Jewell S E
Department of Nursing Studies, University of Southampton, England.
J Adv Nurs. 1994 Mar;19(3):433-8. doi: 10.1111/j.1365-2648.1994.tb01104.x.
Patient participation as a nursing philosophy and practice has grown in popularity. Research studies have reported the possible positive effects of involving patients in their health and care, while investigations interested in the meaning of participation have tended to concentrate upon the patient's perspective. However, little research has focused upon the practitioner's understanding of the concept or its execution. The aim of this ethnographic study was to uncover the perceptions of primary nurses towards the notion of patient participation, and represents early explorative work within a larger project devoted to discharge decision making. A group discussion was led by the author with four primary nurses working within a rehabilitation unit for elderly people. The data were subjected to a content analysis and two central themes or principles emerged. First, participation was regarded as having both a formal and informal meaning as well as a formal and informal method or practice, and secondly, it was seen to involve mutual informing or negotiation between patient and nurse. Both these principles were regarded as closely linked to the concepts of nurse-patient closeness and patient individuality.
患者参与作为一种护理理念和实践，越来越受到欢迎。研究报告了让患者参与自身健康和护理可能产生的积极影响，而关注参与意义的调查往往集中在患者的视角。然而，很少有研究关注从业者对这一概念的理解或其实施情况。这项人种学研究的目的是揭示初级护士对患者参与概念的看法，它是一个致力于出院决策的更大项目中的早期探索性工作。作者组织了一次小组讨论，与在一家老年康复病房工作的四位初级护士进行交流。对数据进行了内容分析，出现了两个核心主题或原则。首先，参与被视为具有正式和非正式的含义以及正式和非正式的方法或实践，其次，它被视为涉及患者与护士之间的相互告知或协商。这两个原则都被认为与护患亲密关系和患者个体性的概念密切相关。
