Kelly D
University College London Hospitals, England.
J Adv Nurs. 1998 Oct;28(4):728-36. doi: 10.1046/j.1365-2648.1998.00807.x.
Despite the recent interest in caring for both academic and clinical nursing, the theoretical basis of this concept may appear somewhat elusive as the research and debate vary widely in their focus. As a result, the available literature may fail to consider the specific contextual issues which characterize caring as it is understood across different health care settings. Consideration of theory from disciplines close to nursing, it is suggested, may be useful in understanding the nature of such 'real world' caring. In this discussion the concept of caring within cancer nursing is explored by drawing on a number of social science and nursing sources. It is known that cancer provokes unique caring demands for nurses practising in this area. By examining the context of cancer, it is argued that effective caring deserves to be recognized as an important clinical variable which can influence a diverse range of issues such as patient satisfaction or therapeutic outcome. It is suggested that other nursing specialisms should also explore the psychosocial dimensions of caring in relation to their own role.
尽管近期人们对兼顾学术护理和临床护理颇感兴趣，但由于相关研究和辩论的重点差异很大，这一概念的理论基础可能显得有些难以捉摸。因此，现有文献可能未考虑到不同医疗环境下对护理的理解所具有的特定背景问题。有人认为，借鉴与护理相近学科的理论，可能有助于理解这种“现实世界”护理的本质。在本次讨论中，通过借鉴一些社会科学和护理方面的资料，探讨了癌症护理中的护理概念。众所周知，癌症对从事该领域工作的护士提出了独特的护理要求。通过审视癌症背景，有人认为有效的护理理应被视为一个重要的临床变量，它能够影响诸如患者满意度或治疗效果等一系列不同的问题。有人建议，其他护理专业也应探索与其自身角色相关的护理心理社会层面。
