Understanding Disgust in Nursing: Abjection, Self, and the Other

Holmes, Dave; Perron, Amélie; O’Byrne, Patrick

doi:10.1891/rtnp-v20i4a006

Cited by 38 publications

(67 citation statements)

References 13 publications

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“…Disgust also has a direct effect on healthcare professionals; there is an expectation that those working in healthcare cannot show disgust, as doing so would seem unprofessional 10. However, while suppressing emotions such as disgust reduces the behavioural expressions of emotion, it also prolongs the feeling of emotion 11–13.…”

Section: Introductionmentioning

confidence: 99%

Breaking the taboo: an interpretative phenomenological analysis of healthcare professionals’ experience of caring for palliative patients with disgusting symptoms

Muggleton

Guy

Howard

2014

BMJ Support Palliat Care

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Three key findings emerged. Firstly, participants were uncomfortable talking about disgust at work, reducing their access to support for disgust. Secondly, participants often neglected their own emotional needs, and as a result, sometimes become emotionally entangled with patients. Finally, participants were at risk of reducing vital socio-emotional support for patients with disgusting symptoms. Based on our analysis, we suggest interventions to counteract these effects.

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Section: Introductionmentioning

confidence: 99%

Breaking the taboo: an interpretative phenomenological analysis of healthcare professionals’ experience of caring for palliative patients with disgusting symptoms

Muggleton

Guy

Howard

2014

BMJ Support Palliat Care

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“…The nurse exercises power, using his or her position as a caring agent and the expert status this role confers to guide others to care for the self (Holmes et al . ).…”

Section: Discussionmentioning

confidence: 97%

Nursing, sexual health and youth with disabilities: a critical ethnography

McCabe

Holmes

2013

Journal of Advanced Nursing

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Nurses occupy and strive to maintain, the role of a caring agent. However, aspects of the clinical, institutional and broader social environments may undermine their ability to promote sexual health. In nurses' efforts to maintain therapeutic relationships with clients, sexual health is often medicalised to legitimize it as an appropriate topic of discussion with patients and families. Facilities serving youth with disabilities should take steps to address barriers to the delivery of sexual health promotion and several solutions are proposed.

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“…We assume that this is because, as noted by others, accidental bowel leakage is a source of disgust and carries more stigma than UI. (19, 20) It is also possible that patient’s gave greater priority to addressing their urinary incontinence with the physician. This is also indicated by the decreasing likelihood of discussing FI with increasing ISI score in our cohort of women with DI.…”

Section: Discussionmentioning

confidence: 99%

Written versus oral disclosure of fecal and urinary incontinence in women with dual incontinence

et al. 2014

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Introduction and Hypothesis To compare fecal incontinence (FI) and urinary incontinence (UI) disclosure in women with dual incontinence (DI), and to assess UI disclosure in DI subjects compared to women with UI alone. We hypothesized that women with DI would be less likely to disclose fecal incontinence (FI) in comparison to urinary incontinence (UI) and as likely to disclose UI as women with UI alone. Methods We performed a retrospective chart review of new patient visits to an academic Urogynecology clinic from 2007–2011. Clinical records were reviewed; demographic data and responses to the ISI and Wexner scales were recorded. Patients’ written responses to the ISI and Wexner were compared to the diagnoses obtained from oral history by the physician. Results Of 1899 women in the database, 557 women were diagnosed with dual incontinence (DI) and 447 women were diagnosed with UI alone. Women with DI were less likely to orally disclose FI than UI (135/557 (23%), vs 485/557(87%), p<0.001) but were as likely as women with UI alone to disclose UI (385/447(86%) vs 485/557(87%), p=0.66). In the multivariable analysis, DI subjects had greater odds of disclosing FI to their physicians if they had private insurance (OR 1.9, 95%CI [1.2, 3.0]) or Wexner score > 7 (OR 9.0, 95% CI [5.4,14.8]) and lower ISI score (OR 1.5, CI [1.4, 1.6]). Conclusions Women with DI were less likely to report FI in comparison to UI. Patients were more likely to orally report FI when the symptoms were severe.

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Understanding Disgust in Nursing: Abjection, Self, and the Other

Cited by 38 publications

References 13 publications

Breaking the taboo: an interpretative phenomenological analysis of healthcare professionals’ experience of caring for palliative patients with disgusting symptoms

Breaking the taboo: an interpretative phenomenological analysis of healthcare professionals’ experience of caring for palliative patients with disgusting symptoms

Nursing, sexual health and youth with disabilities: a critical ethnography

Written versus oral disclosure of fecal and urinary incontinence in women with dual incontinence

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