Westin Lars, Danielson Ella
Institute of Health and Care Sciences, The Sahlgrenska Academy, Göteborg University, Göteborg, Sweden.
J Adv Nurs. 2007 Oct;60(2):172-80. doi: 10.1111/j.1365-2648.2007.04396.x.
This paper is a report of a study to illuminate and interpret the meaning of residents' experiences of encounters with nurses in nursing homes. BACKGROUND; A large number of older people suffer from illness and become dependent on other people in their daily living. These people are often in need of care in nursing homes. It is assumed that encounters between nurses and residents are of importance in how residents experience care in nursing homes.
Twelve residents from three nursing homes in Sweden were interviewed in 2004-2005 about their experiences in encounters with nurses. The interviews were tape-recorded and transcribed verbatim. A hermeneutic method was used to describe and interpret the meaning of residents' experiences.
Three themes emerged: 'being somebody', 'being nobody' and 'being in a community'. The encounters had both positive and negative influences on residents, expressed as being somebody and belonging somewhere or being nobody and not being seen as a person or simply being left out of things. Encounters between residents and nurses have a mutual dependency where residents certainly have some influence on the relationship. The nurses have both an influence on the relationship and a professional responsibility for the outcome of encounters with residents.
The insights gained from the study can guide nurses in their encounters with residents in nursing homes so that they feel respected as unique human beings and part of a community.
本文是一项研究报告，旨在阐明并解读养老院居民与护士接触经历的意义。背景：大量老年人患病，在日常生活中需要他人照料。这些人常常需要在养老院接受护理。据推测，护士与居民之间的接触对于居民如何体验养老院护理至关重要。
2004年至2005年，对瑞典三家养老院的12名居民进行了访谈，了解他们与护士接触的经历。访谈进行了录音，并逐字转录。采用诠释学方法来描述和解读居民经历的意义。
出现了三个主题：“成为重要人物”、“无足轻重”和“融入社区”。这些接触对居民既有积极影响，也有消极影响，表现为成为重要人物并归属某个地方，或者无足轻重且不被视为一个人，或者干脆被排除在外。居民与护士之间的接触存在相互依存关系，居民肯定会对这种关系产生一定影响。护士既会影响这种关系，又对与居民接触的结果负有专业责任。
该研究获得的见解可指导护士在养老院与居民接触时，让居民感到作为独特个体受到尊重，并成为社区的一部分。
