Heaslip Vanessa, Board Michele
School of Health and Social Care, Bournemouth University, Bournemouth.
Br J Nurs. 2012;21(15):912, 914-6. doi: 10.12968/bjon.2012.21.15.912.
Recent reports from the Department of Health (2008), the Parliamentary and Health Service Ombudsman (2011) and the Commission on Dignity in Care for Older People (2012) have been highly critical regarding the care that some patients have experienced. They have highlighted that fundamental aspects of care are missing resulting in a lack of high quality individualised nursing care, which is in contrast with holistic nursing philosophy. We have to ask ourselves what is happening within nursing, as many enter the profession owing to a desire to 'make a difference'. Drawing on focus group data exploring perceptions of caring for residents with dementia in a care home setting, the authors found that nurses and healthcare assistants experience a mutual vulnerability with patients. This paper explores whether this mutual vulnerability could lead to nurses focusing on the clinical aspects of their role to the detriment of the compassionate, caring components of nursing.
卫生部（2008年）、议会和医疗服务申诉专员（2011年）以及老年人护理尊严委员会（2012年）最近的报告对一些患者所接受的护理提出了严厉批评。这些报告强调，护理的基本要素缺失，导致缺乏高质量的个性化护理，这与整体护理理念背道而驰。我们不得不扪心自问，护理行业内部究竟发生了什么，因为许多人进入这个行业是出于“有所作为”的愿望。作者利用焦点小组数据，探讨了在养老院环境中照顾痴呆症患者的看法，发现护士和医疗保健助理与患者都存在相互的脆弱性。本文探讨这种相互的脆弱性是否会导致护士将注意力集中在其角色的临床方面，从而损害护理中富有同情心和关怀的部分。
