McMahon R
Br J Nurs. 1996;5(12):760-3. doi: 10.12968/bjon.1996.5.12.760.
Primary nursing has been proclaimed as a way of providing nursing care that benefits both the patient and the nurse. This article supports this view; however, a pragmatic approach is taken to identify some of the paradoxes and contradictions that may be encountered. These include: conflicts of loyalty; planning psychological care; empowerment of patients; empowerment of nurses; and competition. By using examples from practice the issues surrounding these concepts are explored, examining the impact both on practice and on nursing as an occupation. Nurses must address these paradoxes if they are to prevent conflict and frustration. The future goal of fully implementing primary nursing will, however, provide great opportunity and potential for improving patient care.
责任制护理已被宣称是一种既能让患者受益又能让护士受益的护理方式。本文支持这一观点；然而，本文采用务实的方法来识别可能遇到的一些悖论和矛盾。这些包括：忠诚冲突；心理护理规划；患者赋权；护士赋权；以及竞争。通过使用实践中的例子，探讨了围绕这些概念的问题，考察了它们对实践和护理职业的影响。护士若要避免冲突和挫折，就必须解决这些悖论。然而，全面实施责任制护理的未来目标将为改善患者护理提供巨大的机遇和潜力。
