Scheduled care - as a way of caring. A phenomenological study of being cared for when suffering from alcohol use disorders.

AIMS AND OBJECTIVES: The aim of this study was to elucidate the lived experience of how patients with alcohol use disorders experience being cared for when admitted to acute medical units.

BACKGROUND: Alcohol use is health damaging and is identified as one of the major avoidable risk factors and alcohol use disorder is classified among the most harmful, debilitating disease categories. Patients suffering from alcohol use disorders are characterized by complex problems and health pictures spawned by chaotic lifestyles. However, the experience of the hospitalization from patients' perspective is poorly documented.

DESIGN: The present study has a qualitative research design and is anchored in phenomenological and hermeneutical methodology, as described in Reflective Lifeworld Research.

METHODS: The data set consists of 15 in-depth interviews with patients suffering from alcohol use disorders admitted to an acute medical unit. A purposive sampling strategy was used and the interviews were conducted as open dialogues. The study was reported in accordance with the Consolidated criteria for reporting qualitative research (COREQ).

RESULTS: Being cared for when hospitalized was experienced as a two-staged process that changed throughout the hospitalization from an experience of scheduled care experienced as caring to an experience of scheduled care experienced as non-caring. Four constituents further described the variable experiences: being in a safe haven, sharing a tacit but mutual goal, being in a chaotic space, and being on your own.

CONCLUSIONS: The study showed that being met in an authentic presence by nurses was a powerful tool that helped ease the hospitalization. Patients suffering from alcohol use disorders call for an intentional and distinctive attentiveness and authentic presence from the nurses throughout their hospitalization.

RELEVANCE TO CLINICAL PRACTICE: Our findings highlight that patients suffering from AUD call for an intentional and distinct attentiveness from nurses throughout the hospitalization, where a possible transfer of attention is noticed and responded to in the care provided. This article is protected by copyright. All rights reserved.