A qualitative study of the relationships between residents and nursing homes nurses

Authors

  • Domingo Palacios-Ceña PhD, RN,

    Professor, Corresponding author
    1. Department of Nursing, Universidad Rey Juan Carlos, Alcorcon, Madrid, Spain
    • Correspondence: Domingo Palacios Ceña, Professor, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Avenida de Atenas s/n. 28922 Alcorcón, Madrid, Spain. Telephone: + 34 91 488 89 34

      E-mail: domingo.palacios@urjc.es

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  • Marta Elena Losa-Iglesias PhD, RN,

    Professor, Director
    1. Department of Nursing, Universidad Rey Juan Carlos, Alcorcon, Madrid, Spain
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  • Cristina Gómez-Calero OT, MSc,

    Professor
    1. Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcon, Madrid, Spain
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  • José Miguel Cachón-Pérez MSc, RN,

    Professor
    1. Madrid Health Services, Alcorcon, Madrid, Spain
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  • Miguel Brea-Rivero OT, MSc,

    Professor
    1. Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcon, Madrid, Spain
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  • César Fernández-de-las-Peñas PhD

    Doctor, Director
    1. Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcon, Madrid, Spain
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Abstract

Aims and objectives

To explore the relationships between residents and nurses in Spanish nursing homes.

Background

The nurses are one of the elements conditioning the life of the nursing home resident, influencing sense of security and mediating the relationships among residents.

Design

A qualitative phenomenological approach was applied.

Methods

An initial purposeful sampling of Spanish residents from nursing homes in the southern area of Madrid was conducted. The study included nursing home residents, aged 60 and over, with no cognitive impairment and who were able to communicate verbally in Spanish. Data were collected using unstructured and semi-structured interviews, researcher field notes, and personal diaries and letters from the residents. Data collection was concluded once theoretical saturation was reached, and data were analysed using the Giorgi proposal.

Results

Two main themes emerged: (1) ‘meeting the nursing home nurses,’ residents interact with nurses and establish relationships with them. The relationship is perceived as positive yet distant, and at times it is difficult to establish a closer relationship; and (2) ‘managing relationships with the nursing home nurses,’ residents learn to manage their relationships with the nurses, acquiring new behaviours to get closer to them, avoiding confrontations and helping each other.

Conclusions

Residents manage their relationships with nurses using multiple behavioural strategies. They perceive these adjustments as necessary to facilitate daily life or avoid problems and/or confrontations. Deepening the relationships between residents and nurses could improve the management of nursing homes.

Relevance to clinical practice

Dialogue and active listening with residents must be incorporated into the daily nursing care. It should be given the same attention to all residents, with special attention to residents with cognitive and functional difficulties.

Ancillary