Abuse in health care: a concept analysis

Brüggemann, Jelmer; Wijma, Barbro; Swahnberg, Katarina

doi:10.1111/j.1471-6712.2011.00918.x

Cited by 54 publications

(51 citation statements)

References 33 publications

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“…It has been well-documented that female and male patients can experience suffering from encounters in health care, which is not related to their disease and even despite a medically correct treatment (Brüggemann et al, 2012a;Coyle, 1999;Levinson and Shojania, 2011;Swahnberg et al, 2009a;Swahnberg et al, 2007a;Söderberg et al, 2011). These incidents do not only imply immediate and long-term suffering, but they can also affect a patient's confidence in the health care system (Swahnberg et al, 2009b).…”

Section: Introductionmentioning

confidence: 99%

“…A study among long-term sick-listed patients showed that health care encounters devoid of respect can impair their ability to return to work (Lynöe et al, 2011), pointing at far reaching consequences of untoward health care encounters. Harmful encounters or those devoid of care, as seen from patients' perspectives, have been labeled abuse in health care (Brüggemann et al, 2012a). …”

Section: Introductionmentioning

confidence: 99%

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What contributes to abuse in health care? A grounded theory of female patients? stories

Brüggemann

Swahnberg

2013

International Journal of Nursing Studies

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

What contributes to abuse in health care? A grounded theory of female patients? stories

Brüggemann

Swahnberg

2013

International Journal of Nursing Studies

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“…In qualitative interview studies, female patients described AHC as the feeling of "being nullified" (10), and male patients as "being mentally pinioned" (11). Currently it is not known why AHC takes place and can prevail (7).…”

Section: Abuse In Health Carementioning

confidence: 99%

“…One major critique is that patients' untoward experiences in health care are not adequately captured by patient satisfaction studies (5). A recent concept analysis showed that events of abuse in health care (AHC) are easily missed out in patient satisfaction studies (7). As these events are characterized by patients losing their value as human beings and as uncaring, regardless of staff's intentions (3), this should be seen as a major ethical problem for the health care system.…”

Section: Introductionmentioning

confidence: 99%

Patients’ silence following healthcare staff’s ethical transgressions

2012

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The aim of this study was to examine to what extent patients remained silent to the health care system after they experienced abusive or wrongful incidents in health care. Female patients visiting a women’s clinic in Sweden (n = 530) answered the Transgressions of Ethical Principles in Health Care Questionnaire (TEP), which was constructed to measure patients’ abusive experiences in the form of staff’s transgressions of ethical principles in health care. Of all the patients, 63.6% had, at some point, experienced staff’s transgressions of ethical principles, and many perceived these events as abusive and wrongful. Of these patients, 70.3% had remained silent to the health care system about at least one transgression. This silence is a loss of essential feedback for the health care system and should not automatically be interpreted as though patients are satisfied.

funding agencies|Nordic Council of Ministers||Swedish Research Council|2009-2380|

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“…[9] The phenomenon "AHC" has been described in several studies [10][11][12][13] and has been defined as "patients' subjective experiences of encounters with the health care system, characterized by devoid of care, where patients suffer and feel they lose their value as human beings" [p. 123]. [14] AHC occurs in a variety of healthcare settings. [8,10,11,[15][16][17] Experiences of AHC among female patients in gynecological settings in five Nordic countries were investigated and a prevalence of 13%-28% was reported in all healthcare contexts.…”

Section: Introductionmentioning

confidence: 99%

The unnecessary suffering and abuse caused by healthcare professionals needs to stop: A study regarding experiences of abuse among female patients in a general psychiatric setting

Örmon

Hörberg

2017

CNS

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Objective: Healthcare, from a caring science perspective, aims to support the patients' health processes. All healthcare is, however, not experienced as being caring by the patients. Consequences of abuse in healthcare (AHC) services have effects on the patients' health and well-being. The aim of this study was to explore experiences of abuse from healthcare professionals among female patients in a general psychiatric clinic. Methods: In the cross-sectional study design, data from female patients receiving outpatient or inpatient care at a general psychiatric clinic about their experiences of abuse were gathered by using the NorVold Abuse Questionnaire (NorAQ) Descriptive statistics were used to describe experiences of abuse in the health care sector. Results: Fifty-six women reported abuse by healthcare professionals. Being offended or grossly degraded while visiting health services, was experienced by almost all the women (n = 50). Experiences that a "normal" event while visiting health services suddenly became a really terrible and insulting experience, without fully knowing how this could happen was experienced by 38 women in the study. During their current care episode at the general psychiatric clinic a majority of the female patients chose not to reveal their experiences of abuse in the health care sector (n = 34). Conclusions: The fact that patients experience suffering and abuse from healthcare professionals is a serious problem that needs to be highlighted and discussed within all healthcare contexts. Attention needs to be paid to the suffering and abuse that is related to encounters and relationships between patients and healthcare professionals.

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Abuse in health care: a concept analysis

Cited by 54 publications

References 33 publications

What contributes to abuse in health care? A grounded theory of female patients? stories

What contributes to abuse in health care? A grounded theory of female patients? stories

Patients’ silence following healthcare staff’s ethical transgressions

The unnecessary suffering and abuse caused by healthcare professionals needs to stop: A study regarding experiences of abuse among female patients in a general psychiatric setting

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