Nurses lived experiences on the nurse-patient relationship

Abstract

This study examines the perspectives of Singaporean non-palliative care trained nurses (NPNs), working in local general hospitals, on their experiences in forming the nurse-patient relationship (NPR) with their patients. Adopting a constructivism paradigm, semi-structured interviews were conducted with five NPNs who came into frequent contact with end-of-life patients but were not trained in the provision of palliative care. Using these interviews, the study sought to understand how these NPNs attempted to establish this therapeutic relationship, and the challenges faced throughout the process. Thematic analysis revealed 2 categories namely “Building Blocks” and “Stumbling Blocks.” For the first category of “Building Blocks”, 4 themes emerged 1) Fulfil Wish, 2) Maintain Rights, 3) Compassionate Care and 4) Remaining Professional. The second category of “Stumbling Blocks” hindering the NPR formation includes 4 themes of: 5) Hectic Load, 6) Institutional Constraints, 7) Trying Recipients and 8) Taboo Topics. Comparing between the two categories, it was observed how each individual “stumbling block” hinders a certain “building block” from being developed. Future directions and policy implications are also discussed in light of the new findings.