Institute of Health and Care Sciences at Sahlgrenska Academy, University of Gothenburg, Box 457, SE 40530 Gothenburg, Sweden.
Intensive Crit Care Nurs. 2012 Aug;28(4):197-207. doi: 10.1016/j.iccn.2011.12.007. Epub 2012 Jun 2.
The aim of this study was to observe, interpret and describe nurses' communication with conscious patients receiving mechanical ventilation treatment (MVT) in an intensive care unit (ICU), and to examine if such communication could be interpreted as caring.
Hermeneutic observational study inspired by the philosophy of Gadamer.
Nineteen patients were observed on several occasions for a total of 66 hours, when conscious during MVT.
A form of caring communication was identified and interpreted as comprising seven themes: being attentive and watchful, being inclusive and involving, being connected, remaining close, being reassuring and providing security, keeping company and using humour and using a friendly approach. Communication that mediated a non-caring approach was also identified and described under two thematic headings, i.e. being neglectful and being absent.
Caring is communicated by the caring act of "standing-by" the patient. Caring or non-caring is communicated in non-verbal and verbal communication, in the words used, the tone of voice and behaviour, as well as in the performance of nursing care activities.
本研究旨在观察、解释和描述接受机械通气治疗（MVT）的重症监护病房（ICU）中意识清醒的患者的护士沟通，并探讨这种沟通是否可以被解释为关怀。
受伽达默尔哲学启发的解释性观察研究。
19 名患者在接受 MVT 期间多次观察，总时长为 66 小时。
确定了一种关怀沟通形式，并将其解释为包含七个主题：关注和警觉、包容和参与、连接、保持亲近、安慰和提供安全感、陪伴和使用幽默以及友好的态度。还确定并描述了一种传达非关怀方法的沟通，并将其归为两个主题，即疏忽和缺席。
关怀是通过“守护”患者的关怀行为来传达的。关怀或非关怀通过非言语和言语沟通传达，通过使用的词语、语调和行为，以及护理活动的表现。
