Cronin S N, Harrison B
Bellarmine College, Louisville, KY 40205-0671.
Heart Lung. 1988 Jul;17(4):374-80.
Our purpose was to identify nursing behaviors perceived as indicators of caring by patients who have had a myocardial infarction. A sample of 22 hospitalized patients were interviewed, with use of an open-ended question and the Caring Behaviors Assessment, to determine what things nurses said or did that conveyed caring to the patients during their stay in the coronary care unit (CCU). An analysis of the relative importance of each identified behavior revealed that nursing actions that focused on the physical care and monitoring of patients were seen as most indicative of caring. Teaching activities were also perceived as significant whereas extra, individualized aspects of care were viewed as less important in the critical care setting. No significant differences in perceptions were found on the basis of sex, age, education level, number of CCU admissions, or length of CCU stay. Critical care nurses should be aware that assessment activities and demonstration of professional competence are viewed by patients as significant expressions of caring.
我们的目的是确定心肌梗死患者所认为的体现关怀的护理行为。通过使用开放式问题和关怀行为评估,对22名住院患者进行了访谈,以确定护士在患者住院冠心病监护病房(CCU)期间所说或所做的哪些事情向患者传达了关怀。对每种已确定行为的相对重要性进行分析后发现,专注于患者身体护理和监测的护理行为被视为最能体现关怀。教学活动也被认为很重要,而在重症监护环境中,额外的个性化护理方面则被认为不太重要。在性别、年龄、教育水平、入住CCU的次数或在CCU的住院时间方面,未发现认知上的显著差异。重症监护护士应意识到,评估活动和专业能力的展示被患者视为关怀的重要表达方式。