Ward-Griffin Catherine, Bol Nancy, Hay Kim, Dashnay Ian
School of Nursing, University of Western Ontario, London, Ontario, N6A 5C1 Canada.
Can J Nurs Res. 2003 Dec;35(4):150-74.
Although much has been written about the relationship between families and nurses, little systematic analysis has been undertaken of this dyadic relationship in long-term care (LTC). Using a critical ethnographic approach, the researchers conducted separate in-depth interviews with 17 family-nurse dyads caring for residents with Alzheimer disease or a related disorder in one LTC setting. Analysis of interview transcripts and fieldnotes revealed 4 types of family-nurse relationships--conventional, competitive, collaborative, and "carative"--each reflecting the roles of nurse and family, negotiating strategies, and consequences. In addition, it became apparent that intrinsic and extrinsic factors influence the development of certain types of relationships. The findings have implications for nursing practice, policy development, and further research within LTC settings.
尽管已有许多关于家庭与护士关系的著述，但针对长期护理（LTC）中这种二元关系的系统性分析却很少。研究人员采用批判性人种志方法，对一家长期护理机构中照顾患有阿尔茨海默病或相关疾病居民的17对家庭-护士二元组进行了单独的深入访谈。对访谈记录和实地笔记的分析揭示了4种家庭-护士关系类型——传统型、竞争型、协作型和“关怀型”——每种类型都反映了护士和家庭的角色、协商策略及结果。此外，显而易见的是，内在和外在因素会影响某些类型关系的发展。这些研究结果对长期护理机构中的护理实践、政策制定及进一步研究具有启示意义。
