Kelly M P, May D
J Adv Nurs. 1982 Mar;7(2):147-56. doi: 10.1111/j.1365-2648.1982.tb00222.x.
Nursing, sociological and psychological research into good and bad, popular and unpopular, and desirable and undesirable patients is reviewed. A number of themes which have been linked by researchers with the evaluation of good and bad patients are identified. These are patients' illnesses and diseases, patients' behaviour, the social backgrounds of patients, patients' attitudes and staff attitudes. It is argued that much of the literature on good and bad patients is deficient from an empirical, a methodological, an epistemological and a theoretical point of view. An alternative theoretical framework is suggested, using as its starting point an interactionist conception of the nursing role. It is suggested that patients come to be defined as good or bad not because of anything inherent in them or in their behaviour, but as a consequence of the interaction between staff and patients.
本文回顾了关于“好患者”与“坏患者”、“受欢迎患者”与“不受欢迎患者”以及“理想患者”与“不理想患者”的护理、社会学和心理学研究。确定了研究人员将其与“好患者”和“坏患者”的评价联系起来的若干主题。这些主题包括患者的疾病、患者的行为、患者的社会背景、患者的态度以及医护人员的态度。本文认为，从实证、方法论、认识论和理论的角度来看，关于“好患者”与“坏患者”的许多文献都存在缺陷。本文提出了一个替代的理论框架，其出发点是对护理角色的互动主义概念。本文认为，患者被定义为“好”或“坏”，并非因为他们自身或其行为中固有的任何因素，而是医护人员与患者之间互动的结果。
