Considering “the more” of patients suffering from alcohol use disorders. An illustration of acute nursing care from a lifeworld-led perspective

Figures & data

Table I. Eight dimensions of humanization (Galvin & Todres, 2013, p. 11).

Forms of humanization	Forms of dehumanization
Insiderness	Objectification
Agency	Passivity
Uniqueness	Homogenization
Togetherness	Isolation
Sense-making	Loss of meaning
Personal journey	Loss of personal journey
Sense of place	Dislocation
Embodiment	Reductionist body

Table II. Overview of studies I and II.

	Study I	Study II
Title	Scheduled care—as a way of caring. A phenomenological study of being cared for when suffering from alcohol use disorders (Bové et al., 2018)	Do the carers care? A phenomenological study of providing care to patients suffering from alcohol use disorders (Bové et al., 2019)
Aim	To elucidate the lived experience of how patients suffering from AUD experience being cared for when admitted to AMUs	To elucidate nurses’ lived experience of providing care to patients suffering from AUD.
Method	Phenomenological studies using Reflective Lifeworld Research (Dahlberg et al., 2008).
Findings	Being cared for when hospitalized was experienced as a two‐stage process. Stage 1: “Scheduled care experienced as caring” was related to the first part of the hospitalization	Providing care to patients suffering from AUD was a highly challenging and demanding task for nurses working in the AMUs. A need to engage with the patients in a sensitive collaboration was identified concerning the nurses’ ability and willingness to be open and to adjust the care accordingly.
	Patients’ centre of attention was on avoiding alcohol-withdrawal symptoms. An experience of an authentic presence provided by the nurses made the patients feel acknowledge in both agency and vulnerability.	Within the sensitive collaboration, a two-sided feeling of responsibility was revealed.
	Constituents being in a safe haven sharing a tacit but mutual goal	A professional responsibility related to a task-oriented approach to caring A personal responsibility and obligation related to adopting a caring approach focusing on being with the patient.
	Stage 2: “Scheduled care experienced as non‐caring” was related to the second part of the hospitalization and gradually set in as the blood alcohol level decreased and trust in the nurses increased. A transfer of attention within the participant was identified. Constituents being in a chaotic space being on your own	Constituents Dealing with the intricacy of the patient’s life situation Balancing care between standardized procedures and a complex patient Being caught between responsibility and resignation
	Being met in an authentic presence made a decisive difference to the patients and encompassed the experience of enabling a positive trusting collaboration to emerge.
		The discrepancy between the two approaches created feelings of despondency and resignation, hence an inability to provide the care the nurses wished to give.

Galvin, K. M., & Todres, L. (2013). Caring and well-being: A lifeworld approach. Routledge studies in the sociology of health and illness. Routledge.

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Bové, H. M., Lisby, M. and Norlyk, A. (2018) Scheduled care—As a way of caring: A phenomenological study of being cared for when suffering from alcohol use disorders, Journal of Clinical Nursing, 28(7–8) (December 2018) pp. 1174–1182. https://doi.org/10.1111/jocn.14715

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Bové, H. M., Lisby, M. and Norlyk, A. (2019) Do the carers care? A phenomenological study of providing care for patients suffering from alcohol use disorders, Nursing Inquiry, 27 (1) (January), pp. 1–9. https://doi.org/10.1111/nin.12322

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Dahlberg, K., Dahlberg, H., & Nyström, A. (2008). Reflective lifeworld research. Studentlitteratur AB.

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