Section for Nursing, Department of Public Health, Aarhus University, Denmark.
Int J Nurs Stud. 2013 Jan;50(1):26-33. doi: 10.1016/j.ijnurstu.2012.08.013. Epub 2012 Sep 25.
This paper provides a theoretical account of nurses' collaboration with patients with chronic obstructive pulmonary disease during non-invasive ventilation treatment in hospital.
Despite strong evidence for the effect of non-invasive ventilation treatment, success remains a huge challenge. Nurse-patient collaboration may be vital for treatment tolerance and success. A better understanding of how nurses and patients collaborate during non-invasive ventilation may therefore contribute to improvement in treatment success.
A constant comparative classical grounded theory.
The data comprised sessions of qualitative participant observation during the treatment of 21 patients with non-invasive ventilation that included informal conversations with the nurses and semi-structured interviews with 11 patients after treatment completion. Data were collected at three intensive care units and one general respiratory ward in Denmark.
Succeeding emerged as the nurses' main concern in the nurse-patient collaboration during non-invasive ventilation treatment. Four collaborative typologies emerged as processing their main concern: (1) twofold oriented collaboration; (2) well-being oriented collaboration; (3) outcome oriented collaboration; and (4) absent collaboration.
This study offers a theoretical account of nurses' main concern and how they activate different ways of collaboration to achieve successful treatment. We offer a theoretical basis for developing complex interventions.
本文为护士在医院进行无创通气治疗期间与慢性阻塞性肺疾病患者合作提供了理论解释。
尽管无创通气治疗效果显著，但治疗的成功仍然是一个巨大的挑战。护士与患者的合作对于治疗耐受性和成功至关重要。因此，更好地了解护士和患者在无创通气治疗期间的合作方式可能有助于提高治疗成功率。
不断比较的经典扎根理论。
数据包括对 21 名接受无创通气治疗的患者进行的定性参与观察会议，包括与护士的非正式对话和治疗完成后对 11 名患者的半结构化访谈。数据收集于丹麦的三个重症监护病房和一个普通呼吸病房。
成功成为护士在无创通气治疗期间与患者合作的主要关注点。出现了四种协作类型：（1）双重导向的协作；（2）以幸福感为导向的协作；（3）以结果为导向的协作；以及（4）缺失的协作。
本研究提供了护士主要关注点的理论解释，以及他们如何激活不同的合作方式以实现成功治疗。我们为开发复杂干预措施提供了理论基础。
