分娩过程中护士与患者角色的维度。

Dimensions of nurse and patient roles in labor.

作者信息

Beaton J I

出版信息

Health Care Women Int. 1990;11(4):393-408. doi: 10.1080/07399339009515910.

Abstract

Nurses, as the principal caregivers during labor, play a major role in structuring the social context of childbirth. The influence of nurse-patient verbal interaction on the social construction of the childbirth experience was investigated. Verbatim records of nurse-patient interaction during labor were analyzed using Stiles's (1978a) Taxonomy of Verbal Response Modes. Nurse and patient scores on three dimensions of interpersonal roles, attentiveness, acquiescence, and presumptuousness, were determined. The results indicated that nurses established and maintained control over the definition of the childbirth experience. The viewpoint of the laboring woman was seldom acknowledged as relevant. Presumption of knowledge of the laboring woman's experience and failure to determine her perception of the situation can have a negative impact on individualization of care and the creation of a patient-centered birthing environment.

摘要

护士作为分娩期间的主要照顾者，在构建分娩的社会环境中发挥着重要作用。本研究调查了护患言语互动对分娩体验社会建构的影响。运用斯泰尔斯（1978a）的言语反应模式分类法，对分娩期间护患互动的逐字记录进行了分析。确定了护士和患者在人际角色、专注度、默许和专断三个维度上的得分。结果表明，护士对分娩体验的定义建立并保持着控制权。产妇的观点很少被视为具有相关性。假定了解产妇的经历且未确定其对情况的认知，可能会对个性化护理以及创建以患者为中心的分娩环境产生负面影响。