Nursing and Physiotherapy Department, Universitat de les Illes Balears, 07122 Palma, Spain.
Int J Environ Res Public Health. 2020 Jan 29;17(3):835. doi: 10.3390/ijerph17030835.
The patient is observed to acquire a passive role and the nurse an expert role with a maternalistic attitude. This relationship among others determines the capacity for autonomy in the decision making of patients.
The aim of this study is to analyse the nurse-patient relationship and explore their implications for clinical practice, the impact on quality of care, and the decision-making capacity of patients.
A phenomenological qualitative study was conducted.
Thirteen in-depth interviews with nurses and 61,484 nursing records from internal medicine and specialties departments in a general hospital from 2015-2016.
A discourse analysis and triangulation for these sources were conducted.
The category elaborated from nursing records was defined according to the following codes: Good Patient, Bad patient, and Social Problem. Analysis of the interviews resulted in a category defined as Patient as a passive object.
A good nurse-patient relationship reduces the days of hospital stay and improves the quality and satisfaction of both. However, in contrast, the good relationship is conditioned by the patient's submissive role.
An equal distribution of power allows decisions about health and disease processes to be acquired by patients, autonomously, with the advice of professionals. The nurse-patient relationship should not pursue the change in values and customs of the patient, but position the professional as a witness of the experience of the health and illness process in the patient and family.
患者被观察到处于被动角色，护士则以母性主义态度扮演专家角色。这种关系以及其他关系决定了患者在决策中的自主能力。
本研究旨在分析护患关系，并探讨其对临床实践、护理质量的影响以及对患者决策能力的影响。
一项现象学定性研究。
2015-2016 年，在一家综合医院的内科和专科部门进行了 13 次与护士的深入访谈和 61484 份护理记录。
对这些来源进行了话语分析和三角测量。
从护理记录中详细阐述的类别是根据以下代码定义的：好患者、坏患者和社会问题。对访谈的分析得出了一个类别，定义为患者是被动的对象。
良好的护患关系可以缩短住院天数，提高双方的护理质量和满意度。然而，相反的是，良好的关系取决于患者的顺从角色。
权力的平等分配使患者能够自主地获得关于健康和疾病过程的决策，同时在专业人员的建议下进行。护患关系不应追求改变患者的价值观和习俗，而应将专业人员定位为患者及其家庭在健康和疾病过程中体验的见证者。
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