Boes Charlotte
Pflege. 2003 Dec;16(6):349-56. doi: 10.1024/1012-5302.16.6.349.
The meaning and understanding of home care is a leading factor in health care both nationally and internationally. The implementation of the law on care insurance in Germany demonstrates the understanding of home care and shows changes in health care policy. This new context of health care delivery influences the nursing profession. New challenges arise and changes in nursing perspectives are necessary. The presented study focuses on the contribution of nurses in home care situations. Its aim is to illuminate and to understand the perspective of home care nurses. Grounded Theory approach is used. Altogether, nine participants are interviewed. The results show that nurses aim at keeping care recipients in a home care situation as long as possible. In order to achieve this, the contribution of nurses are not just limited to rediscountable benefits. Voluntary interventions such as managing housework and emotional support for care recipients are also being rendered. However, these actions depend on several factors, such as the relationship between the nurse and the care recipient, the home care situation or the professional attitude of the nurse. In this context, nurses have to develop strategies to deal with these various tasks. The discussion emphasizes the legislative framework of home care in Germany as well as factors that influenced the study.
在国内和国际上，家庭护理的意义和理解都是医疗保健中的一个关键因素。德国护理保险法的实施体现了对家庭护理的理解，并展示了医疗保健政策的变化。这种新的医疗服务背景影响着护理行业。新的挑战出现了，护理观念的转变也很有必要。本研究聚焦于护士在家庭护理中的贡献。其目的是阐明并理解家庭护理护士的观点。采用了扎根理论方法。总共采访了九名参与者。结果表明，护士的目标是让护理对象尽可能长时间地留在家庭护理环境中。为了实现这一目标，护士的贡献不仅限于可报销的福利。还会提供一些自愿性的干预措施，比如帮助护理对象处理家务以及给予情感支持。然而，这些行为取决于几个因素，比如护士与护理对象之间的关系、家庭护理情况或护士的职业态度。在此背景下，护士必须制定策略来应对这些不同的任务。讨论强调了德国家庭护理的立法框架以及影响该研究的因素。
