Faculty of Nursing and Health Science, Nord University, Bodø, Norway.
J Adv Nurs. 2018 Jan;74(1):11-22. doi: 10.1111/jan.13389. Epub 2017 Aug 22.
AIM: To explore and improve our understanding of how nurse-patient relationships can enhance patients' health by synthesizing knowledge from published qualitative studies from both patients' and nurses' perspectives in community care. BACKGROUND: While primary research showing the health benefits of the nurse-patient relationship has been reported, this knowledge has not previously been synthesized. DESIGN: Meta-ethnography. DATA SOURCES: A comprehensive search of five relevant databases, without year limitation, was completed. Inclusion criteria were: peer-reviewed studies exploring patient and/or nurse perspectives in community care settings, using a qualitative approach and published in English in any country. REVIEW METHOD: Noblit and Hare's meta-ethnographic approach. RESULTS: Ten primary studies published between 1997 - 2014 met the research objective and inclusion criteria and were appraised as high quality using CASP. Included studies reported similar findings and reciprocal translational analysis was possible. Six core themes were identified: entering the patient's world; trusting and telling; identifying different needs and uncovering change; patients becoming masters of their own health; patients experiencing health in illness; and nurses going the distance. The core themes were synthesized into a metaphor of "the nurse-patient relationship as a story of health enhancement", which illustrates the meaning of the "common story" they create together. CONCLUSION: The findings help us better understand how the nurse-patient relationship may enhance the patient's health, not only with regard to illness, physical condition and treatment but also physical, emotional, mental and social well-being. The nurse-patient relationship also has the potential to strengthen the patient's own resources towards maintaining health.
目的:通过综合来自社区护理中患者和护士视角的已发表定性研究的知识,从患者和护士的角度探讨和提高我们对护士患者关系如何增强患者健康的理解。
背景:虽然已经报道了初级研究表明护士患者关系的健康益处,但这些知识以前没有被综合过。
设计:元民族志学。
资料来源:对五个相关数据库进行了全面搜索,没有时间限制,包括:探索社区护理环境中患者和/或护士观点的同行评审研究,采用定性方法,并且在任何国家以英文发表。
审查方法:诺布利特和黑尔的元民族志方法。
结果:1997 年至 2014 年间发表的十项符合研究目的和纳入标准的主要研究,并使用 CASP 进行了高质量评估。纳入的研究报告了类似的发现,并且可以进行相互翻译分析。确定了六个核心主题:进入患者的世界;信任和倾诉;识别不同的需求并揭示变化;患者成为自己健康的主人;患者在疾病中体验健康;以及护士全力以赴。核心主题被综合为一个隐喻“护士患者关系是增强健康的故事”,它说明了他们共同创造的“共同故事”的意义。
结论:这些发现帮助我们更好地理解护士患者关系如何增强患者的健康,不仅涉及疾病、身体状况和治疗,还涉及身体、情感、心理和社会福祉。护士患者关系还有潜力增强患者维持健康的自身资源。
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