School of Health Sciences, University of Borås, Borås, Sweden.
Int J Qual Stud Health Well-being. 2010 Oct 18;5(3). doi: 10.3402/qhw.v5i3.5415.
Treating patients with hard-to-heal wounds is a complex task that requires a holistic view. Therefore this study focuses on the nurse's perspective with the aim on describing how community nurses experience the phenomenon the care of patients with hard-to-heal wounds. The method used was a reflective lifeworld approach. Seven qualitative interviews with community nurses were conducted. The findings show a tension between enriching and burdensome care. In this tension, the nurses try to find energy to reach harmony in their work through reflection, acceptance, and distance. This is further described by the constituents: "taking responsibility," "showing respect for the whole person," "being confident in order to offer confidence," "seeing time and place as important." The discussion highlights the importance for a nurse to find how to give ideal care in one's duty but not beyond it. As a consequence the concept "compliance" needs to be challenged in order to promote confidence and mutual trust between nurses and patients. Confidence can be seen as a key, both for nurses and patients, and is dependent on good inter-professional cooperation, competence, and closure.
治疗难愈性伤口患者是一项复杂的任务，需要整体观。因此，本研究专注于护士的视角，旨在描述社区护士如何体验护理难愈性伤口患者这一现象。所使用的方法是反思性的生活世界方法。对 7 名社区护士进行了定性访谈。研究结果显示，丰富的护理与繁琐的护理之间存在紧张关系。在这种紧张关系中，护士试图通过反思、接受和保持距离来寻找工作中的和谐。这可以进一步通过以下要素来描述：“承担责任”、“尊重整个人”、“有信心以给予信心”、“重视时间和地点”。讨论强调了护士找到如何在职责范围内给予理想护理但不超出职责范围的重要性。因此，需要挑战“合规性”的概念，以促进护士和患者之间的信心和相互信任。信心可以被视为护士和患者的关键，取决于良好的跨专业合作、能力和结束。
