Inoue Madoka, Chapman Rose, Wynaden Dianne
PhD Candidate, School of Nursing and Midwifery, Curtin University of Technology, Perth, WA, Australia.
J Adv Nurs. 2006 Sep;55(5):559-67. doi: 10.1111/j.1365-2648.2006.03948.x.
This paper reports a study of male nurses' experiences of providing intimate care for women clients.
The number of men entering the nursing profession has increased worldwide. As a consequence of the move to a more gender-balanced profession, debate has ensued over how intimate care should be performed when this requires male nurses to be physically close to women clients. As there was little previous work on this topic, we wished to provide nurses, clients and other healthcare professionals with a better understanding of male nurses' experiences of working with women clients and within a healthcare system where they often feel excluded.
Semi-structured, open-ended interviews were conducted with male nurses working in various clinical settings in Western Australia. Latent content analysis was used to analyse the interviews, which were carried out between June and July 2004.
Three themes were identified: the definition of intimate care, the emotional experience associated with providing intimate care and strategies used to assist in the delivery of intimate care for women clients. Providing intimate care for women clients was a challenging experience for male nurses. Participants described how it required them to invade these clients' personal space. Consequently, they often experienced various negative feelings and used several strategies to assist them during care delivery.
Nurse educators should assist male nurses to be better prepared to interact with women clients in various settings. Furthermore, workplace environments need to provide additional support and guidance for male nurses to enable them to develop effective coping strategies to manage challenging situations.
本文报告了一项关于男护士为女性患者提供私密护理经历的研究。
全球范围内，从事护理职业的男性人数有所增加。随着护理行业向性别更加平衡的方向发展，对于当需要男护士与女性患者有身体上的近距离接触时应如何进行私密护理，引发了诸多争论。由于此前关于该主题的研究较少，我们希望能让护士、患者及其他医疗保健专业人员更好地了解男护士与女性患者共事以及在他们常感到被排斥的医疗保健系统中的经历。
对在西澳大利亚不同临床环境中工作的男护士进行了半结构化、开放式访谈。采用潜在内容分析法对2004年6月至7月期间进行的访谈进行分析。
确定了三个主题：私密护理的定义、提供私密护理时的情感体验以及用于协助为女性患者提供私密护理的策略。对男护士来说，为女性患者提供私密护理是一次具有挑战性的经历。参与者描述了这如何要求他们侵犯这些患者的个人空间。因此，他们经常会经历各种负面情绪，并在护理过程中采用多种策略来帮助自己。
护理教育工作者应帮助男护士更好地做好准备，以便在各种环境中与女性患者互动。此外，工作场所环境需要为男护士提供更多支持和指导，使他们能够制定有效的应对策略来处理具有挑战性的情况。
