Moore Jean Burley, Kordick Mary Frances
College of Nursing and Health Science at George Mason University, Fairfax, VA 22030-4444, USA.
J Pediatr Oncol Nurs. 2006 Mar-Apr;23(2):82-91. doi: 10.1177/1043454205285871.
It is essential to examine conflict between patients and health care professionals from the patient's perspective. The purposes of this study were to 1) identify sources of conflict, 2) determine nursing interventions that alleviate conflict, and 3) test a conceptual framework of sources of conflict. This phenomenological study focused on children with cancer and their parents' perceptions of conflicts with health care professionals as well as what they thought helped with such conflicts. Their reports of conflict were compared to C. W. Moore's circle of conflict conceptual framework. A purposive sample of 27 participants (9 children, 14 mothers, and 4 fathers) participated in the study. Study findings showed that conflict occurred between health care professionals and families originating from differences in expectations and desires regarding data, interests, structure, relationships, and values, consistent with C. W. Moore's conceptual framework. Nursing interventions reported by children and parents to be helpful in preventing or alleviating conflict were identified. C. W. Moore's framework may provide a valuable structure for assessing conflict and designing nursing interventions to alleviate conflict.
从患者的角度审视患者与医护人员之间的冲突至关重要。本研究的目的是：1）识别冲突的来源；2）确定缓解冲突的护理干预措施；3）检验冲突来源的概念框架。这项现象学研究聚焦于癌症患儿及其父母对与医护人员冲突的认知，以及他们认为有助于解决此类冲突的因素。他们对冲突的报告与C.W. 摩尔的冲突循环概念框架进行了比较。27名参与者（9名儿童、14名母亲和4名父亲）的目的抽样样本参与了该研究。研究结果表明，医护人员与家庭之间的冲突源于在数据、利益、结构、关系和价值观方面期望和愿望的差异，这与C.W. 摩尔的概念框架一致。确定了儿童和父母报告的有助于预防或缓解冲突的护理干预措施。C.W. 摩尔的框架可为评估冲突和设计缓解冲突的护理干预措施提供有价值的结构。
