Porter Eileen J, Ganong Lawrence H
MU Sinclair School of Nursing, University of Missouri-Columbia, Columbia, MO 65211, USA.
Nurs Ethics. 2005 Sep;12(5):507-21. doi: 10.1191/0969733005ne818oa.
Little is known about older persons' expectancies (or anticipations) about the possible actions of home-care professionals, although such data have implications for the ethics of home care and home-care policies. From a longitudinal study of older women's experience of home care, findings are reported concerning their expectancies of professional home-care providers. A descriptive phenomenological method was used to detail the structure of the experience and its context. Data were analyzed from a series of interviews with 13 women aged 82 to 96 years. Among the five key structures of experience were 'finding that someone has the job of helping me here' and 'determining where the helper's field lies'. Two subsets within a category of expectancies were differentiated: speculations about helpers' possible actions and expectancies about outcomes of helpers' actions. As parameters of relational ethics, clients' speculations and expectancies are appropriate bases for dialogue about older widows' relationships with home-care professionals and the foci of home-care policies.
尽管此类数据对家庭护理伦理和家庭护理政策具有重要意义，但对于老年人对家庭护理专业人员可能采取的行动的期望（或预期），我们知之甚少。通过对老年女性家庭护理经历的纵向研究，报告了她们对专业家庭护理提供者的期望。采用描述性现象学方法详细阐述了体验的结构及其背景。对13名年龄在82岁至96岁之间的女性进行了一系列访谈，并对数据进行了分析。体验的五个关键结构包括“发现有人在这里有帮助我的工作”和“确定帮助者的领域所在”。在期望类别中区分出两个子集：对帮助者可能行动的推测和对帮助者行动结果的期望。作为关系伦理的参数，客户的推测和期望是关于老年寡妇与家庭护理专业人员关系以及家庭护理政策重点进行对话的适当基础。
