Long K A
Montana State University College of Nursing, Bozeman 59717.
Nurs Clin North Am. 1993 Mar;28(1):123-30.
An understanding of the client's concept of health is necessary to conduct relevant and effective health assessment, planning, intervention, and evaluation. Client health concepts are affected by place of residence and further colored by specific community and individual level variations including occupation, education, subculture, age, gender, and health status. Rural nursing practice can be improved through knowledge of the health perceptions and definitions held by the rural clients to be served. Nursing, as a discipline, has traditionally emphasized the need to understand the client's perspective and to develop mutually agreed on health goals in collaboration with the client. Rural nursing practice offers unique opportunities to consider meanings of health within the environmental context. Further, it challenges nurses to work hand-in-hand with clients to develop strategies that fit the context, and thus effectively address rural health care needs.
了解服务对象的健康观念对于进行相关且有效的健康评估、规划、干预和评价是必要的。服务对象的健康观念受居住地影响,并因特定社区和个体层面的差异(包括职业、教育、亚文化、年龄、性别和健康状况)而进一步呈现出不同特点。通过了解农村服务对象所持有的健康观念和定义,可以改进农村护理实践。作为一门学科,护理传统上一直强调需要理解服务对象的观点,并与服务对象合作制定双方认可的健康目标。农村护理实践提供了独特的机会,可在环境背景中考虑健康的意义。此外,它促使护士与服务对象携手合作,制定适合该背景的策略,从而有效满足农村医疗保健需求。