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A Path to Know a Patient: Listening to Patient’s Illness Narrative among Undergraduate Nursing Students

A Path to Know a Patient: Listening to Patient’s Illness Narrative among Undergraduate Nursing Students. A Path to Know a Patient: Listening to Patient’s Illness Narrative among Undergraduate Nursing Students. Sawitree Lakthong Sangduan Apiratanawong Prisanna Akaratanapol Irma Nurbaeti

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A Path to Know a Patient: Listening to Patient’s Illness Narrative among Undergraduate Nursing Students

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  1. A Path to Know a Patient: Listening to Patient’s Illness Narrative among Undergraduate Nursing Students A Path to Know a Patient: Listening to Patient’s Illness Narrative among Undergraduate Nursing Students SawitreeLakthong Sangduan Apiratanawong PrisannaAkaratanapol Irma Nurbaeti Saichai Puapan Faculty of Nursing Burapha University, (TambonSaensook, AmphurMuang, Chonburi Thailand 20131)

  2. Sick people need health providers to understand and successfully treat their medical problems, and accompany them through their illness and many non-preferable procedures. Listening to patients is a vital skill for nurses to gain illness narratives from patients and care for them.

  3. Objective • The objective of this study was to explore the listening experience of patient’s illness narrative among undergraduate nursing students at Burapha University.

  4. Research methodology • Interpretive phenomenology was used to guide data collection and analysis.

  5. Participants • Eleven of third year nursing students are 8 females and 3 males, age between 21-26 years old and have to practice during any clinical experience.

  6. Data Collection • Semi-structured questions were utilized for in-depth interview. • The main question was “What is your listening experience of patients’ illness narrative?”

  7. Data analysis • Four main stages of analysis • 1) Reading each transcript in order to understand it • 2) Analyzing transcription or grouping related codes for themes • 3) Finding similarities and differences within each theme • 4) Analyzing the themes by using Heideggerian thinking to explicate the hermeneutic circle (Jack & Wibberley, 2013)

  8. Findings • First three themes revealed the circle and the forth one implied the way the participants gain practical understanding.

  9. Theme 1: Exposing self to patients’ unheard stories

  10. Ns3 described her patient that, “I took care of a Cambodian man who had spinal cord injury. He is 25 years old and can speak Thai. His story was very impressive. After injury, he could not move his body and his prognosis was not that good. It meant he would no longer walk. I was surprised that he cheerfully told about his life with a smiling face. He was very optimist and did not show anxiety or sadness. He said his life has to go on, he would never give up.”

  11. Theme 2: Getting in patients’ world with pleasure

  12. Ns9 took care of 80-year old female patient who had plural effusion. She told that “I acknowledged that the patient was in rigorous pain and hoped that she would get better. I decided to stay with and listened to her. She told me how she tolerated in passing through several procedures. I thought I understand her and feel sympathy for her. After spending time with her, I felt pleased that I could be a small part in helping her feel better.”

  13. Theme 3: Acknowledging the significance of meaningful relationship between a patient and loved ones

  14. Ns11’s patient came to hospital because of bloody stool and frequent urination. The patient was known as renal failure. He had 3 children who graduated from higher education and had a good job. The patient was very proud of his children. The participant believed that listening to patient is not only meaningful for patients, but also encourages nurses to have alternative ideas how to care for patients. Nurses should not just providing care without consideration of a patient’s thinking and feeling.

  15. Theme 4: On a path to know more about patients

  16. Ns1 said that “Having a chance to take care of others is very good. When the patients told you something, and you listen to them attentively and think thoroughly, you would be able to figure it out what their problems are, and what they really want. In addition, we could learn how to live life through a patient’s story.

  17. Conclusions • In the mid of global warming climate, people have a higher risk to get sick accompany with health care that is systemically organized in a fragmenting fashion. Listening to patients is very important for helping patients to heal and be more tolerant, especially when health problems in this era become more complicated. Using of self in listening experience should be integrated in nursing curriculum.

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