Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway.
Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
J Clin Nurs. 2018 Aug;27(15-16):3197-3204. doi: 10.1111/jocn.14381. Epub 2018 May 25.
To address aspects of importance in the nurse-patient relationship, as conceptualised within the Scandinavian healthcare context.
An experiment in Beth Israel Hospital uncovered a set of core values (ontology) that were wiped away by stronger forces. Despite this, some of the ideas impacted the development of nursing thought and values in the Scandinavian countries, partly because they connected with deeper social values and also because investment was being put into explicitly identifying and understanding the core elements of nursing (ontology) and how to provide evidence that they found were important (epistemology). From that beginning and through the work of key thought leaders, Scandinavian nursing is ready to embark on a new phase, which could be helped by the Fundamentals of Care framework.
This discursive position study offers insights from a public healthcare setting, influenced by values such as equal rights to equal care and/or cure. This study presents two complementing perspectives: an ontological and an epistemological, on establishing caring relationships.
There are different pathways to follow in building person-oriented care; however, the nursing approach is both ontologically and epistemologically grounded and based on dialogue.
Patients meet different nurses, the meeting may be short and, routine actions may be on the agenda. However, nurses must engage with patients' experiences and knowledge, in order to add to patients' present and future well-being with their person-oriented care.
探讨斯堪的纳维亚医疗保健背景下护士-患者关系中重要的方面。
Beth Israel 医院的一项实验揭示了一套核心价值观（本体论），这些价值观被更强大的力量所抹去。尽管如此，一些想法还是影响了斯堪的纳维亚国家护理思想和价值观的发展，部分原因是它们与更深层次的社会价值观相联系，部分原因是正在投入精力明确识别和理解护理的核心要素（本体论），以及如何提供证据证明他们发现的核心要素是重要的（认识论）。从那时起，通过主要思想领袖的工作，斯堪的纳维亚护理已经准备好进入一个新阶段，护理基本框架可能会对此有所帮助。
本论述性立场研究提供了来自公共医疗保健环境的见解，受到平等权利平等护理和/或治愈等价值观的影响。本研究提出了两种互补的观点：建立关怀关系的本体论和认识论。
建立以人为本的护理有不同的途径；然而，护理方法在本体论和认识论上是有基础的，并且基于对话。
患者会遇到不同的护士，这种相遇可能是短暂的，常规的行动可能是议程上的项目。然而，护士必须与患者的经验和知识接触，以便将以人为本的护理融入患者现在和未来的健康福祉中。
