Delicado Useros M V, Candel Parra E, Alfaro Espín A, López Máñez M, García Borge C
Departamento de Enfermería y Fisioterapia de la Universidad de Castilla-La Mancha (UCLM), Escuela Universitaria de Enfermería. Albacete, España.
Aten Primaria. 2004 Mar 15;33(4):193-9. doi: 10.1016/s0212-6567(04)79393-2.
To find the attitudes that primary care nurses in Albacete have towards family carers.
Qualitative research using discussion groups.
Primary care in Albacete: 5 health centres, 2 rural and 3 urban.
Nurses following a primary care home visit programme, of both sexes, differing experience and training, and coming from both rural and urban areas took part. Exclusion criterion: nurses in management and administrative posts at time of recruitment. They were recruited by primary care nurses in line with the profiles of participants required.
Information was collected through discussion in the groups, which was recorded and later transcribed for analysis.
Those taking part in the 2 discussion groups had the following characteristics: 3 men and 8 women. 5 of them were from rural health centres (HC) and 6 from urban HC; 3 had under 2 years experience in the Home Visit Programme (HVP) and 8 had over 5 years experience in it; 5 completed their nursing studies before 1990, and 6 afterwards. In the chats it was clear that the broad experience of PC nurses made them aware of the health situation and quality of life of informal carers, of the loneliness of these and the inter-personal conflicts that occur in families when a situation of dependency arises. Nurses had their educational function towards the carers assumed despite the limitations. The view that the responsibility for the care of the dependent person is the family's was predominant, and a concern for lack of resources and support was appreciated. Nurses had a view of the carer as a resource and barely perceived her as a patient.
了解阿尔巴塞特初级护理护士对家庭护理人员的态度。
采用讨论组进行定性研究。
阿尔巴塞特的初级护理:5个健康中心,2个农村的和3个城市的。
参与初级护理家访计划的护士,男女皆有,经验和培训各异,来自农村和城市地区。排除标准:招募时担任管理和行政职务的护士。他们由初级护理护士根据所需参与者的特征进行招募。
通过组内讨论收集信息,记录并随后转录以供分析。
参加这2个讨论组的人员具有以下特征:3名男性和8名女性。其中5人来自农村健康中心,6人来自城市健康中心;3人在家访计划中的经验不足2年,8人经验超过5年;5人在1990年之前完成护理学业,6人之后完成。在讨论中很明显,初级护理护士的广泛经验使他们了解非正式护理人员的健康状况和生活质量、他们的孤独感以及当出现依赖情况时家庭中发生的人际冲突。尽管存在局限性,护士仍承担着对护理人员的教育职能。认为照顾受抚养人的责任在于家庭的观点占主导地位,并且人们认识到对资源和支持不足的担忧。护士将护理人员视为一种资源,几乎不将其视为患者。