Reutter L I, Northcott H C
Faculty of Nursing, University of Alberta, Edmonton, Canada.
J Adv Nurs. 1993 Sep;18(9):1377-85. doi: 10.1046/j.1365-2648.1993.18091377.x.
A qualitative study was conducted in order to understand how nurses cope with the risk of contagion while providing care to persons with AIDS (PWAs). Data were collected through in-depth interviews with 13 nurses who had cared for PWAs in an acute-care hospital in a western Canadian city. The data were analysed using the constant comparative methodology of grounded theory. The analysis revealed that caring for PWAs involved achieving a sense of control over uncertainty. One aspect of this process, making risk meaningful, centred on efforts to justify caring for PWAs in the face of risk. The purpose of this paper is to describe how nurses make risk meaningful. A sense of meaning was found to be related to three major factors: accepting the patient as a person who needs and deserves care, finding work enjoyable and worthwhile, and professional commitment to care for all patients. Attaining a sense of meaning led to a reappraisal of the risk situation as worthy of investment and provided the motivation to care for patients in spite of risk. The paper concludes with implications for practice and suggestions for further research.
为了了解护士在为艾滋病患者（PWAs）提供护理时如何应对感染风险，开展了一项定性研究。通过对加拿大西部城市一家急症医院中13名护理过艾滋病患者的护士进行深入访谈来收集数据。使用扎根理论的持续比较法对数据进行分析。分析表明，护理艾滋病患者涉及对不确定性获得一种控制感。这一过程的一个方面，即让风险变得有意义，集中在面对风险时为护理艾滋病患者寻找正当理由的努力上。本文的目的是描述护士如何让风险变得有意义。发现一种意义感与三个主要因素相关：将患者视为一个需要并值得护理的人加以接受、发现工作有趣且有价值，以及对护理所有患者的专业承诺。获得一种意义感会导致对风险状况进行重新评估，认为其值得投入，并提供了不顾风险护理患者的动力。本文最后讨论了对实践的启示以及对进一步研究的建议。
