Department of Nursing, Umeå University, Sweden.
Nurs Ethics. 2010 Nov;17(6):777-90. doi: 10.1177/0969733010379181.
The aim of this study was to illuminate nurses' reflections on obstacles to and possibilities for providing care as desired by people with malodorous exuding ulcers. Six nurses who took part in a previous study were interviewed. The participants were shown an illustration with findings from a study that elucidated the meaning of living with malodorous exuding ulcers. They were asked to reflect on the obstacles to and possibilities of providing the care desired by the patients. Twelve audio-recorded transcribed interviews were analysed using qualitative content analysis. Our interpretations of participants' reflections on the obstacles and possibilities while caring for such patients revealed one theme: striving to 'do good' and 'be good'. The obstacles were formulated as subthemes: experiencing clinical competence constraints, experiencing organizational constraints, experiencing ineffective communication, fearing failure, and experiencing powerlessness. The possibilities were formulated by the subthemes: spreading knowledge about ulcer treatments, considering wholeness, and creating clear channels of communication. A multiprofessional team could overcome the identified obstacles and provide structure, competencies, commitment and support to 'do good' for patients and 'be good' nurses.
本研究旨在阐明护士对提供患者所期望的恶臭渗出性溃疡护理的障碍和可能性的反思。六位参与先前研究的护士接受了采访。参与者观看了一幅说明图，其中显示了一项研究的结果，该研究阐明了患有恶臭渗出性溃疡的生活意义。他们被要求反思提供患者所期望的护理的障碍和可能性。对十二次音频转录采访进行了定性内容分析。我们对参与者在照顾此类患者时对障碍和可能性的反思的解释揭示了一个主题：努力“做好”和“表现良好”。障碍被表述为子主题：体验临床能力限制、体验组织限制、体验无效沟通、害怕失败和体验无能为力。可能性由以下子主题构成：传播溃疡治疗知识、考虑整体性以及建立清晰的沟通渠道。多专业团队可以克服确定的障碍，并为“为患者做好事”和“成为好护士”提供结构、能力、承诺和支持。
