McAliley L G, Lambert S A, Ashenberg M D, Dull S M
Pediatr Nurs. 1996 May-Jun;22(3):199-203, 210.
The giving and receiving of gifts, funeral attendance, post-discharge babysitting, usurping of parental roles, indiscriminate sharing of personal information, and other issues prompted a pediatric tertiary care facility in the Midwest to examine intricacies involved in the promotion and maintenance of therapeutic relationships. A multidisciplinary group developed a therapeutic relations decision-making framework to (a) foster a proactive process of conscious deliberation regarding nurse/patient interactions, and (b) afford a nonthreatening mechanism for retrospective review of apparently non-therapeutic relationships. The framework, based upon an "act utilitarian" approach to moral reasoning, promotes the clarification of personal philosophy and values. The framework provides a basis for deliberate, consistent, and confident nursing care delivery and the impetus for developing of new patient and family care initiatives.
礼物的给予与收受、参加葬礼、出院后照顾孩子、篡夺父母角色、随意分享个人信息以及其他问题，促使美国中西部一家儿科三级护理机构审视在促进和维持治疗性医患关系过程中所涉及的复杂情况。一个多学科团队制定了一个治疗性医患关系决策框架，目的是：（a）推动针对护士/患者互动进行有意识思考的积极过程；（b）为回顾性审查明显的非治疗性医患关系提供一个无威胁的机制。该框架基于道德推理的“行为功利主义”方法，促进个人理念和价值观的明晰。该框架为审慎、一致且自信地提供护理服务奠定了基础，并为制定新的患者及家庭护理举措提供了动力。
