Tuckett A G
School of Nursing, The University of Queensland, Ipswich, Queensland 4102, Australia.
Int Nurs Rev. 2005 Sep;52(3):219-24. doi: 10.1111/j.1466-7657.2005.00429.x.
This article is derived from a more extensive review of literature for a qualitative study that explored the meaning of truth-telling within the care provider--aged resident dyad in high-level (nursing home) aged care.
This paper describes through the literature, work practices and the culture of the nursing home as promoting instrumental care, therefore prioritizing doing-for over being-with. The nursing home, starved of time and staff, silences and isolates the aged care resident in an environment that is, arguably, rarely homelike.
The appraisal of the nursing home offered here means that a number of residents' rights are at risk and care providers (notably registered nurses and the personal care assistants) risk contravening the Code of Ethics for Nurses in Australia.
本文源自一项更广泛的文献综述，该综述用于一项定性研究，该研究探讨了在高级（养老院）老年护理中护理提供者与老年居民二元组内讲真话的意义。
本文通过文献、工作实践和养老院文化描述了养老院如何促进工具性护理，因此将“为其做事”置于“陪伴相处”之上。养老院缺乏时间和工作人员，在一个可以说几乎没有家的感觉的环境中，使老年护理居民沉默并孤立起来。
此处对养老院的评估意味着许多居民的权利面临风险，护理提供者（尤其是注册护士和个人护理助理）有可能违反澳大利亚护士道德准则。
