A patient-centred approach to assisted personal body care for patients hospitalised with chronic obstructive pulmonary disease
Article first published online: 18 JAN 2013
© 2013 Blackwell Publishing Ltd
Journal of Clinical Nursing
Volume 22, Issue 7-8, pages 1005–1015, April 2013
How to Cite
Jensen, A. L., Vedelø, T. W. and Lomborg, K. (2013), A patient-centred approach to assisted personal body care for patients hospitalised with chronic obstructive pulmonary disease. Journal of Clinical Nursing, 22: 1005–1015. doi: 10.1111/jocn.12050
- Issue published online: 11 MAR 2013
- Article first published online: 18 JAN 2013
- Manuscript Accepted: 21 AUG 2012
- Aarhus University Hospital, The Aarhus University Foundation, and The Novo Nordic Foundation
- body care;
- chronic obstructive pulmonary disease;
- evaluation study;
- interpretive description;
- nurse–patient relationship;
- patient-centred care;
- qualitative research;
- respiratory nursing
Aims and objectives
To explore the patients' experiences of receiving patient-centred personal body care and to document changes compared to the patients' experiences in previous hospital stays.
Patients with severe chronic obstructive pulmonary disease suffer from breathlessness. Personal body care is therefore often a major challenge, and during exacerbation these patients may need comprehensive assistance. The quality of assisted personal body care depends largely on the patients' and the nurses' symptom recognition, disease management and ability to achieve therapeutic clarity in the nurse–patient interaction. We developed, implemented and evaluated a patient-centred approach to assisted personal body care in which these characteristics were sought.
The study is a qualitative outcome analysis with an interpretive description methodology.
Nine female and two male hospitalised patients with severe chronic obstructive pulmonary disease were selected for patient-centred care. Specially trained nurses and nursing assistants performed the patient-centred personal body care. Data material was obtained through participant observation of body care sessions with the patients, followed by individual in-depth interviews. The transcribed interviews were analysed and an interpretive description of the patients' experiences was established.
All patients experienced the patient-centred care to be different from what they had previously experienced. The most fundamental change was the experience of being an active part of a shared project. This experience encompassed three dimensions: clear signs of acknowledgement, attentive time and security.
Patient-centred assistance enables patients to take an active part in their personal body care activity. The intervention may be a method for nursing staff to secure patients-centred care.
Relevance to clinical practice
Effective communication, tools for the assessment of breathlessness, clear and straight forward organisation of body care sessions, awareness of pauses and personal acknowledgment are important for the patients' ability to take part in personal body care activities.