Nesengani Tintswalo V, Downing Charlene, Poggenpoel Marie, Stein Chris
Department of Nursing, University of Johannesburg, Johannesburg.
Afr J Prim Health Care Fam Med. 2019 Jun 10;11(1):e1-e11. doi: 10.4102/phcfm.v11i1.1963.
Caring for patients is the core aspect of nursing and a cornerstone of all nursing duties. Although caring is seen as a critical component of nursing delivery and an essential characteristic of nursing, there seems to be a gap between theory and practice.
The aim of this article was to explore and describe the experiences of caring for patients by professional nurses in public health clinics in Ekurhuleni.
The study was conducted in Ekurhuleni, an area east of the Gauteng Province in two public health clinics.
A qualitative, exploratory, descriptive phenomenological and contextual research design was used. In-depth, individual phenomenological interviews were conducted with eight purposefully sampled professional nurses to explore their experiences of caring for patients in public health clinics in Ekurhuleni. Data were analysed using Giorgi's coding method.
Two themes were revealed in the study findings. The first theme was the experienced empowering aspects of caring while the second theme was the experienced disempowering aspects of caring. The experienced empowering aspects of caring had two categories: empowering interpersonal experiences and the empowering experiences through client affirmation. These were identified by the participants as enabling effective caring for patients. The experienced disempowering aspects of caring also had two categories: disempowering interpersonal experiences and the disempowering experiences resulting from public health clinic system challenges. The disempowering aspects were identified by participants as disenabling effective caring for patients.
The study findings reveal that the professional nurses had empowering and disempowering experiences while caring for patients in the public health clinics.
护理患者是护理工作的核心内容，也是所有护理职责的基石。尽管关怀被视为护理服务的关键组成部分和护理工作的基本特征，但理论与实践之间似乎存在差距。
本文旨在探讨和描述埃库鲁莱尼地区公共卫生诊所专业护士护理患者的经历。
该研究在豪登省东部地区的埃库鲁莱尼的两家公共卫生诊所进行。
采用定性、探索性、描述性现象学和情境研究设计。对八名经过有目的抽样的专业护士进行了深入的个体现象学访谈，以探讨他们在埃库鲁莱尼公共卫生诊所护理患者的经历。使用 Giorgi 的编码方法对数据进行分析。
研究结果揭示了两个主题。第一个主题是关怀中体验到的赋能方面，而第二个主题是关怀中体验到的去赋能方面。关怀中体验到的赋能方面有两类：赋能的人际体验和通过患者肯定获得的赋能体验。参与者认为这些有助于对患者进行有效的护理。关怀中体验到的去赋能方面也有两类：去赋能人际体验和公共卫生诊所系统挑战导致的去赋能体验。参与者认为这些去赋能方面不利于对患者进行有效的护理。
研究结果表明，专业护士在公共卫生诊所护理患者时既有赋能体验，也有去赋能体验。
