Azienda Sanitaria Universitaria San Giovanni Battista, Turin, Italy.
Nurs Inq. 2010 Mar;17(1):39-46. doi: 10.1111/j.1440-1800.2009.00481.x.
The core of nursing in western countries is interaction with the patient and with his/her body in particular. As all nursing practices revolve around caring for the patient's body, nurses need to understand the frailty of the body, the intimacy surrounding it, the story it tells, as well as the discomfort and difficulties both illness and close contact can generate in the nurse-patient relationship. With this study, we wanted to explore the ward experiences of a small group of nurses in their day-to-day interaction with patients and their bodies, to highlight their perceptions and possible difficulties in providing care. We collected qualitative data from in-depth interviews with 14 nurses working in departments of general internal medicine, neurology, and geriatrics. The interviews were conducted between April and June 2006 and interpreted using an interpretive phenomenological approach. Analysis of the interview transcripts revealed that while the nurses recognize the centrality of the body in nursing, they also expressed a certain ambiguity toward it: being able to improve a patient's well-being through attentive care to the body is a major source of job satisfaction, but various coping and defense strategies are deployed to overcome care-giving situations that elicit avoidance or refusal reactions to the patient's body.
西方国家护理的核心是与患者及其身体的互动。由于所有的护理实践都围绕着照顾患者的身体，护士需要了解身体的脆弱性、围绕它的亲密性、它所讲述的故事，以及疾病和密切接触可能给护患关系带来的不适和困难。通过这项研究，我们希望探讨一小部分护士在日常与患者及其身体互动中的病房体验，以突出他们在提供护理方面的认知和可能遇到的困难。我们从 14 名在普通内科、神经科和老年科工作的护士那里收集了定性数据，这些护士接受了深入访谈。访谈于 2006 年 4 月至 6 月进行，并采用解释现象学方法进行解释。对访谈记录的分析表明，尽管护士认识到身体在护理中的核心地位，但他们也对身体表示出一定的模糊性：通过对身体的细心护理来改善患者的健康是工作满意度的主要来源，但各种应对和防御策略被用来克服引起回避或拒绝患者身体的护理情况。
