Kasch C R
Nurs Res. 1986 Jul-Aug;35(4):226-30.
Existing models of nursing require expansion and refinement to link theory, research, and clinical practice more closely. To accomplish this goal, conceptual models need to integrate a theoretically motivated and clinically useful account of nursing action. One way to do this is to view nursing action as a process of social interaction. Effecting positive changes in patients' health care status depends on nurse-patient interaction that promotes consensus. Consensus is arrived at through the process of negotiation and depends on the nurse's level of interpersonal competence. This article discusses core assumptions about the nature and function of nursing action as viewed through an interactional lens and identifies interpersonal skills suggested by this perspective, which are likely to account for competent nursing action.
现有的护理模式需要扩展和完善，以便更紧密地将理论、研究和临床实践联系起来。为实现这一目标，概念模型需要整合一个基于理论且对临床有用的护理行动描述。实现这一点的一种方法是将护理行动视为一种社会互动过程。在患者的医疗保健状况方面实现积极变化取决于促进达成共识的护患互动。共识是通过协商过程达成的，并且取决于护士的人际沟通能力水平。本文讨论了从互动视角看待护理行动的本质和功能的核心假设，并确定了这一视角所提出的人际技能，这些技能可能是胜任护理行动的原因。
