Unhjem Jeanette Varpen, Hem Marit Helene, Vatne Solfrid
a University of Oslo, Centre for Medical Ethics , Molde , Norway ; Molde University College , Department of Health Sciences and Social Care , Molde , Norway.
b University of Oslo, Centre for Medical Ethics , Blindern , Oslo , Norway.
Issues Ment Health Nurs. 2018 Jun;39(6):457-466. doi: 10.1080/01612840.2017.1416507. Epub 2018 Feb 13.
Nurses are obliged to set professional boundaries in nurse-patient relationships. Relationships with patients that are pursued outside of working hours (dual relationships) are commonly prohibited by legislation and professional codes of ethics, but some nurses still engage in them. A thematic analysis of qualitative interviews revealed that the nurses experienced ambivalence regarding how they see the patients, their assessment of the dual relationships and how people around the nurses react to the relationships. Ambivalence was characterized by contradictory and indeterminate thoughts and attitudes toward patients and dual relationships. Results indicated that dual relationship decisions were complex and highly contextually dependent.
护士有义务在护患关系中设定专业界限。在工作时间之外发展与患者的关系（双重关系）通常受到法律和职业道德规范的禁止，但仍有一些护士涉足其中。一项对定性访谈的主题分析显示，护士们在如何看待患者、对双重关系的评估以及护士周围的人对这些关系的反应方面存在矛盾心理。矛盾心理的特点是对患者和双重关系持有相互矛盾且不确定的想法和态度。结果表明，双重关系的决策很复杂，且高度依赖具体情境。
