Snellman Ingrid, Gustafsson Christine, Gustafsson Lena-Karin
School of Health, Care and Social Welfare, Mälardalen University, P.O. Box 325, 631 05 Eskilstuna, Sweden.
ISRN Nurs. 2012;2012:320145. doi: 10.5402/2012/320145. Epub 2012 Jun 3.
In today's healthcare system, there is an imbalance between what patients expect of caregivers' care and their perception of the care they get. How is it possible to reduce this imbalance? The aim of this paper was to describe attributes associated with meaningful encounters in the Swedish healthcare system based on patients' and caregivers' written narratives and to note the differences and similarities between the attributes identified by the two groups. This paper is a qualitative descriptive study. The analysis was guided by qualitative content analyses. Based on patients' narratives, attributes associated with a meaningful encounter fell into four categories: the kind-hearted caregiver, the thoughtful caregiver, the mutually oriented caregiver, and the helpful caregiver. Based on caregivers' narratives, the attributes were categorized as being humane, caring through physical contact, caring by nurturing communication, joy and laughter in care, and a sense of mutuality. The results show that there are both similarities and differences in patients' and caregivers' opinions about the attributes of a meaningful encounter. Knowing more about the attributes associated with meaningful encounters makes it possible for caregivers to individualize care for patients and makes it easier to help and support patients in what they most need support with.
在当今的医疗体系中，患者对医护人员护理的期望与他们对所接受护理的认知之间存在失衡。如何减少这种失衡呢？本文的目的是基于患者和医护人员的书面叙述，描述瑞典医疗体系中与有意义的医患互动相关的属性，并指出两组所确定的属性之间的差异和相似之处。本文是一项定性描述性研究。分析以定性内容分析为指导。基于患者的叙述，与有意义的医患互动相关的属性分为四类：善良的医护人员、体贴的医护人员、相互关注的医护人员和乐于助人的医护人员。基于医护人员的叙述，这些属性被归类为人道、通过身体接触给予关怀、通过培养沟通给予关怀、护理中的欢乐与笑声以及相互性。结果表明，患者和医护人员对有意义的医患互动属性的看法既有相似之处，也有不同之处。更多地了解与有意义的医患互动相关的属性，使医护人员能够为患者提供个性化护理，并更轻松地在患者最需要支持的方面帮助和支持他们。
