Patient life in hospital: A qualitative study of informal relationships between hospitalised patients

Research output: Book/anthology/dissertation/reportPh.D. thesisResearch

  • The Department of Medicine and Nephrology C

Patient life in hospital.A qualitative study of informal relationships between hospitalised patients

Introduction
Within a patientology framework, this PhD dissertation is about an empirical study on patient life that provides insight into the nature of informal relationships between patients in hospitals today.

Purpose
The purpose was to explore how informal relationships between patients affect their hospital experiences in the hospital. The assumption is that, on the one hand, the impacts on patients' suffering affect the way they act and experience encounters with fellow patients for good or for bad during hospitalisation; while on the other hand, there also is a basis for healing processes to happen to patients when they engage in mutual relationships with fellow patients. Dependent on how patients interact, their hospitalisation experience varies and their healing process is affected.

Methods
The study is designed within a phenomenological-hermeneutical philosophic frame of reference and is based on ethnographic fieldwork among hospitalised patients in a Danish university hospital. Data for the study were collected through participant observations over a period of 18 months. Nine males and nine females were selected for qualitative interviews. The analysis involved a phenomenological hermeneutic analytical three-stage method.

Findings
The personal experience of waiting expresses itself in patients' interactions and behaviour that communicate an emplotted message of waiting. The most basic tool for emplotting the encounters between patients with the message that we are in an awaiting position and obliged to stay here for a while is a specific set of behaviours that patients perform. The emplotment of waiting is communicated as a frame within which minor plots appear. These plots are created through stories about three roughly framed aspects of hospitalisation: A. Being together with fellow patients entails a constant dilemma, B. Relationships between patients are restricted and extended and C. Shifting perspectives in solidarity.

Conclusion
Patients' hospitalisation is strongly connected to time and space. Time is an important factor in the development of patient relationships, as patients are constantly in an awaiting position, where the potential for building relationships is present; although, it can be a difficult process, when it happens. The space between patients in the various hospital wards gives a varied potential for mutuality and the development of relationships. When patients build these informal and often short-lived relationships, they may make possible the intensifying of their wellbeing and possibly improve healing processes within themselves when they engage in mutual relationships with fellow patients. Patients form informal communities within the hospital setting; although these may be difficult to identify for outsiders. Despite the fact that they are of great importance for patients when experienced, they are not easily initiated. Applying the concept of patient centredness, this study has contributed to patientology, although the patientology framework needs to be further developed.

Original languageEnglish
Place of publicationÅrhus
PublisherDepartment of Nursing Science, Aarhus University
Number of pages233
ISBN (Print)978-87-92261-91-5
Publication statusPublished - 2009

    Research areas

  • Patientology, hospital, Patient behaviour, Patient-patient interaction, Patient culture in hospital

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