McDonnell M
Intensive Care Unit, Barnet General Hospital.
Nurs Crit Care. 1997 Jan-Feb;2(1):38-42; discussion 43-4.
Carper's four ways of knowing are used to structure a reflection on the knowledge used by an associate nurse in intensive care when caring for her patient, his wife and son. John, the patient, had previously undergone a sex change operation as well as cardiac surgery. His current period in intensive care was due to pancreatitis and involved numerous returns to theatre. He eventually died following multi-organ failure. The reflection focuses on the associate nurse's feelings when trying to act as an advocate for both John and his wife at the time of the patient's pending death.
卡珀的四种认知方式被用于构建对一名重症监护病房助理护士在护理患者及其妻子和儿子时所运用知识的反思。患者约翰此前接受过变性手术和心脏手术。他目前在重症监护病房是因为胰腺炎，还多次返回手术室。他最终因多器官衰竭去世。这次反思聚焦于这位助理护士在患者生命垂危时试图为约翰及其妻子代言时的感受。
