在医疗环境中通过触摸表达和接受同情：一项定性研究。
The expression and receipt of compassion through touch in a health setting; a qualitative study.
机构信息
School of Health, University of New England, Armidale, NSW, Australia.
Faculty of Health, University of Technology (UTS), Sydney, NSW, Australia.
出版信息
J Adv Nurs. 2021 Apr;77(4):1980-1991. doi: 10.1111/jan.14766. Epub 2021 Feb 9.
AIM
To investigate and understand how compassion is expressed by nurses and received by patients in a hospital setting.
BACKGROUND
Concerns regarding the absence of compassion in a healthcare setting has necessitated further research in the field. To define and measure compassion is difficult and problematic. Compassion is subjective and in the contemporary literature the views of patients are under-represented. Touch is an important component of nursing practice and can also be considered problematic.
DESIGN
Secondary analysis of narrative interviews.
METHODS
Secondary analysis of 12 participant interviews with nurses (n-4) and patients (n-8). Data were collected between August 2018 and August 2019.
FINDINGS
Compassion was expressed and received through touch for nurses and patients. Patients receive compassion through the touch of the nurse and this touch conveyed comfort and safety. Touch allowed for the establishment of an authentic connection between nurse and patient. Nurses used touch to express compassion and patients received compassion when they were comforted with touch. Compassion was present in incidental touch and deliberate comforting touch. Nurses were respectful of the meanings of touch. Patients describe nurses knowing when to touch and using touch appropriately.
CONCLUSIONS
Nurses in our study were respectful of the meaning of touch for their patients and described using touch to convey compassion. Patients in our study perceived compassion through the touch by the nurse. Through these narratives, touch is revealed as an essential part of compassionate practice conveying safety, authenticity and connection.
IMPACT
Patients in this study describe receiving compassion through the use of touch which made them feel safe. Nurses in this study used touch to create an authentic connection with patients and were aware of the different meanings of touch. Avoiding touch, being wary of touch, or considering touch taboo robs patients of compassion moments.
目的
调查和了解护士在医院环境中表达同情以及患者接受同情的方式。
背景
由于人们对医疗保健环境中缺乏同情心表示担忧，因此需要进一步研究该领域。定义和衡量同情心是困难和有问题的。同情心是主观的，在当代文献中，患者的观点代表性不足。触摸是护理实践的重要组成部分，也可能被认为是有问题的。
设计
叙事访谈的二次分析。
方法
对 4 名护士和 8 名患者的 12 名参与者访谈的二次分析。数据收集于 2018 年 8 月至 2019 年 8 月期间进行。
发现
护士和患者通过触摸表达和接受同情。患者通过护士的触摸接受同情，这种触摸传达了安慰和安全感。触摸允许护士和患者之间建立真实的联系。护士使用触摸表达同情，当患者被触摸安慰时，他们接受了同情。同情存在于偶然的触摸和故意的安慰触摸中。护士尊重触摸的含义。患者描述护士知道何时触摸以及如何适当使用触摸。
结论
我们研究中的护士尊重患者触摸的含义，并描述使用触摸来传达同情。我们研究中的患者通过护士的触摸感知到同情。通过这些叙述，触摸被揭示为富有同情心的实践的重要组成部分，传达了安全、真实性和联系。
影响
本研究中的患者通过使用触摸来感受安全，从而接收到了同情。本研究中的护士使用触摸与患者建立真实的联系，并意识到触摸的不同含义。避免触摸、对触摸持谨慎态度或认为触摸是禁忌，会剥夺患者的同情时刻。
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