The occurrence of suffering related to care, suffering beyond what illness causes and which is brought about by the nurse-patient relationship, constitutes an ethical challenge for Caring Science. The purpose of this study is to describe how nurses characterize patients' suffering related to care as well as how suffering related to care can be prevented. In this study, latent content analysis is used to assess nurses' thoughts pertaining to patients' suffering related to care within various care contexts. The study results show that a rigid organization, an inflexible caring culture, or an unreflective care relationship can contribute to the emergence of suffering related to care. In order to prevent such, nurses' emphasize their personal responsibility to influence the organization that they work for and their part in consciously creating a caritative caring culture. When establishing a caring relationship, nurses stress the importance of reflecting on the inequalities of care relationships, recognize a patient's suffering in care, as well as strive to use Caring Science's fundamental values and knowledge when caring for a patient. Further studies could address suffering related to care's possible connection to society's view of humans and how people think and speak of patients.
NightingaleF. Notes on Nursing. What it is and what it is not. New York: Dover Publications, Inc; 1969.
2.
ÖhlénJ. Violation of Dignity in Care-Related Situations. Research and Theory for Nursing Practice: An International Journal2004; 18 (4): 371–385.
3.
KirkevoldM. Integrative nursing research — an important strategy to further the development of nursing science and nursing practice. Journal of Advanced Nursing1997; 25: 977–984.
4.
ErikssonK. (red.) Möten med lidanden. Vårdforskning 4/1993. Vasa: Institutionen för vårdvetenskap, Åbo Akademi; 1993.
5.
ErikssonK. The alleviation of suffering — the idea of caring. Scandinavian Journal of Caring Sciences1992; 6 (2): 119–123.
ErikssonK. Vårdvetenskap som akademisk disciplin. Vårdforskning 7/2001. Vasa: Institutionen för vårdvetenskap, Åbo Akademi; 2001.
8.
LanaraV. Heroism as a Nursing Value. A Philosophical Perspective. Athens: Sisterhood Evniki; 1981.
9.
RoachMS. Caring Ontology: Ethics and the Call of Suffering. International Journal for Human Caring1998; 2 (2): 30–34.
10.
SandelowskiM. «To Be Of Use»: Enhancing the Utility of Qualitative Research. Nursing Outlook1997; 45: 125–132.
11.
LindströmUÅLindholmLZetterlundJE. Katie Eriksson: Theory of Caritative Caring. In: TomeyMarriner ARaileAM. Nursing Theorists and Their Work (sixth edition) St. Louis, Missouri; 2006, 191–223.
12.
ErikssonKHerbertsS. Lidande — en begreppsanalytisk studie. I: ErikssonK. (red.) Möten med lidanden. Vårdforskning 4/1993. Vasa: Institutionen för vårdvetenskap, Åbo Akademi; 1993, 29–54.
13.
ArmanMRehnsfeldtALindholmLHamrinE. The Face of Suffering Among Women With Breast Cancer — Being in a Field of Forces. Cancer Nursing2002; 25 (2): 96–103.
14.
SundinKAxelssonKJanssonLNorbergA. Suffering from Care as Expressed in the Narratives of Former Patients in Somatic Wards. Scandinavian Journal of Caring Sciences2000; 14 (1): 16–22.
15.
DahlbergK. Vårdlidande-det onödiga lidandet. Vård i Norden2002; 63 (22): 4–8.
16.
ArmanMRehnsfeldtALindholmLHamrinEErikssonK. Suffering related to health care: A study of breast cancer patients' experiences. International Journal of Nursing Practice2004; 10: 248–256.
17.
HagrenBPettersenIMSeverinssonELützénKClyneN. The haemodialysis machine as a lifeline: Experiences of suffering from end-stage renal disease. Journal of Advanced Nursing2001; 34 (2): 196–202.
18.
NorbergA. Consoling Care for People with Alzheimer's Disease or Another Dementia in the Advanced Stage. Alzheimer's Care Quarterly2001; 2 (2): 46–52.
19.
WigertHJohanssonRBergMHellströmAL. Mothers' experiences of having their newborn child in a neonatal intensive care unit. Scandinavian Journal of Caring Sciences2006; 20: 35–41.
20.
PerseiusKIEkdahlSÅsbergMSamuelssonM. To Tame a Volcano: Patients with Borderline Personality Disorder and their Perceptions of Suffering. Archives of Psychiatric Nursing2005; 19 (4): 160–168.
21.
BlomqvistKEdbergAK. Living with persistent pain: Experiences of older people receiving home care. Journal of Advanced Nursing2002; 40 (3): 297–306.
GadamerH-G. Philosophical Hermeneutics. Berkeley and Los Angeles: University of California Press; 1977.
24.
GadamerH-G. Truth and Method. Sheed and Ward: London; 1996.
25.
ErikssonKLindströmUÅ. Siktet, Sökandet, Slutandet — om den vårdvetenskapliga kunskapen. I: ErikssonKLindströmUÅ. Gryning. En vårdvetenskaplig antologi. Vasa: Institutionen för vårdvetenskap, Åbo Akademi; 2000, 5–18.
26.
ErikssonKNordmanTMyllymäkiI. Den trojanska hästen. Evidensbaserat vårdande och vårdarbete ur ett vårdvetenskapligt perspektiv. Vasa: Institutionen för vårdvetenskap, Helsingfors universitetscentralsjukhus, Vasa sjukvårdsdistrikt skn; 1999.
ErikssonK. Understanding the World of the Patient, the Suffering Human Being: The New Clinical Paradigm from Nursing to Caring. Advanced Practice Nursing Quarterly1997; 3 (1): 8–13.
29.
YoungerJB. The alienation of the sufferer. Advances in Nursing Science1995; 17 (4): 53–72.
30.
WoodsNFCatanzaroM. Nursing Research. Theory and Practice. St Louis: The C. V. Mosby Company; 1988.
31.
Sykepleiernes Samarbeid i Norden.Etiska riktlinjer för omvårdnadsforskning i Norden. I:a utgave trykket i 1983, revidert 2003 [Cited 10.10.2004]. http://www.vardinorden.org/ssn/etikk.pdf
32.
Declaration of Helsinki. I: Etiska deklarationer och riktlinjer för hälso- och sjukvården och det sociala området. Etiska vägmärken 2. Stockholm: Statens medicinsk etiska råd; 1990, 77–84.
