Sørlie Venke, Torjuul Kirsti, Ross Anita, Kihlgren Mona
Institute of Nursing and Health Sciences, University of Oslo, Oslo, Norway.
J Clin Nurs. 2006 Oct;15(10):1240-6. doi: 10.1111/j.1365-2702.2006.01352.x.
To illuminate the experience of being a patient and cared for in an acute care ward.
Patients may be the best source of information for assessing the quality of care in acute care wards. Studies often show that patients' satisfaction with their hospital stay is interpreted by managers and care providers as a measure for quality of care.
Ten patients were interviewed as part of a comprehensive investigation by four researchers into the narratives of five enrolled nurses (study No. 1--published in Nursing Ethics 2004), five Registered Nurses (study No. 2 published in Nursing Ethics 2005) and 10 patients (study No. 3) about their experiences from an acute care ward at one university hospital in Sweden.
A phenomenological hermeneutical method (inspired by the French philosopher Paul Ricoeur) was conducted in all three studies.
The patients are very satisfied with their treatment and care. They also tell about factors that they do not consider as optimal, but which they explain as compromises, which must be accepted as a necessary part of their stay in the ward. This study demonstrates a close connection between patient satisfaction and vulnerability.
It is important for all health care providers not to be complacent and satisfied when patients express their satisfaction with their treatment and care. This can result in losing the focus on the patients' vulnerability and existential thoughts and reflections which are difficult for them, and which need to be addressed.
The findings can be seen as a challenge for the health care providers as well as the organization to provide quality of care to patients in acute care ward. When listening to the patients' voice it makes it easier to be aware of the content of their vulnerability.
阐明在急症护理病房中作为患者并接受护理的体验。
患者可能是评估急症护理病房护理质量的最佳信息来源。研究经常表明，管理者和护理人员将患者对住院治疗的满意度视为护理质量的一项衡量标准。
作为四名研究人员对五名在编护士（研究1——发表于《护理伦理学》2004年）、五名注册护士（研究2发表于《护理伦理学》2005年）和10名患者（研究3）关于他们在瑞典一所大学医院急症护理病房经历的综合调查的一部分，对10名患者进行了访谈。
在所有三项研究中均采用了现象学诠释学方法（受法国哲学家保罗·利科的启发）。
患者对他们的治疗和护理非常满意。他们还讲述了一些他们认为并非最佳，但解释为妥协的因素，这些因素作为他们在病房住院期间的必要部分必须被接受。本研究表明患者满意度与脆弱性之间存在紧密联系。
当患者对其治疗和护理表示满意时，所有医疗保健提供者都不应自满。这可能导致忽视患者的脆弱性以及他们难以应对的存在性思考和反思，而这些是需要加以关注的。
这些研究结果可被视为对医疗保健提供者以及机构的一项挑战，即在急症护理病房为患者提供优质护理。倾听患者的声音有助于更清楚地了解他们脆弱性的具体情况。
