attenders were analyzed by means of a hermeneutic       inquiry with three interpretive steps: naive reading, structural analysis, and      critical reflection. FINDINGS: Patients are constantly striving to be and become       healthy, to be of use, and to please others. The patients do not attend until      suffering is experienced as unbearable. The patients experience, however, that      health care staff do not understand their situation. Patients experience feelings      of mistrust and rejection, which increases suffering. CONCLUSION: Holistic care      could be a means to relieve suffering and, as a consequence, reduce attendance.

Place, publisher, year, edition, pages
2011. Vol. 29, no 3, p. 211-220
Keywords [en]
high users, primary health care, qualitative content analysis, cognitive theory
National Category
Nursing
Identifiers
URN: urn:nbn:se:mdh:diva-10654DOI: 10.1177/0898010110386957PubMedID: 21062950OAI: oai:DiVA.org:mdh-10654DiVA, id: diva2:359777
Available from: 2010-10-29 Created: 2010-10-29 Last updated: 2017-12-12Bibliographically approved

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Wiklund-Gustin, Lena

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CiteExportLink to record
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Citation style
  • apa
  • ieee
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