|English title dissertation||Patient, Privy and Privacy Stool as a scientific problem|
|Name PhD (surname first)||Bruggen, Harry van der|
|Doctor is (has been) nurse|
|Date of promotion||14/03/1991|
|Promotores||Prof. dr. H. Philipsen; Prof. dr. J.J.C.B. Bremer|
Many patients admitted to a hospital for a number of reasons many of which have very little to do with the alimentary tract, complain about inadequate bowel function. Nurses are, professionally speaking, familiar with those complaints that, until now, have hardly ever been investigated. Nearly no information is available about for example the number of patients commonly suffering from bowel problems, the nature of the meant troubles, in short about the extent and seriousness of defecation problems in hospitalized patients. This provided a challange for research and finally led to a series of research projects some of which are reported in this study, in mutually independent chapters.
In chapter 1, a historical overiew of bowel habits, especially aming sick persons, and their relationship to privacy is given. During centuries bowel activities were, in a continuously civilized process, declined from public to private life. As a result of civilization, expectations raised by society, and rules of sanitary conduct, a sense of shame and embarrassment accompanied bowel actions inducing a change from public to private life.
In chapter 3 a reseach study is reported, involving a population of 90 healthy participants selected by means of convenient sampling. The participants were asked to keep diaries for two weeks, on the process and products of bowel function. Together with information about stools, data were gathered about health and wellness, nutrition, medication, sanitary pratices and others. Among the human-biological aspects, two diffirent stool patterns were found.
Chapter 4 deals with experienced feelings related to defecationin the same healthy population. Four modalities of experienced feelings appeared: three of them are related to issues of sensitivity, namely: susceptibility for sanitary cleanliness, for excretory odours and for flatulency, and the fourth being a global attitude to bowel activity.
Chapter 5 presents a research study on feelings of excretory privacy. A sample of 92 patients from medical units was selected. Research on bowel worry and concern among hospital patients is reported in chapter 6. This study was setup originally as a replication of Wright's (1974) research on Bowel function in hospital patients, and elaborated later as an enlarged or 'constructive replication study' (Connelly, 1986).
Finally, in the concluding chapter 8 practical, methodological and theoretical considerations are summarized and implications for theory development, research and the practice area are drawn.
Thesis is available at the library of the Florence Nightingale Institute