The Experience of Nursing Caring for the Readmitted Alcoholics with Gastrointestinal Diseases

Monday, July 11, 2011

Ruo-Nan Jueng, RN, MS1
I-Ju Chen, PhD, RN2
Pei-Fan Mu, PhD, RN3
Kuei-Hsia Hsueh, RN, MS1
(1)Nursing Department, National Yang-Ming University Hospital, I-Lan, Taiwan
(2)School of Nursing, National Yang-Ming University, Taipei, Taiwan
(3)Institute of Clinical Nursing, National Yang-Ming University, Taipei, Taiwan

Learning Objective 1: To understand the challenges and stress of nurses in caring for the alcoholics due to the complicated illness and behavioral problems associated with alcoholism.

Learning Objective 2: To know how to use the phenomenological method to approach nursesí experience of caring for the readmitted alcoholics with gastrointestinal diseases.

Purpose: Alcoholism, the most popular substance abuse, may cause recalcitrant gastrointestinal
diseases and lead to repeated admission. Nurses face challenges and stress in caring for the alcoholics due to the
complicated illness and behavioral problems associated with alcoholism. The aim of this phenomenological study was to
explore nurses’ experience of caring for the readmitted alcoholics with gastrointestinal diseases. 

Methods:  A phenomenological approach with purposive sampling was adopted and 10 experienced nurses were
recruited. In-depth semi-structured interviews were conducted and audio-recorded to collect the narratives of each nurse.
Data was analyzed using the Colaizzi method for phenomenology. 

Results: In the caring processes, nurses’ experience reflected increased care loading, difficulty in establishing rapport
with alcoholics, fear of alcohol-abuse incidences during hospitalization, fear of being threatened both physically and
mentally, and lack of support from other medical disciplines. Nurses used strategies such as helping each other,facing
and adapting to the difficult situations, being more attentive, and learning more associated knowledge and
communication skills. 

Conclusion: Nurses experienced feelings of helplessness, fear and frustration while approaching the readmitted
alcoholics.Interventions to relieve nurses’ disquiet and to enhance care quality should be developed and carried out.