Löfman Päivi, Pietilä Anna-Maija, Häggman-Laitila Arja
South Carelia Polytechnic, Lappeenranta, Finland.
J Clin Nurs. 2007 Mar;16(3A):84-94. doi: 10.1111/j.1365-2702.2006.01574.x.
The aim of this paper was to describe the areas that have been performed well and the areas in need of further development of rheumatoid arthritis patients.
Nurses' self-evaluation and peer review are important methods for ascertaining the changes and success in the development of nursing practice. To date, there has been minimal research regarding the use of those evaluation methods in nursing practice.
The findings of self-evaluation and peer review of nurses are described in a participatory action research study aimed at promotion of self-determination for patients with rheumatoid arthritis.
In self-evaluation, the collection of data was accomplished using a self-evaluation instrument with the permanent nursing staff (n = 18), then analysed through quantitative methods. For peer review, the data were gathered through focus groups (n = 21) using a tool similar to the one used for self-evaluation. The participants included many of the same nurses as in self-evaluation. The data were analysed using qualitative content analysis.
Well-performed areas in nursing of rheumatoid arthritis patients were found to be promoting patient participation, supporting self-determination, performing patient-centred nursing and raising patient self-respect. The areas in need of development were connected to the nursing staff themselves: increasing collaboration of nursing staff, decreasing authoritarianism in nursing care and developing nursing practice with colleagues.
Self-evaluation and peer review are complementary and support one another, especially since nurses were found to be more critical in their self-evaluations than in peer review.
Both evaluation tools proved to be useful methods in the evaluation phase of the action research process as a means of professional development. Also assisting in the development of clinical nursing practice.
本文旨在描述类风湿关节炎患者护理工作中表现出色的领域以及需要进一步发展的领域。
护士的自我评价和同行评审是确定护理实践发展中的变化和成功的重要方法。迄今为止，关于在护理实践中使用这些评估方法的研究极少。
在一项旨在促进类风湿关节炎患者自主决定权的参与式行动研究中，描述了护士自我评价和同行评审的结果。
在自我评价中，使用自我评价工具对常设护理人员（n = 18）进行数据收集，然后通过定量方法进行分析。对于同行评审，使用与自我评价类似的工具，通过焦点小组（n = 21）收集数据。参与者包括许多与自我评价相同的护士。数据采用定性内容分析法进行分析。
发现类风湿关节炎患者护理工作中表现出色的领域包括促进患者参与、支持自主决定权、开展以患者为中心的护理以及提高患者自尊。需要发展的领域与护理人员自身相关：加强护理人员之间的协作、减少护理工作中的专制作风以及与同事共同发展护理实践。
自我评价和同行评审相辅相成，相互支持，特别是因为发现护士在自我评价中比在同行评审中更为严格。
这两种评估工具在行动研究过程的评估阶段均被证明是有用的方法，可作为专业发展的手段，也有助于临床护理实践的发展。
