Faculty of Nursing, University of Iceland, Eirberg, Eiriksgata 34, 101 Reykjavik, Iceland.
Qual Health Res. 2011 Jul;21(7):927-35. doi: 10.1177/1049732311403498. Epub 2011 Mar 23.
Reorienting the focus of health systems to incorporate a multifaceted approach that allows for comprehensive and humane health care is pending. Using the participatory paradigm approach, we describe a study of a partnership-based family nursing practice for people with breathing difficulties. We generated data through nine conversations with eight patients accompanied by a close family member (n = 6) and one wife, 15 conversations between the authors, and through a reflective journal. Narrative data analysis was conducted. Results that reveal the meaning and experience of the family nursing practice are presented in four interlacing descriptive statements: (a) surfacing and contextualizing health problems, (b) responsiveness of services, (c) security-stability-self-direction, and (d) unified family efforts- transformation. We conclude that the conceptual framework of partnership is a useful approach to nursing practice within a nurse clinic for people with advanced breathing difficulties and their families.
重新调整卫生系统的重点，纳入多方面的方法，以实现全面和人道的医疗保健，这是亟待解决的问题。我们采用参与式范例方法，描述了一项基于伙伴关系的家庭护理实践，为呼吸困难患者提供服务。我们通过与 8 名患者（由 1 名近亲陪同）和 1 名患者的妻子进行的 9 次对话、作者之间的 15 次对话以及反思日志生成了数据。进行了叙事数据分析。呈现家庭护理实践的意义和体验的结果以四个交错的描述性陈述呈现：（a）发现和情境化健康问题，（b）服务响应性，（c）安全性-稳定性-自我导向，以及（d）统一的家庭努力-转变。我们得出结论，伙伴关系的概念框架是在护士诊所为有严重呼吸困难的患者及其家属提供护理实践的一种有用方法。
