Hvalvik Sigrun, Dale Bjørg
Faculty of Health and Social Studies, Telemark University College, 3901 Porsgrunn, Norway ; Centre for Caring Research-Southern Norway, Faculty of Health and Sport Sciences, University of Agder, 4898 Grimstad, Norway ; Centre for Caring Research-Southern Norway, Department of Health Studies, Telemark University College, 3901 Porsgrunn, Norway.
Nurs Res Pract. 2013;2013:181670. doi: 10.1155/2013/181670. Epub 2013 May 16.
Older persons in transition to need professional care in their homes will constitute a large group in municipalities in the future. The aim of this study was to obtain insight into nurses' experiences and perceptions of caring for patients in transition to receive homecare. Eleven home nurses divided into two focus groups were interviewed, and a phenomenological hermeneutical design was used. Four interpretations closely related to each other were revealed: it is essential to have an understanding of the patients' transition history; the nurse' repertoire is challenged in the transition process; care must be adapted to the patients' life world; the excellence of care is threatened by the context. The nurses strived to provide care based upon respect for the independent individual as a living whole. Their ambitions were, however, challenged and threatened by the caring context. The cooperation across organizational levels was pointed out as a critical factor with potential for improvement. This must be taken seriously to support the nurses in their endeavors to provide excellent care.
未来，需要在家中接受专业护理的老年人将在市政当局中占很大比例。本研究的目的是深入了解护士在护理即将接受家庭护理的患者方面的经验和看法。研究人员对11名家庭护士进行了访谈，他们被分成两个焦点小组，并采用了现象学诠释学设计。研究揭示了四个相互密切相关的诠释：了解患者的过渡历史至关重要；护士的技能在过渡过程中受到挑战；护理必须适应患者的生活世界；护理的卓越性受到环境的威胁。护士们努力在尊重独立个体作为一个完整生命体的基础上提供护理。然而，他们的抱负受到护理环境的挑战和威胁。跨组织层面的合作被指出是一个有改进潜力的关键因素。必须认真对待这一点，以支持护士努力提供优质护理。
