Storr Julie, Kilpatrick Claire, Seale Holly
Director, KS Healthcare Consulting, UK.
Associate Professor, School of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.
J Res Nurs. 2024 Dec 10:17449871241281437. doi: 10.1177/17449871241281437.
This opinion paper addresses the role of nurses and the relevance of models and theories, both nursing and infection prevention and control (IPC), to visitor restrictions that were widely enforced in many countries during the COVID-19 pandemic, with a focus on person-centredness. It outlines the social utility of nursing, reflecting on whether what happened during this period has made nursing theories more less relevant. It suggests that IPC guidance, rooted in a historic biomedical model, has had a tendency not to consider the impact that the precautionary measures it recommends, rather than the infections themselves, might have on the quality of life of people receiving healthcare. A key driver of the visitor restrictions seemed to be the pursuit of this biomedical model across the health system that was at odds with the person-centred theories of nursing. The paper questions the limitations of focusing on a biomedical logic for guiding the ethics of nursing. The IPC community working with the nursing profession, recapturing some of the theoretical principles of person-centred approaches, could help build a blueprint for compassionate IPC decision-making for the future. The paper outlines seven policy, practice and research considerations that might address the issues raised.
本意见书探讨了护士的角色以及护理和感染预防与控制(IPC)的模型与理论在2019年冠状病毒病大流行期间许多国家广泛实施的访客限制措施中的相关性,重点关注以患者为中心的理念。它概述了护理的社会效用,反思这一时期所发生的事情是否使护理理论变得更具相关性或相关性降低。它指出,基于传统生物医学模式的IPC指南往往没有考虑到其所推荐的预防措施而非感染本身可能对接受医疗保健的人群的生活质量产生的影响。访客限制的一个关键驱动因素似乎是在整个卫生系统中追求这种生物医学模式,而这与以患者为中心的护理理论相悖。本文质疑专注于生物医学逻辑来指导护理伦理的局限性。IPC领域与护理专业合作,重新找回以患者为中心方法的一些理论原则,有助于为未来富有同情心的IPC决策制定蓝图。本文概述了七个可能解决所提出问题的政策、实践和研究方面的考虑因素。