Littlewood Jenny
Centre for the Study of Primary Care, London.
Nurs Stand. 1993 Apr 28;7(32):12-13. doi: 10.7748/ns.7.32.12.s62.
Words such as community, wound and care can hold very different meanings for people involved in the NHS. In the hospital setting, the environment of the patient is made as similar as possible in terms of space, lockers and bed so their own context is suspended temporarily and compliance in recommended treatment is very high. At home, however, the difficulties facing community nurses in terms of defining the problem, controlling the environment and compliance are well known ( 2 ).
对于参与英国国民医疗服务体系(NHS)的人员而言,诸如社区、伤口和护理等词汇可能具有截然不同的含义。在医院环境中,就空间、储物柜和病床而言,会尽可能使患者的环境保持相似,这样他们自身的背景就会暂时被搁置,并且对推荐治疗的依从性非常高。然而,在家庭环境中,社区护士在界定问题、控制环境和依从性方面所面临的困难是众所周知的(2)。