Eloranta Sini, Arve Seija, Isoaho Hannu, Aro Ilme, Kalam-Salminen Ly, Routasalod Pirkko
Welfare Division, Turku, Finland.
Department of Nursing Science, University of Turku, Salo, Finland.
Int J Nurs Pract. 2014 Apr;20(2):204-211. doi: 10.1111/ijn.12137. Epub 2013 Aug 5.
The aim of the study was to explore how far the perceptions of care of nurses in Finland take into account the preferences of the older patient and the patient's family members and to evaluate related background factors. The data were collected by questionnaire with nurses (n=167) working in a geriatric hospital. The questionnaire contained items about shared decision-making, attitudes to nursing patients, assessment of patients' functional ability and need for care, goal-setting, evaluation of outcomes and discharge planning. This study showed that taking into account the preferences of the patient and the patient's family members regarding the patient's care was challenging for the nurses in practice. About one-third of the nurses reported making the decisions on a patient's care themselves and not respecting patient autonomy in situations where patients are not able to assess their own situation. In addition, the nurses reported asking for the views of patients less frequently than those of family members when assessing and setting patient care goals. In practice, nurses need to be aware of this, during the transition from routine-centred care to patient-centred care.
该研究的目的是探讨芬兰护士的护理观念在多大程度上考虑了老年患者及其家庭成员的偏好，并评估相关背景因素。数据通过对一家老年医院的护士（n = 167）进行问卷调查收集。问卷包含有关共同决策、对护理患者的态度、对患者功能能力和护理需求的评估、目标设定、结果评估以及出院计划等项目。这项研究表明，在实践中，考虑患者及其家庭成员对患者护理的偏好对护士来说具有挑战性。约三分之一的护士报告称，在患者无法评估自身情况时，他们会自行决定患者的护理，而不尊重患者的自主权。此外，护士在评估和设定患者护理目标时，询问患者意见的频率低于询问家庭成员意见的频率。在实践中，护士在从以常规为中心的护理向以患者为中心的护理转变过程中需要意识到这一点。
