Bach Anne Mette, Risoer Mette Bech, Forman Axel, Seibaek Lene
Aarhus University Hospital, Aarhus, Denmark.
The Arctic University of Norway, Tromsoe, Norway.
Glob Qual Nurs Res. 2016 May 26;3:2333393616651351. doi: 10.1177/2333393616651351. eCollection 2016 Jan-Dec.
Endometriosis is a chronic disease affecting approximately 10% of fertile women. These women often have negative health care experiences. This study adds new knowledge about endometriosis care in a hospital setting and nurses' attitudes toward the disease. To explore how the personal attitudes of gynecological nurses, their specialized knowledge, and their clinical experiences influenced the way they conceptualized and cared for women with endometriosis, participant observations and semistructured interviews were conducted. Categorization of patients into certain kinds, with more or less legitimate needs, provided an important framework for practice. Specialized knowledge qualified the nurses' views of their patients and seemed to be conducive to sustained patient involvement. However, the organization of care based solely on medical specialization restricted a holistic approach. An important goal is, therefore, to investigate patients' perspectives of health and illness and to create participatory relationships with patients, regardless of their diagnosis.
子宫内膜异位症是一种慢性病,影响着约10%的育龄妇女。这些女性往往有负面的医疗保健经历。本研究增加了关于医院环境中子宫内膜异位症护理以及护士对该疾病态度的新知识。为了探究妇科护士的个人态度、专业知识和临床经验如何影响她们对子宫内膜异位症女性的概念化理解和护理方式,进行了参与观察和半结构化访谈。将患者分类为具有或多或少合理需求的特定类型,为实践提供了一个重要框架。专业知识使护士对患者的看法更具专业性,似乎有利于患者持续参与护理。然而,仅基于医学专业划分的护理组织限制了整体护理方法。因此,一个重要目标是调查患者对健康和疾病的看法,并与患者建立参与性的关系,无论其诊断如何。