Beck Malene, Birkelund Regner, Poulsen Ingrid, Martinsen Bente
Institute of Public Health, Department of Nursing Science, Aarhus University, Denmark.
Department of Neurology, Zealand University Hospital, 4000, Roskilde, Denmark.
J Adv Nurs. 2017 Aug;73(8):1947-1957. doi: 10.1111/jan.13278. Epub 2017 Mar 22.
The aim of this study was to explore the experiences of patients who were admitted to the neurological ward during an intervention - inspired by Protected Mealtime - that changed the traditional mealtime practice.
Mealtimes are busy events in hospitals and patients are often interrupted by high-priority tasks (e.g. taking blood samples) while eating. Protected mealtimes is a British concept that changes the organizational structure of mealtimes and provides a focus on the mealtime by ceasing all non-acute activities while patients are eating.
Influenced by protected mealtimes and based on the British Medical Research Council (MRC) guidelines, a clinical intervention called Quiet Please was developed, modified and tested in a department of neurology in November 2014.
To evaluate the Quiet Please intervention, 13 semi-structured interviews were conducted with patients who were admitted to the neurological ward. The interviews were recorded and transcribed. These data were thoroughly analysed and interpreted with inspiration from the French philosopher, Paul Ricouer.
Three themes were identified from the analysis and interpretation: (1) being powered by the bell; (2) being embraced by calmness and aesthetics and (3) being in a trust-bearing agreement.
Patients experienced mealtimes as meaningful events that nourished them in an existential manner because the calming and aesthetically pleasing environment made them feel embraced and allowed them to reflect on the day for a while. The mealtime change, influenced by protected mealtimes, made the patients feel recognized as humans and established positive mealtime experiences that were considered professional and trust bearing.
本研究旨在探索在一项受“保护用餐时间”启发而开展的干预措施实施期间，入住神经科病房的患者的体验。该干预措施改变了传统的用餐习惯。
用餐时间在医院是忙碌的时段，患者进食时常常会被高优先级的任务（如采集血样）打断。“保护用餐时间”是一个源自英国的理念，它改变了用餐时间的组织结构，通过在患者进食时停止所有非紧急活动，将重点放在用餐上。
受“保护用餐时间”的影响，并基于英国医学研究理事会（MRC）的指南，2014年11月在一个神经科开发、修改并测试了一项名为“请安静”的临床干预措施。
为评估“请安静”干预措施，对入住神经科病房的患者进行了13次半结构化访谈。访谈进行了录音和转录。这些数据在法国哲学家保罗·利科的启发下进行了深入分析和解读。
从分析和解读中确定了三个主题：（1）受铃声驱动；（2）被平静与美感所包围；（3）处于信任关系中。
患者将用餐时间体验为有意义的时刻，这些时刻以一种存在主义的方式滋养着他们，因为平静且美观的环境让他们感到被接纳，并让他们能够暂时反思一天的经历。受“保护用餐时间”影响而发生的用餐时间变化，让患者感到自己作为人得到了认可，并建立了积极的用餐体验，这些体验被认为是专业且值得信任的。
