Webb C
Université de Manchester, Angleterre.
Rech Soins Infirm. 2001 Dec(67):132-42.
There is an extensive literature discussing the care: "cure dilemma". This usually puts forward the position that it is doctors who do the curing and nurses who do the caring. Patients are rarely included in the discussion. This paper considers some of this literature and examines whether this separation of functions is a valid one, the part of lay carers in the process, and the perspective of patients. It focuses particularly on cancer because this is an area where the issues seem particularly pertinent. The paper concludes by proposing an alternative and integrated conception which includes patients, nurses and doctors in a cognitive-phenomenological model of coping. It is suggested that this model moves forward from the previous limitations of the care : cure approach and enables more fruitful research and education of practitioners to be undertaken.
有大量文献讨论护理与“治愈困境”。这通常提出这样一种观点,即治病的是医生,护理的是护士。患者很少被纳入讨论。本文审视了其中一些文献,并探讨这种功能划分是否合理、非专业护理人员在这一过程中的作用以及患者的观点。它特别关注癌症,因为在这一领域这些问题似乎尤为相关。本文最后提出了一种替代性的综合概念,即在应对的认知现象学模型中将患者、护士和医生都涵盖在内。有人认为,这种模型克服了以往护理与治愈方法的局限性,能使从业者开展更有成效的研究和接受教育。