Allan Helen, Barber Debbie
European Institute of Health and Medical Sciences, University of Surrey, Guildford, UK.
Nurs Ethics. 2005 Jul;12(4):391-400. doi: 10.1191/0969733005ne803oa.
In this article we examine the nature of intimacy and knowing in the nurse-patient relationship in the context of advanced nursing roles in fertility care. We suggest that psychoanalytical approaches to emotions may contribute to an increased understanding of how emotions are managed in advanced nursing roles. These roles include nurses undertaking tasks that were formerly performed by doctors. Rather than limiting the potential for intimacy between nurses and fertility patients, we argue that such roles allow nurses to provide increased continuity of care. This facilitates the management of emotions where a feeling of closeness is created while at the same time maintaining a distance or safe boundary with which both nurses and patients are comfortable. We argue that this distanced or 'bounded' relationship can be understood as a defence against the anxiety of emotions raised in the nurse-fertility patient relationship.
在本文中，我们探讨了在生育护理高级护理角色背景下护患关系中亲密感与认知的本质。我们认为，从精神分析角度看待情绪，可能有助于加深对高级护理角色中情绪管理方式的理解。这些角色包括护士承担以前由医生执行的任务。我们认为，此类角色不仅不会限制护士与生育患者之间产生亲密感的可能性，反而能让护士提供更具连续性的护理。这有助于在营造亲密感的同时管理情绪，与此同时保持护士和患者都感到舒适的距离或安全界限。我们认为，这种有距离或“有界限”的关系可被理解为对护患关系中产生的情绪焦虑的一种防御。
