title: Nurse-patient collaboration: a grounded theory study of patients with chronic obstructive pulmonary disease on non-invasive ventilation.
abstract: OBJECTIVE
  This paper provides a theoretical account of nurses' collaboration with patients with chronic obstructive pulmonary disease during non-invasive ventilation treatment in hospital.
  
  
  BACKGROUND
  Despite strong evidence for the effect of non-invasive ventilation treatment, success remains a huge challenge. Nurse-patient collaboration may be vital for treatment tolerance and success. A better understanding of how nurses and patients collaborate during non-invasive ventilation may therefore contribute to improvement in treatment success.
  
  
  METHODS
  A constant comparative classical grounded theory.
  
  
  METHODS
  The data comprised sessions of qualitative participant observation during the treatment of 21 patients with non-invasive ventilation that included informal conversations with the nurses and semi-structured interviews with 11 patients after treatment completion. Data were collected at three intensive care units and one general respiratory ward in Denmark.
  
  
  RESULTS
  Succeeding emerged as the nurses' main concern in the nurse-patient collaboration during non-invasive ventilation treatment. Four collaborative typologies emerged as processing their main concern: (1) twofold oriented collaboration; (2) well-being oriented collaboration; (3) outcome oriented collaboration; and (4) absent collaboration.
  
  
  CONCLUSIONS
  This study offers a theoretical account of nurses' main concern and how they activate different ways of collaboration to achieve successful treatment. We offer a theoretical basis for developing complex interventions.
authors.affiliation: Section for Nursing, Department of Public Health, Aarhus University, Denmark. ds@sygeplejevid.au.dk
authors.forename: Dorthe
authors.initials: D
authors.lastname: Sørensen
authors.forename: Kirsten
authors.initials: K
authors.lastname: Frederiksen
authors.forename: Thorbjoern
authors.initials: T
authors.lastname: Groefte
authors.forename: Kirsten
authors.initials: K
authors.lastname: Lomborg
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003718:Denmark; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D063087:Noninvasive Ventilation / Q000451:nursing*; D009723:Nurse-Patient Relations; D010358:Patient Participation; D057240:Patient Preference; D011340:Problem Solving; D029424:Pulmonary Disease, Chronic Obstructive / Q000451:nursing / Q000628:therapy*; D017211:Treatment Failure; D016896:Treatment Outcome