Cramer Jennifer Helen
Contemp Nurse. 2006 Sep;22(2):191-202. doi: 10.5555/conu.2006.22.2.191.
Nurses are key providers of health care in remote Indigenous communities throughout Australia. Evidence of nurses' actual practice and the outcomes of their care for clients in this context, however, is lacking. This exploratory research describes how nursing is practised in a remote Aboriginal community and reveals many anomalies. The overall theme, termed amorphous practice, defines the changeable character of practice from nurse to nurse and from situation to situation. The themes underlying amorphous practice are termed detachment, diffusion, and beyond the nursing domain. Each theme is described by way of its characteristics, the strategies nurses use to deal with the situation, and the consequences. The significance of these findings raise concerns for the accountability of nursing and most of all for the rights of Indigenous people in remote areas to basic standards of safe health care.
在澳大利亚各地的偏远原住民社区，护士是医疗保健的关键提供者。然而，在这种情况下，缺乏护士实际执业情况及其对患者护理结果的证据。这项探索性研究描述了在一个偏远的原住民社区中护理工作是如何开展的，并揭示了许多异常情况。总体主题被称为“无定形实践”，它定义了护士之间以及不同情况之间实践的多变性。无定形实践背后的主题被称为“脱节”“扩散”和“超出护理领域”。每个主题都通过其特征、护士处理情况所采用的策略以及后果来进行描述。这些发现的重要性引发了对护理工作问责制的担忧，尤其是对偏远地区原住民获得基本安全医疗保健标准权利的担忧。
