Skott Carola, Eriksson Anki
Senior Lecturer, Institution of Nursing, Faculty of Caring Sciences, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
J Clin Nurs. 2005 Sep;14(8):916-21. doi: 10.1111/j.1365-2702.2005.01155.x.
The aim of this study was to explore the content of individual acts of nursing care and to discuss how these context-specific acts relate to the concept of caring.
The point of departure was a diary kept by a nurse on an oncology ward over a period of six months. Hermeneutic interpretation, including content analysis of verb phrases, was carried out to inspire reflection and discussion rather than to generalize.
The verbs that occurred in the diary text represented three categories of acts: physical care, speech and reflection.
The diary text expresses the carer's acts as situated in a specific space and time through her presence, communication and reflection. The absence of bodies in this text points to the discourse of nursing as subjected to dualism and to the medical rules of knowledge. Caring emerges as experience-near action that through history is connected to situated knowledges, actual discourse and universal human condition. Relevance to clinical practice. This study demonstrated that caring acts are situated and conditioned and that they should therefore be researched in relation to the carers' acts and thoughts. This confirms the need for cooperation between researchers and clinical nurses in the quest of deepening our understanding of caring.
本研究旨在探究护理个体行为的内容，并探讨这些特定情境下的行为与关怀概念之间的关系。
研究起点是一名肿瘤病房护士记录的为期六个月的日记。采用诠释性解读，包括对动词短语的内容分析，以激发思考和讨论，而非进行归纳总结。
日记文本中出现的动词代表了三类行为：身体护理、言语交流和反思。
日记文本通过护理人员的在场、沟通和反思，将关怀行为置于特定的时空之中。文本中身体的缺席指向了护理话语受二元论和医学知识规则的影响。关怀表现为贴近经验的行动，在历史中与情境化知识、实际话语及人类普遍状况相联系。与临床实践的相关性。本研究表明，关怀行为是情境化且受条件制约的，因此应结合护理人员的行为和思想进行研究。这证实了研究人员与临床护士合作以加深我们对关怀理解的必要性。
