Medicine and Health Sciences Commons^™

"Cultural Cognition:" What Mental Health Researchers Might Learn From The Climate Change Debate, Summer Schrader, Mona Shattell

Mona Shattell

No abstract provided.

Mental Health Patients’ Experiences Of Being Misunderstood, Mona Shattell, Laura Gaillard, Sandra Thomas

Mona Shattell

Background: Mental health patients describe “being understood” as an experience that evokes feelings of importance, worthiness, and empowerment. However, the experience of “being misunderstood” is more prevalent in patients’ relationships with health care providers. Negative consequences such as vulnerability, dehumanization, and frustration reveal that being misunderstood has the potential to damage or destroy therapeutic relationships. Objective: The purpose of this secondary analysis was to examine mental health patients’ experiences of being misunderstood. Study Design: Data consisted of transcripts from 20 interviews with community-dwelling adults with mental illness, which were analyzed using an existential phenomenological approach. Results: Four figural themes expressed …

“Take My Hand, Help Me Out:” Mental Health Service Recipients’ Experience Of The Therapeutic Relationship, Mona Shattell, Sharon Starr, Sandra Thomas

Mona Shattell

Statement of Purpose: The purpose of this study was to describe mental health service recipients’ experience of the therapeutic relationship.

Research Question: The research question was “what is therapeutic about the therapeutic relationship?”

Methods: This study was a secondary analysis of qualitative interviews conducted with persons with mental illness as part of a study of the experience of being understood. This secondary analysis used data from 20 interviews with community-dwelling adults with mental illness, who were asked to talk about the experience of being understood by a health care provider. Data were analyzed using an existential phenomenological approach.

Findings: Individuals …

It’S More Than A Shoe Shine – You’Re Touching Lives, Mona Shattell

Mona Shattell

No abstract provided.

Facilitating Communication: How To Truly Understand What Patients Mean, Mona Shattell, Beverly Hogan

Mona Shattell

No abstract provided.

You Catch More Flies With Honey: But Patients Shouldn’T Have To Manipulate Nurses To Receive Good Care, Mona Shattell

Mona Shattell

No abstract provided.

“It’S The People That Make The Environment Good Or Bad:” The Patient’S Experience Of The Acute Care Hospital Environment, Mona Shattell, Beverly Hogan, Sandra Thomas

Mona Shattell

A review of contemporary nursing research reveals a tendency to focus on select aspects of the hospital environment such as noise, light, and music. Although studies such as these shed light on discrete aspects of the hospital environment, this body of literature contributes little to an understanding of the entirety of that world as the patient in the sickbed experiences it. The purpose of the study detailed in this article was to describe the patient’s experience of the acute care hospital environment. Nondirective, in-depth phenomenological interviews were conducted, then transcribed verbatim, and analyzed for themes. Against the backdrop of “I …

“Putting Feet To What We Pray About:” The Experience Of Caring By Faith-Based Care Team Members, Mona Shattell, Catherine Hasty

Mona Shattell

The purpose of this study was to explore the experience of caring by faith-based care team members. Nondirective, in-depth phenomenological interviews were conducted, transcribed verbatim, and analyzed for themes. Participants included 19 care team members who served on faith-based care teams providing in-home support for families with chronic and/or terminal illness. Analysis of the interview texts resulted in the following four themes: "putting feet to what we pray about," "building and sharing relationships," "it makes you more aware," and "because it's a team." Participants expressed a strong reciprocity in their experience; for example, "it's a mutual thing but I think …

“Nurse Bait:” Strategies Hospitalized Patients Use To Entice Nurses Within The Context Of The Nurse-Patient Relationship, Mona Shattell

Mona Shattell

Patients on medical-surgical and psychiatric inpatient units long for more and deeper connections with nurses. Patients’ dependence on the nursing staff, as well as their perceived powerlessness, creates a situation where patients believe they have to actively find ways to seek needed nursing care. This paper will describe active strategies used by medical-surgical patients to entice nurses within the context of the nurse-patient relationship; strategies designed to mitigate vulnerability and increase interpersonal connection. Implications for nursing practice and for Peplau’s Theory of Interpersonal Relations will be presented.

Nurse-Patient Interaction: A Review Of The Literature, Mona Shattell

Mona Shattell

Aims. The aims of this paper are to review a theoretical model useful for developing nursing knowledge related to nurse–patient interaction, review the literature on nurse–patient interaction, and discuss areas for further research.

Theoretical model. Goffman’s theory of face work.

Results. Nurse–patient interaction is a central element of clinical nursing practice. This paper shows how Goffman’s model can be used as a theoretical framework for understanding nurse–patient communication.

Relevance to clinical practice. Issues such as power, the social and cultural context, and interpersonal competence are shown to be important in the quality of nurse– patient interactions and nurses need to …