English J, Morse J M
Emergency Service, Royal Jubilee Hospital, Victoria, British Columbia, Canada.
Int J Nurs Stud. 1988;25(1):23-39. doi: 10.1016/0020-7489(88)90032-6.
In this study, simultaneous triangulation was used to explore the problem of the 'difficult' patient. Ethnoscience was used to describe the perceptions of nurses about the types of difficult patients, ethnographic interviews with difficult patients were used to elicit information about the patients' perspective of the hospitalization experience, and a content analysis of 42 vignettes published in nursing magazines describing difficult patients and the resolution of the problem provided the third perspective. Data from these three sources were integrated to develop an explanatory model for the difficult behaviour. The antecedent is patients' unmet expectations; the patients' behavioural response is an attempt to maintain personal control of the experience of hospitalization; and, frequently, the nurses' response to regain control exacerbates the situation.
在本研究中，采用同步三角测量法探讨“难对付”患者的问题。运用民族科学来描述护士对难对付患者类型的看法，通过对难对付患者进行人种志访谈来获取患者对住院体验的看法，对护理杂志上发表的42篇描述难对付患者及问题解决方法的短文进行内容分析提供了第三个视角。整合来自这三个来源的数据，以建立一个关于难对付行为的解释模型。前提是患者未得到满足的期望；患者的行为反应是试图保持对住院体验的个人掌控；而且，护士为重新获得控制权所做出的反应常常会使情况恶化。
