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      The nurse-patient relationship as a story of health enhancement in community care: A meta-ethnography

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      Journal of Advanced Nursing
      Wiley-Blackwell

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          Abstract

          To explore and improve our understanding of how nurse-patient relationships can enhance patients' health by synthesizing knowledge from published qualitative studies from both patients' and nurses' perspectives in community care.

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          Most cited references36

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          Evaluating meta-ethnography: a synthesis of qualitative research on lay experiences of diabetes and diabetes care

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            Qualitative metasynthesis: Issues and techniques

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              Lifeworld-led healthcare is more than patient-led care: an existential view of well-being.

              In this paper we offer an appreciation and critique of patient-led care as expressed in current policy and practice. We argue that current patient-led approaches hinder a focus on a deeper understanding of what patient-led care could be. Our critique focuses on how the consumerist/citizenship emphasis in current patient-led care obscures attention from a more fundamental challenge to conceptualise an alternative philosophically informed framework from where care can be led. We thus present an alternative interpretation of patient-led care that we call 'lifeworld-led care', and argue that such lifeworld-led care is more than the general understanding of patient-led care. Although the philosophical roots of our alternative conceptualisation are not new, we believe that it is timely to re-consider some of the implications of these perspectives within current discourses of patient-centred policies and practice. The conceptualisation of lifeworld-led care that we develop includes an articulation of three dimensions: a philosophy of the person, a view of well-being and not just illness, and a philosophy of care that is consistent with this. We conclude that the existential view of well-being that we offer is pivotal to lifeworld-led care in that it provides a direction for care and practice that is intrinsically and positively health focused in its broadest and most substantial sense.

                Author and article information

                Journal
                Journal of Advanced Nursing
                J Adv Nurs
                Wiley-Blackwell
                03092402
                January 2018
                January 22 2018
                : 74
                : 1
                : 11-22
                Article
                10.1111/jan.13389
                28702952
                4b7eedcf-0b91-4927-aaec-b6a73f419d94
                © 2018

                http://doi.wiley.com/10.1002/tdm_license_1.1

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