Satisfied patients are also vulnerable patients--narratives from an acute care ward.
OBJECTIVE
To illuminate the experience of being a patient and cared for in an acute care ward.


BACKGROUND
Patients may be the best source of information for assessing the quality of care in acute care wards. Studies often show that patients' satisfaction with their hospital stay is interpreted by managers and care providers as a measure for quality of care.


METHODS
Ten patients were interviewed as part of a comprehensive investigation by four researchers into the narratives of five enrolled nurses (study No. 1--published in Nursing Ethics 2004), five Registered Nurses (study No. 2 published in Nursing Ethics 2005) and 10 patients (study No. 3) about their experiences from an acute care ward at one university hospital in Sweden.


METHODS
A phenomenological hermeneutical method (inspired by the French philosopher Paul Ricoeur) was conducted in all three studies.


RESULTS
The patients are very satisfied with their treatment and care. They also tell about factors that they do not consider as optimal, but which they explain as compromises, which must be accepted as a necessary part of their stay in the ward. This study demonstrates a close connection between patient satisfaction and vulnerability.


CONCLUSIONS
It is important for all health care providers not to be complacent and satisfied when patients express their satisfaction with their treatment and care. This can result in losing the focus on the patients' vulnerability and existential thoughts and reflections which are difficult for them, and which need to be addressed.


CONCLUSIONS
The findings can be seen as a challenge for the health care providers as well as the organization to provide quality of care to patients in acute care ward. When listening to the patients' voice it makes it easier to be aware of the content of their vulnerability.
Sørlie
Venke
V
Institute of Nursing and Health Sciences, University of Oslo, Oslo, Norway. venke.sorlie@medisin.uio.no
Torjuul
Kirsti
K
Ross
Anita
A
Kihlgren
Mona
M
D000208:Acute Disease / Q000451:nursing / Q000523:psychology*; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005086:Existentialism / Q000523:psychology; D005239:Fear; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D033262:Narration; D020380:Needs Assessment; D017008:Negotiating / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D009732:Nursing Care / Q000458:organization & administration / Q000523:psychology*; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000523:psychology; D017060:Patient Satisfaction; D011787:Quality of Health Care / Q000592:standards; D011795:Surveys and Questionnaires; D013548:Sweden; D014110:Touch; D035862:Vulnerable Populations / Q000523:psychology*