de Schepper A M, Francke A L, Huijer-Abu Saad H
Verpleegkunde. 1994 Aug;9(2):59-70.
This paper is concerned with a qualitative study about feelings of powerlessness of community nurses involved in caring for cancer patients suffering pain. From semi-structured interviews the following causes of feelings of powerlessness appeared: discommunication with patients and the general practitioner, dilemmas concerning physical care and opiates and a discrepancy between pain management goals and reality. Main strategies for reducing feelings of powerlessness were: sharing feelings with the patient and colleagues, increasing knowledge and skills and standing back from the situation.
本文是一项关于社区护士在护理癌痛患者时产生无助感的定性研究。通过半结构化访谈，出现了以下导致无助感的原因：与患者及全科医生沟通不畅、在身体护理和阿片类药物方面的困境以及疼痛管理目标与现实之间的差异。减少无助感的主要策略包括：与患者及同事分享感受、增加知识和技能以及从具体情况中抽身。
