Empowering counseling--a case study: nurse-patient encounter in a hospital

Kettunen, Tarja; Poskiparta, Marita; Liimatainen, Leena

doi:10.1093/her/16.2.227

Cited by 56 publications

(46 citation statements)

References 28 publications

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“…Being video recorded might have affected both the pupils and the nurses, leading to a different performance. However, when watching parts of the recordings afterwards, both the pupils and the nurses described the presence of the researcher and camera as having affected the encounter only negligibly, as also confirmed in earlier studies [28,37,38]. The health dialogues took place within the same county in Sweden, and the nurses worked with similar health and lifestyle tools, which may have affected the results.…”

Section: Limitationssupporting

confidence: 66%

Health dialogues between pupils and school nurses: A description of the verbal interaction

Golsäter¹,

Lingfors²,

Sidenvall³

et al. 2012

Patient Education and Counseling

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Objective:The purpose of this study was to explore and describe the content and the verbal interaction in health dialogues between pupils and school nurses.Method: Twenty-four health dialogues were recorded using a video camera and the conversations were analysed using the paediatric version of the Roter Interaction analysis system.Results:The results showed that the age appropriate topics suggested by national recommendations were brought up in most of the health dialogues. The nurses were the ones who talked most, in terms of utterances. The pupils most frequently gave information about their lifestyle and agreed with the nurses' statements. The nurses summarized and checked that they had understood the pupils, asked closed-ended questions about lifestyle and gave information about lifestyle. Strategies aimed to make the pupil more active and participatory in the dialogues were the most widely used verbal interaction approaches by the nurses. Conclusion:The nurses' use of verbal interaction approaches to promote pupils' activity and participation, trying to build a partnership in the dialogue, could indicate an attempt to build patient-centred health dialogues.Clinical implications: The nurses' great use of questions and being the ones leading the dialogues in terms of utterances point at the necessity for a nurses to have an openness to the pupils own narratives and an attentiveness to what he or she wants to talk about.

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Section: Limitationssupporting

confidence: 66%

Health dialogues between pupils and school nurses: A description of the verbal interaction

Golsäter¹,

Lingfors²,

Sidenvall³

et al. 2012

Patient Education and Counseling

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“…The interaction layout of guided exercise sessions allowed for a more reciprocal relationship between the older adults and the physiotherapists than did the structured approach. Bilateral and reciprocal health care encounters have been defined as empowering to clients (Collins, Drew, Watt, & Entwistle, 2005;Kettunen et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

“…The findings indicated interwoven dimensions of building trust and meaning, connecting, caring, mutual knowledge, and mutual creating. This is supported by Kettunen, Poskiparta, and Liimatainen (2001), who found that, during empowering counseling in a hospital, the encounters began by developing a reciprocal relationship between a nurse and a patient, to be followed by tactful exploration of patient needs, together with active power sharing, listening, and, finally, by building up a positive vision of the future. These findings confirm Wallerstein's (2006) notion of the components of the empowering health promotion, where personal skills are developed in a supportive environment, with information being shared in dialog with professionals and peers, and where clients are encouraged to participate in the planning and implementation of the intervention.…”

Section: Group-based Exercise In Frail Older Adultsmentioning

confidence: 92%

Construction of Group Exercise Sessions in Geriatric Inpatient Rehabilitation

Wallin

Talvitie

Cattan

et al. 2008

Health Communication

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There is little knowledge about the ways geriatric physiotherapy is being carried out in practice and about the situational construction of formal policies for promoting physical activity. This article examines how professional physiotherapists and frail community-dwelling older adults as their clients use talk and action to construct a group exercise session in an inpatient rehabilitation setting in Finland. The analysis of 7 group exercise sessions with a total of 52 clients and 9 professional physiotherapists revealed 3 different practitioner approaches, which served different functions in older adults' empowerment and lifestyle activity change. The highly structured approach favored taciturn physical performances completed independently and successfully by frail older adults. The guided exercise approach with individualized guidance encouraged occasional coconstruction of shared understanding of learning the exercises. The circuit training approach facilitated occasional self-regulation by the clients. The results of this study indicate that a combination of different approaches is required to address the multifaceted needs of heterogeneous frail older adults.

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“…Only physiotherapists and psychologists utilised more participative and activating methods that are needed when the aim is adult learning (33)(34)(35)(36)(37)(38). Furthermore, longer work experience in OHS seems to broaden the scope of educational activities in terms of clients, situations, and content of health education, but the methods stay the same.…”

Section: Discussionmentioning

confidence: 99%

Health Education and Communication in Occupational Health Services in Finland

Palmgren

Jalonen

Kaleva

2008

Archives of Industrial Hygiene and Toxicology

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This article discusses health education and communication in Occupational Health Services (OHS) based on a questionnaire study conducted in Finnish OHS in 2005. The study focused on educational activities carried out by OH professionals and directed at individual employees, work communities and groups, and representatives of client organisations. The questionnaire was sent to 1132 OH professionals -physicians, nurses, physiotherapists and psychologists -working in 130 OHS units, and representing different OHS providers in Finland. 635 respondents (162 physicians, 342 nurses, 96 physiotherapists, 35 psychologists) returned the questionnaire. The overall response rate was 58 %. There were statistically significant differences in educational activities by different professional groups; differences were also related to the length of working experience in OHS. For all OH professionals, individual employees were the primary clients of health education and communication. Education was less often directed at work communities and representatives of client organisations. However, many issues related to health and well-being at work are not within the reach of individual employees. The impact of health education would be more evident if it also reached those organisational stakeholders with discretion in decision-making. Furthermore, OH personnel should pay attention to the social aspect of learning and work more with groups and work communities. Palmgren H, et al. OCCUPATIONAL HEALTH EDUCATION IN FINLAND Arh Hig Rada Toksikol 2008;59:171-181 * This article has partly been presented at the 4 th Croatian Congress on Occupational Health with international participation "Health and Work: Key of Life" and the 14 th International Congress on Occupational Health Services "Occupational Health Services in Transition in Eastern and Western Europe", 8-11 November 2007, Dubrovnik, Croatia. In spite of the contributions of health education and communication in the field of public health promotion, educational activities have only seldom been focused on in Occupational Health Services (OHS). There is a particular lack of empirical studies on health education and communication in OHS that would provide an overview of educational activities in the everyday work of Occupational Health (OH) personnel. Moreover, many of the studies on health education and communication in OHS have been conducted in specific client organisations and OHS units, and their results are not transferable to other OHS contexts. In addition, most of the studies have focused on health education by occupational health nurses and physicians and the ways in which they counsel individuals. KEY WORDS: counselling, nurses, physicians, physiotherapists, psychologistsOccupational health physicians spend less time on health education than nurses, although a doctor's appointment could be an effective context for learning (1-4). It has been suggested that health education by OH physicians is mostly the transmission of information, while nurses emphasize personal empower...

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Empowering counseling--a case study: nurse-patient encounter in a hospital

Cited by 56 publications

References 28 publications

Health dialogues between pupils and school nurses: A description of the verbal interaction

Health dialogues between pupils and school nurses: A description of the verbal interaction

Construction of Group Exercise Sessions in Geriatric Inpatient Rehabilitation

Health Education and Communication in Occupational Health Services in Finland

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