Arblaster G, Brooks D, Hudson R, Petty M
Aust J Adv Nurs. 1990 Mar-May;7(3):34-43.
This exploratory study was undertaken to discover what nursing behaviours terminally ill patients desire. To rank patients' attitudes and judgements a Q-sort consisting of 70 cards was used. The statements covered three categories: physical and psycho-emotional care of patients and psycho-emotional care of significant other/s. "I would like the nurse to help me remain at home for as long as possible" was the most favoured statement and the least favoured was: "I would like the nurse to talk to me about death and dying." The overall theme was that responsive rather than directive nursing behaviours were desired. Analysis identified five Factors from which a model of responsive nursing care was developed. Interpretation of the Factors indicated patients desired responsive nursing care that enabled them and their families to bring their own resources to the dying process, rather than having imposed upon them care which nurses deemed appropriate.
这项探索性研究旨在发现临终患者期望的护理行为。为了对患者的态度和判断进行排序，使用了由70张卡片组成的Q分类法。这些陈述涵盖三个类别：患者的身体和心理情感护理以及重要他人的心理情感护理。“我希望护士尽可能帮助我在家中多待一段时间”是最受欢迎的陈述，而最不受欢迎的是：“我希望护士和我谈论死亡和临终事宜。”总体主题是，患者期望的是反应性而非指导性的护理行为。分析确定了五个因素，并据此开发了一个反应性护理模式。对这些因素的解读表明，患者期望的反应性护理能够使他们及其家人在临终过程中发挥自身资源，而不是接受护士认为合适但强加给他们的护理。
