ABSTRACT
BACKGROUND: Eating disorders (ED) are an increasingly prevalent problem with serious consequences for different spheres of life. This study aims to analyze nurses' perspectives and experiences of the care provided to people diagnosed with an ED. METHODS: Hermeneutical phenomenological qualitative study. Nineteen nurses from Alcalá de Henares (Madrid) collab-orated in the research sharing their experience through interviews and stories, which were recorded, transcribed and analyzed thematically. RESULTS: Three issues were obtained: a fight between the heart and mind, conscious reflection: the body says what the head keeps silent and learning how to care holistically. Nurses experience a struggle with their feelings of transference / countertransference when caring for patients. They set out to combine skills acquired from their experience with new research, without losing sight of the individual and the factors involved (family, society and work), which are key to understand the patient's experience and recovery. CONCLUSIONS: Nurses need more specialization, ongoing training, coordination and teamwork with other professionals to provide people with holistic care. Gender perspectives should be taken into account to enable care to be adapted to the needs of men and women. This study takes an in-depth look at the care relationship between nurse and patient, to obtain a hitherto unknown perspective of care, which makes it possible to expand knowledge and individualize the care provided.
Subject(s)
Feeding and Eating Disorders , Nurses , Feeding and Eating Disorders/nursing , Female , Humans , Male , Qualitative ResearchABSTRACT
FUNDAMENTO: Los trastornos de la conducta alimentaria (TCA), cada vez más prevalentes, tienen graves consecuencias sobre las diferentes esferas de la vida. El objetivo es analizar la visión y experiencia de profesionales de Enfermería sobre los cuidados prestados a personas diagnosticadas de un TCA. MÉTODO: Estudio cualitativo fenomenológico hermenéutico. Diecinueve enfermeras de Alcalá de Henares (Madrid) colaboraron en la investigación aportando su experiencia a través de entrevistas y relatos que fueron grabados, transcritos y analizados temáticamente. RESULTADOS: Se obtuvieron tres temas: una lucha entre cabeza y corazón, una reflexión consciente: el cuerpo dice lo que la cabeza calla, y aprender a cuidar de manera holística. El profesional experimenta una lucha con sus sentimientos de transferencia / contratransferencia a la hora de cuidar a los pacientes, trata de combinar los conocimientos fruto de la experiencia con las nuevas investigaciones, y considera la individualidad de la persona y todos los elementos implicados (familia, sociedad u ocupación) que resultan claves para el entendimiento de la vivencia del paciente y su recuperación. CONCLUSIONES: Es necesaria la especialización de las enfermeras, la formación continuada, la coordinación y el trabajo en equipo con otros profesionales para cuidar de manera holística a la persona. La perspectiva de género debe tenerse en cuenta para adaptar los cuidados a las necesidades de hombres y mujeres. Este estudio profundiza en la relación de cuidados entre enfermera y paciente, obteniendo una perspectiva desconocida de cuidados que posibilita ampliar el conocimiento e individualizar los cuidados prestados
BACKGROUND: Eating disorders (ED) are an increasingly prevalent problem with serious consequences for different spheres of life. This study aims to analyze nurses' perspectives and experiences of the care provided to people diagnosed with an ED. METHODS: Hermeneutical phenomenological qualitative study. Nineteen nurses from Alcalá de Henares (Madrid) collaborated in the research sharing their experience through interviews and stories, which were recorded, transcribed and analyzed thematically. RESULTS: Three issues were obtained: a fight between the heart and mind, conscious reflection: the body says what the head keeps silent and learning how to care holistically. Nurses experience a struggle with their feelings of transference / countertransference when caring for patients. They set out to combine skills acquired from their experience with new research, without losing sight of the individual and the factors involved (family, society and work), which are key to understand the patient's experience and recovery. CONCLUSIONS: Nurses need more specialization, ongoing training, coordination and teamwork with other professionals to provide people with holistic care. Gender perspectives should be taken into account to enable care to be adapted to the needs of men and women. This study takes an in-depth look at the care relationship between nurse and patient, to obtain a hitherto unknown perspective of care, which makes it possible to expand knowledge and individualize the care provided
