Anderson Ruth A, Ammarell Natalie, Bailey Donald, Colón-Emeric Cathleen, Corazzini Kirsten N, Lillie Melissa, Piven Mary Lynn Scotton, Utley-Smith Queen, McDaniel Reuben R
Duke University School of Nursing, Durham, North Carolina, USA.
Qual Health Res. 2005 Oct;15(8):1006-21. doi: 10.1177/1049732305280773.
In a nursing home case study using observation and interview data, the authors described two mental models that guided certified nurse assistants (CNAs) in resident care. The Golden Rule guided CNAs to respond to residents as they would want someone to do for them. Mother wit guided CNAs to treat residents as they would treat their own children. These mental models engendered self-control and affection but also led to actions such as infantilization and misinterpretations about potentially undiagnosed conditions such as depression or pain. Furthermore, the authors found that CNAs were isolated from clinicians; little resident information was exchanged. They suggest ways to alter CNA mental models to give them a better basis for action and strategies for connecting CNAs and clinical professionals to improve information flow about residents. Study results highlight a critical need for registered nurses (RNs) to be involved in frontline care.
在一项使用观察和访谈数据的养老院案例研究中，作者描述了两种指导注册护士助理（CNA）进行居民护理的思维模式。“黄金法则”指导CNA以自己希望别人对待自己的方式来对待居民。“常识”指导CNA以对待自己孩子的方式来对待居民。这些思维模式产生了自我控制和关爱，但也导致了诸如 infantilization以及对潜在未确诊病症（如抑郁症或疼痛）的误解等行为。此外，作者发现CNA与临床医生相互隔离；很少有居民信息得到交流。他们提出了改变CNA思维模式的方法，以便为其行动提供更好的基础，还提出了将CNA与临床专业人员联系起来以改善居民信息流通的策略。研究结果凸显了注册护士（RN）参与一线护理的迫切需求。
