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居家护理中的遭遇——注册护士的经历。

Encounters in home-based nursing care - registered nurses' experiences.

作者信息

Wälivaara Britt-Marie, Sävenstedt Stefan, Axelsson Karin

机构信息

Division of Nursing, Department of Health Science, Luleå University of Technology, SE-971 87 Luleå, Sweden.

出版信息

Open Nurs J. 2013 Jun 14;7:73-81. doi: 10.2174/1874434620130419001. Print 2013.

Abstract

The encounter between registered nurses and persons in need of healthcare has been described as fundamental in nursing care. This encounter can take place face-to-face in physical meetings and through meetings via distance-spanning technology. A strong view expressed in the literature is that the face-to-face encounter is important and cannot entirely be replaced by remote encounters. The encounter has been studied in various healthcare contexts but there is a lack of studies with specific focus on the encounter in home-based nursing care. The aim of this study was to explore the encounter in home-based nursing care based on registered nurses' experiences. Individual interviews were performed with 24 nurses working in home-based nursing care. The transcribed interviews were analyzed using thematic content analysis and six themes were identified: Follows special rules, Needs some doing, Provides unique information and understanding, Facilitates by being known, Brings energy and relieves anxiety, and Can reach a spirit of community. The encounter includes dimensions of being private, being personal and being professional. A good encounter contains dimensions of being personal and being professional and that there is a good balance between these. This is an encounter between two human beings, where the nurse faces the person with herself and the profession steadily and securely in the back. Being personal and professional at the same time could encourage nurses to focus on doing and being during the encounter in home-based nursing care.

摘要

注册护士与需要医疗保健的人之间的接触被描述为护理工作的基础。这种接触可以在面对面的实际会面中进行,也可以通过远程技术进行会面。文献中表达的一种强烈观点是,面对面的接触很重要,不能完全被远程接触所取代。这种接触在各种医疗保健环境中都有研究,但缺乏专门针对居家护理中接触情况的研究。本研究的目的是基于注册护士的经验,探索居家护理中的接触情况。对24名从事居家护理工作的护士进行了个人访谈。使用主题内容分析法对转录的访谈进行分析,确定了六个主题:遵循特殊规则、需要付出努力、提供独特的信息和理解、因被了解而提供便利、带来活力并缓解焦虑、营造社区氛围。这种接触包括私密、个人和专业等方面。良好的接触包含个人和专业两个方面,且两者之间保持良好的平衡。这是两个人之间的接触,护士在其中以自己的身份面对对方,同时身后稳稳地依靠着专业。在居家护理的接触过程中,同时做到个人化和专业化可以促使护士专注于行动和自身角色。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a237/3706799/460ad33d891a/TONURSJ-7-73_F1.jpg

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