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礼貌与尊重的意义:护士与患者的经历

Meaning of Courtesy and Respect: Nurse and Patient Experiences.

作者信息

Mayfield Elizabeth, Highfield Martha E F, Mendelson Sherri

机构信息

St Joseph Hospital, Orange, California (Ms Mayfield); and Providence Holy Cross Medical Center, Mission Hills, California (Drs Highfield and Mendelson).

出版信息

J Nurs Care Qual. 2020 Apr/Jun;35(2):177-181. doi: 10.1097/NCQ.0000000000000424.

Abstract

BACKGROUND

Treating patients with courtesy and respect has quality, ethical, and fiscal ramifications.

PURPOSE

This qualitative study revealed meanings of nurse courtesy and respect as imbedded in nurse and patient stories.

METHODS

Audio-recorded interviews were collected from 15 registered nurses and 17 patients on a medical-surgical unit in a 377-bed, nonprofit, Magnet-recognized facility.

RESULTS

Six themes related to courtesy and respect emerged during descriptive content analysis by 2 researchers: (1) being attentive (with subthemes taking time, physical care, and proactive engagement); (2) giving empathetic support; (3) honoring culture and beliefs; (4) recognizing the family; (5) recognizing patient space; and (6) recognizing personhood (with subthemes of showing ordinary politeness and recognizing the individual and honoring choices).

CONCLUSIONS

Informants' stories contributed toward a better understanding of what it means to treat patients with courtesy and respect; and they created context for interpreting HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) numerical results. Further research is warranted.

摘要

背景

以礼貌和尊重对待患者具有质量、伦理和财务方面的影响。

目的

这项定性研究揭示了护士礼貌和尊重在护士与患者故事中的内涵。

方法

在一家拥有377张床位的非营利性、获磁铁认证机构的内科-外科病房,对15名注册护士和17名患者进行了录音访谈。

结果

在两名研究人员进行的描述性内容分析过程中,出现了六个与礼貌和尊重相关的主题:(1)专注(包括花时间、身体护理和积极参与等子主题);(2)给予共情支持;(3)尊重文化和信仰;(4)认可家庭;(5)尊重患者空间;(6)认可人格(包括表现出普通礼貌、认可个体和尊重选择等子主题)。

结论

受访者的故事有助于更好地理解以礼貌和尊重对待患者的意义;并为解读医疗消费者对医疗服务提供者及系统的评估(HCAHPS)数值结果创造了背景。有必要进行进一步研究。

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