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'Understanding and being understood' as a creative caring phenomenon--in care of patients with stroke and aphasia.
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
2003 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 12, no 1, 107-116 p.Article in journal (Refereed) Published
Abstract [en]

Five care providers particularly successful at communicating with patients with communication difficulties were video-recorded together with three patients with aphasia after stroke, during morning care activities. The care providers were then interviewed immediately after the video-recordings, about their experiences of communicating with such patients. The interviews with the care providers were interpreted by means of a phenomenological hermeneutic method. Co-creating was the main theme found. Care providers invite the patient to participate in the creative act of communication. They have a communicative attitude and show interest in the patients' personal desires. The care providers encounter the patient as a presence in a caring communion. In part, care providers communicate by continuously conveying their presence to the patient and even creating availability in a close and open intersubjective relationship. A relaxed and supportive atmosphere facilitates reciprocity between care provider and patient. The communication is not technical or strategic; instead care providers share the patients' experiences in a silent dialogue. This silent dialogue involves sharing the patients' feelings and thus receiving messages from the patient.

Place, publisher, year, edition, pages
2003. Vol. 12, no 1, 107-116 p.
Keyword [en]
aphasia, caring, communication difficulties, phenomenological hermeneutics, touch, understanding
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:umu:diva-33900DOI: 10.1046/j.1365-2702.2003.00676.xPubMedID: 12519256OAI: oai:DiVA.org:umu-33900DiVA: diva2:318634
Available from: 2010-05-10 Created: 2010-05-10 Last updated: 2010-05-15Bibliographically approved

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Sundin, KarinJansson, Lilian

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