Robinson C A, Thorne S
J Adv Nurs. 1984 Nov;9(6):597-602. doi: 10.1111/j.1365-2648.1984.tb00416.x.
This paper examines the phenomenon of family 'interference' in the health care of a sick member from a new angle. The 'interfering' behaviours are located within the context of the family's evolving relationships with health care providers. The authors argue that the behaviours are an understandable product of the family's disillusionment and dissatisfaction with their health care relationships. As such, these interfering behaviours represent the family's most productive means of positively influencing their sick member's experience with illness. In addition, they set the stage for negotiation to take place between the family and health care providers which leads to mutually satisfying care. When interference is appreciated within the context of health care relationships, it becomes obvious that some of our traditional nursing responses are counterproductive. This paper offers suggestions for making interference work, as well as theoretical questions to the nursing practitioner.
本文从一个全新视角审视了家庭在患病成员医疗护理过程中的“干预”现象。这些“干预”行为处于家庭与医疗服务提供者不断演变的关系背景之中。作者认为,这些行为是家庭对其医疗关系感到失望和不满的一种可以理解的产物。因此,这些干预行为代表了家庭积极影响其患病成员患病体验的最有效方式。此外,它们为家庭与医疗服务提供者之间的协商奠定了基础,进而带来双方都满意的护理。当在医疗关系背景下理解干预行为时,很明显我们一些传统的护理应对措施会适得其反。本文为使干预发挥作用提供了建议,并向护理从业者提出了理论问题。