Mize Darcy
School of Nursing, Oregon Health and Science University, Klamath Falls, OR, USA.
Int J Older People Nurs. 2018 Mar;13(1). doi: 10.1111/opn.12167. Epub 2017 Sep 20.
The purpose of this study was to explore the meaning of patient-nurse interaction for older women receiving care in healthcare settings.
Older women are often overlooked or misunderstood by the nurses caring for them. Some research exists on nurses' perception of their interaction with patients, yet few studies have described the meaning of such interaction from the patients' perspective.
This was a pilot study using qualitative description as a methodology. Data were filtered through a lens of critical feminist theory to interpret interactions taking place in healthcare settings that are often characterised by paternalism. Seven women between the ages of 66 and 81 were interviewed using a semi-structured guide.
Participants had a distinctive perspective on the experience of caring. Their expressions include stories of being cared for themselves by nurses as well as historical recalls of being the one-caring for family members. In these combined stories, the contrast between the nurses who held caring in primacy and those who were distinctly uncaring sheds light on the importance of cultivating a moral ideal of caring and respect for personhood.
A population of older women who potentially face disabling conditions must rely on direct, meaningful, interaction with nurses to successfully navigate the healthcare system. The findings suggest that these women did not have consistent access to such interaction.
The gathering and interpretation of new narratives about patient-nurse interaction for older women could lead to a deeper understanding of power and civility as it impacts a caring relationship. Further research using a theoretical lens of critical feminism has implications for improving healthcare delivery for older women worldwide.
本研究旨在探讨在医疗环境中接受护理的老年女性患者与护士互动的意义。
老年女性常常被护理她们的护士忽视或误解。关于护士对其与患者互动的认知已有一些研究，但很少有研究从患者的角度描述这种互动的意义。
这是一项采用定性描述方法的试点研究。数据通过批判性女性主义理论的视角进行筛选，以解读在通常以家长作风为特征的医疗环境中发生的互动。使用半结构化指南对7名年龄在66岁至81岁之间的女性进行了访谈。
参与者对护理体验有独特的看法。她们的表述包括被护士照顾的经历以及照顾家庭成员的历史回忆。在这些综合的故事中，将把护理放在首位的护士与明显冷漠的护士进行对比，揭示了培养护理道德理想和尊重人格的重要性。
一群可能面临残疾状况的老年女性必须依靠与护士进行直接、有意义的互动，才能成功应对医疗系统。研究结果表明，这些女性并非总能获得这种互动。
收集和解读关于老年女性患者与护士互动的新叙述，可能会加深对权力和文明的理解，因为它们会影响护理关系。运用批判性女性主义理论视角进行的进一步研究，对改善全球老年女性的医疗服务具有启示意义。
