Mendyka B E
AACN Clin Issues Crit Care Nurs. 1993 Aug;4(3):550-7.
Critically ill patients belong to larger phenomenologic systems, their families. What affects one member affects other system members. Nursing care requires meticulous observation and assessment of family concerns, understanding of clinical events, and practical experience to achieve positive outcomes even if a death occurs. It seems easy to dismiss the family from the clinical and technical matters of the critical care unit, especially when much nursing energy goes into operating peripheral machinery, performing tasks, and pursuing ever-changing patient-centered goals. The following case study attempts to redefine and redirect the focus of what "patient-centered" means to include the nurse, the patient, and the family in the meaning of the core of family-centered care.
重症患者属于更大的现象学系统，即他们的家庭。影响一个成员的因素也会影响其他家庭成员。护理工作需要对家庭关切进行细致的观察和评估，理解临床事件，并具备实践经验，以便即使在患者死亡的情况下也能取得积极的结果。在重症监护病房的临床和技术事务中忽视患者家庭似乎很容易，尤其是当大量护理精力投入到操作外围设备、执行任务以及追求不断变化的以患者为中心的目标时。以下案例研究试图重新定义并重新聚焦“以患者为中心”的含义，将护士、患者和家庭纳入以家庭为中心护理核心意义的范畴。
