McCormack Brendan
Head of the Division of Nursing and Head of QMU Graduate School, School of Health Sciences, Queen Margaret University (QMU), East Lothian, Scotland, UK.
Nurs Leadersh (Tor Ont). 2016;29(1):17-25. doi: 10.12927/cjnl.2016.24642.
The fundamentals of care have re-emerged as an important consideration in nursing following a period when these role elements were predominantly "delegated tasks" delivered by other (usually unregistered/unregulated) members of the health and social care team. Contemporary critiques of nursing highlight the technical focus of nursing at the expense of its caring function. Person-centred nursing theory offers a way of reinstating the value of fundamental care as a core part of providing holistic nursing to persons as well as highlighting the importance of the nursing role in coordinating healthcare services in ways that are consistent with a person's beliefs and values. This paper argues that a focus on person-centredness enables the core function of nurses as providers and coordinators of holistic person-centred fundamental care to be revalued. It highlights the importance of nurses being clear about "what matters" in caring practices and suggests that nurses adopting a person-centred approach can achieve effective care coordination through the lens of the fundamentals of care. In reading this paper, a greater understanding of person-centredness in the context of the fundamentals of care can be achieved.
在护理工作中,护理基本要素曾一度主要由健康和社会护理团队的其他(通常未注册/未受监管)成员执行的“委托任务”,如今又重新成为重要考量因素。当代对护理工作的批评指出,护理过于注重技术,而牺牲了其关怀功能。以患者为中心的护理理论提供了一种方法,既能恢复基本护理的价值,使其成为为患者提供整体护理的核心部分,又能突出护理角色在以符合患者信仰和价值观的方式协调医疗服务方面的重要性。本文认为,关注以患者为中心能够重新重视护士作为整体以患者为中心的基本护理提供者和协调者的核心职能。它强调了护士在护理实践中明确“重要事项”的重要性,并表明采用以患者为中心方法的护士能够通过护理基本要素的视角实现有效的护理协调。通过阅读本文,可以更深入地理解在护理基本要素背景下的以患者为中心。