| Meaning | Meaning | Theme |
|---|---|---|
| What is said | What is spoken about The case is portrayed |
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” We have to know what we are looking for to look for it. A specific knowledge and a strong instinct are required. A knowledge that sums up the words which express the patient and the experience we have” (I:9) ” To encounter a patient who’s never been hospitalised and is unknown to the system requires a knowledge of how to help him. It is a unique combination of nursing basics and that which extends beyond areas of specialisation and unified in knowledge of marginalisation. (I:9) “I try to help the unit realises that if a specific treatment is to work, well it’s all good that you can fix this fractured leg, but if the patient’s not to put his weight on it for six weeks, we can’t bloody discharge him to the streets, right!” (I:6) Unique nursing speaks to the person, not the patient. Because the patient does not want to be a patient and does not understand how to be a patient. Therefore, we ought to meet persons on their terms, on the basis of their understandings and their language” (I:1) Well, a great deal is actually about knowledge. What can be offered? How can it be accomplished?” (I:5) We must know the pitfalls. We know that the drug addict who bunks down at different locations might not be at the given address two days after discharge. We are to know all solutions and need to think more than two days ahead. Otherwise, the district nurse can’t find her. We must be thoroughly versed in the target group. (I:4) |
Social nursing is based on years of experience with marginalised persons. An experience that allows nurses to build a good appreciation of socially marginalised persons’ complex life circumstances. The complexity inherent in caring for marginalised persons manifests itself in various ways. Partly, the complexity relates to differences in linguistic and communicative skills, partly it relates to how the patient is met and to the general understanding of the conditions under which the patient can be hospitalised. Furthermore, when the patient is offered treatment, the offer needs to make sense to all parties involved. Social nursing offers a comprehensive knowledge of social marginalisation and the diversity of the issues that occur due to hospitalisation, including how it may be ensured that the treatment offer is not simply defined as stand-alone medical treatment. The social nurse function strives to establish some common ground between the system and the patient. This is achieved by serving as the system’s representative while at the same time drawing on knowledge of the patient, thus bridging the gap between patient and staff. |
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