Hoffmann Eva, Olsen Pia Riis
University College South Denmark, Aabenraa, Denmark.
Department of Oncology, Aarhus University Hospital, Aarhus C, Denmark.
Scand J Caring Sci. 2018 Sep;32(3):1207-1214. doi: 10.1111/scs.12566. Epub 2018 Feb 28.
Research indicates that active involvement of patients' relatives generally has a positive impact on patients' hospitalisation, including patient safety. Campaigns urge relatives to ask questions in relation to nursing care and treatment to enhance patient safety and to increase involvement of both patient and relatives. The question is how nurses experience relatives who ask questions. The aim of this study was to explore how nurses experienced contact with patients' relatives during admissions to a somatic emergency ward including nurses' experience of relatives asking questions related to nursing care and treatment. Six nurses were interviewed. The participants gave written consent to participate after receiving both oral and written information about the study. Data were analysed using combined theory and data-driven qualitative content analysis. The findings formed three main themes: (i) relatives' involvement as a means to efficiency during hospitalisation, (ii) relatives welcomed on the terms of the system and (iii) tension between high ideals and frustrating realities. The six interviews answered the research questions. However, more interviews could have broadened the study and contributed with further details. The nurses experienced relatives as an important resource - 'an ace up the sleeve', while reality seemed to challenge the relationship between nurses and relatives. The study contributes to discussions before development and implementation of specific initiatives aiming at increasing involvement of relatives of patients in a somatic emergency ward.
研究表明，患者亲属的积极参与通常对患者的住院治疗有积极影响，包括患者安全。相关活动敦促亲属就护理和治疗提出问题，以提高患者安全，并增加患者及其亲属的参与度。问题在于护士如何看待提问的亲属。本研究的目的是探讨护士在躯体急诊病房收治患者期间与患者亲属接触的体验，包括护士对亲属就护理和治疗提出问题的体验。对六名护士进行了访谈。参与者在收到关于该研究的口头和书面信息后，书面同意参与。采用理论与数据驱动相结合的定性内容分析法对数据进行分析。研究结果形成了三个主要主题：（i）亲属的参与是住院期间提高效率的一种手段；（ii）亲属在符合制度规定的条件下受到欢迎；（iii）崇高理想与令人沮丧的现实之间的紧张关系。这六次访谈回答了研究问题。然而，更多的访谈本可以拓宽研究范围并提供更多细节。护士们将亲属视为一种重要资源——“一张王牌”，而现实似乎对护士与亲属之间的关系构成了挑战。该研究有助于在制定和实施旨在增加躯体急诊病房患者亲属参与度的具体举措之前进行讨论。
