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Abstract

A phenomenologically derived assessment tool, Hermes, was developed in a rehabilitation setting for adopting the central ideals of person-centered care and patient participation into health-assessment practices in nursing. This focused ethnographic study aimed at exploring the feasibility of using Hermes for enabling the application of these ideals into assessment of patients with chronic pain upon admission to a rehabilitation center. Participants were patients with chronic pain, enrolled in rehabilitation, and their nurses. Data were collected by participant observation and interviews, and analyzed by thematic analysis. By the use of Hermes, the impact of illness was explored through supportive connection and dialogue with open, reflective, and interpretative features; understanding of the illness situation was enhanced; and possibilities provided in adjusting to health issues of concern. In sum, Hermes facilitated person-centered participation of patients with chronic pain in their health assessment and made a phenomenological philosophy usable in nursing-assessment practices.

Original languageEnglish
Pages (from-to)471-483
Number of pages13
JournalQualitative Health Research
Volume29
Issue number4
DOIs
Publication statusPublished - 24 Apr 2019

Bibliographical note

Funding Information: The authors would like to thank the participants of the study for their valuable contribution, as well as the nursing director of the hospital involved for supporting the study. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The authors acknowledge the financial support obtained from The Icelandic Nurses? Association Science Fund; The University of Iceland, Research Fund (Grant Number 121209); The University of Akureyri, Research Fund (Grant Numbers R1112; R1711); and The Science Fund of Ingibjorg Magn?sd?ttir. The sponsors had no role in the study design, analysis, or preparation of this article. Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The authors acknowledge the financial support obtained from The Icelandic Nurses’ Association Science Fund; The University of Iceland, Research Fund (Grant Number 121209); The University of Akureyri, Research Fund (Grant Numbers R1112; R1711); and The Science Fund of Ingibjorg Magnúsdóttir. The sponsors had no role in the study design, analysis, or preparation of this article. Publisher Copyright: © The Author(s) 2018.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 1 - No Poverty
    SDG 1 No Poverty
  2. SDG 2 - Zero Hunger
    SDG 2 Zero Hunger
  3. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being
  4. SDG 4 - Quality Education
    SDG 4 Quality Education
  5. SDG 5 - Gender Equality
    SDG 5 Gender Equality
  6. SDG 6 - Clean Water and Sanitation
    SDG 6 Clean Water and Sanitation
  7. SDG 7 - Affordable and Clean Energy
    SDG 7 Affordable and Clean Energy
  8. SDG 8 - Decent Work and Economic Growth
    SDG 8 Decent Work and Economic Growth
  9. SDG 9 - Industry, Innovation, and Infrastructure
    SDG 9 Industry, Innovation, and Infrastructure
  10. SDG 10 - Reduced Inequalities
    SDG 10 Reduced Inequalities
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    SDG 11 Sustainable Cities and Communities
  12. SDG 12 - Responsible Consumption and Production
    SDG 12 Responsible Consumption and Production
  13. SDG 13 - Climate Action
    SDG 13 Climate Action
  14. SDG 14 - Life Below Water
    SDG 14 Life Below Water
  15. SDG 15 - Life on Land
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    SDG 16 Peace, Justice and Strong Institutions
  17. SDG 17 - Partnerships for the Goals
    SDG 17 Partnerships for the Goals

Other keywords

  • Iceland
  • chronic
  • communication
  • doctor–patient
  • ethnography
  • health
  • holistic care
  • lived experience
  • nurse–patient
  • nursing
  • pain
  • qualitative
  • rehabilitation

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