Pike A W
Beth Israel Hospital, Boston, MA 02215.
J Prof Nurs. 1991 Nov-Dec;7(6):351-62; discussion 362-3. doi: 10.1016/8755-7223(91)90012-a.
True collaboration between clinical nurses and physicians in acute care settings can be difficult to achieve. The author describes a patient care unit dedicated to the study and development of such collaborative relationships. She reports an unexpected favorable outcome of such collaboration: the decline in incidents of moral outrage among nurses faced with moral dilemmas. This decline is attributed to such factors as mutual trust and respect between nurses and physicians, an appreciation that the two practice areas are interdependent, and the development of a synergistic alliance between the two that enhances patient care.
在急症护理环境中,临床护士与医生之间真正的合作可能难以实现。作者描述了一个致力于研究和发展这种合作关系的患者护理单元。她报告了这种合作产生的一个意想不到的良好结果:面对道德困境的护士中道德义愤事件的减少。这种减少归因于护士与医生之间的相互信任和尊重、认识到两个执业领域相互依存,以及两者之间形成了一种增强患者护理的协同联盟等因素。