title: Adult Patients' Experiences of Nursing Care Dependence.
abstract: OBJECTIVE
  Care dependence can be associated with suffering and humiliation. Nurses' awareness of patients' perception of care dependence is crucial to enable them in helping the dependent persons. This study aimed to describe adult patients' experience of nursing care dependence.
  
  
  METHODS
  A metasynthesis was conducted to integrate qualitative findings from 18 studies published through December 2014 on adult patients' experiences of care dependency. Procedures included the Johanna Briggs Institute approach for data extraction, quality appraisal, and integration of findings.
  
  
  RESULTS
  The experience of dependence revealed the concept of the embodied person, particularly in relation to care of the physical body. The relationship between the individual and nurses within the context of care had a major impact for dependent patients. When the care relation was perceived as positive, the experience led to the development of the person in finding new balances in life, but when it was perceived as negative, it increased patient' suffering.
  
  
  CONCLUSIONS
  Care dependence is manifested mostly as bodily dependence and is consistent with its relational nature. The nurse-patient relationship is important to the dependent patients' experience.
  
  
  CONCLUSIONS
  A greater understanding of patients' experiences of dependence is crucial to enable nurses in improving care and decreasing patient suffering.
authors.affiliation: Research Fellow, Tor Vergata University Rome, and Research Unit Nursing Science, Campus Bio-Medico di Roma University, Rome, Italy.
authors.forename: Michela
authors.initials: M
authors.lastname: Piredda
authors.affiliation: Associate Professor, Research Unit Nursing Science, Campus Bio-Medico di Roma University, Rome, Italy.
authors.forename: Maria
authors.initials: M
authors.lastname: Matarese
authors.affiliation: Doctoral Student, Tor Vergata University of Rome, Rome, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Mastroianni
authors.affiliation: Clinical Nurse, Hospital Local Health Board Rome H, Rome, Italy.
authors.forename: Daniela
authors.initials: D
authors.lastname: D'Angelo
authors.affiliation: Assistant Professor, New York University College of Nursing, New York, NY, USA.
authors.forename: Marilyn J
authors.initials: MJ
authors.lastname: Hammer
authors.affiliation: Professor, Research Unit Nursing Science, Campus Bio-Medico di Roma University, Rome, Italy.
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: De Marinis
mesh_terms: D000328:Adult; D002908:Chronic Disease / Q000451:nursing* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009729:Nursing / Q000592:standards; D017060:Patient Satisfaction; D036301:Qualitative Research; D011787:Quality of Health Care
keywords: Adult; metasynthesis; nursing care dependency; qualitative research