Caring relationships in home-based nursing care - registered nurses' experiences.

Q3 Nursing
Open Nursing Journal Pub Date : 2013-06-28 Print Date: 2013-01-01 DOI:10.2174/1874434620130516003
Britt-Marie Wälivaara, Stefan Sävenstedt, Karin Axelsson
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引用次数: 24

Abstract

The caring relationship between the nurse and the person in need of nursing care has been described as a key concept in nursing and could facilitate health and healing by involving the person's genuine needs. The aim of this study was to explore registered nurses' experiences of their relationships with persons in need of home-based nursing care. Individual interviews with nurses (n=13 registered nurses and 11 district nurses) working in home-based nursing care were performed. A thematic content analysis was used to analyze the transcribed interviews and resulted in the main theme Good nursing care is built on trusting relationship and five sub-themes, Establishing the relationship in home-based nursing care, Conscious efforts maintains the relationship, Reciprocity is a requirement in the relationship, Working in different levels of relationships and Limitations and boundaries in the relationship. A trusting relationship between the nurse and the person in need of healthcare is a prerequisite for good home-based nursing care whether it is based on face-to-face encounters or remote encounters through distance-spanning technology. A trusting relationship could reduce the asymmetry of the caring relationship which could strengthen the person's position. The relationship requires conscious efforts from the nurse and a choice of level of the relationship. The trusting relationship was reciprocal and meant that the nurse had to communicate something about themself as the person needs to know who is entering the home and who is communicating through distance-spanning technology.

居家护理中的关怀关系——注册护士的经验。
护士和需要护理的人之间的关怀关系被描述为护理中的一个关键概念,可以通过涉及人的真正需求来促进健康和康复。摘要本研究旨在探讨注册护士与需要居家护理之人的关系。对从事居家护理工作的护士(n=13名注册护士和11名地区护士)进行个别访谈。对访谈记录进行专题内容分析,得出“良好的护理是建立在信任关系基础上的”这一主题和“居家护理中的关系建立”、“有意识的努力维持关系”、“互惠是关系中的必要条件”、“在不同层次的关系中工作”和“关系中的限制和界限”五个子主题。护士和需要医疗保健的人之间的信任关系是良好的居家护理的先决条件,无论是基于面对面的接触还是通过远程跨越技术的远程接触。信任关系可以减少关爱关系的不对称性,从而加强人的地位。这种关系需要护士有意识的努力和对关系水平的选择。这种信任关系是互惠的,意味着护士必须与病人交流一些关于自己的事情,因为病人需要知道谁进入了家里,谁在通过远程技术交流。
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来源期刊
Open Nursing Journal
Open Nursing Journal Nursing-Nursing (all)
CiteScore
1.10
自引率
0.00%
发文量
37
期刊介绍: The Open Nursing Journal is an Open Access online journal, which publishes research articles, reviews/mini-reviews, letters and guest edited thematic issues in all areas of nursing. The Open Nursing Journal, a peer-reviewed journal, is an important and reliable source of current information on developments in the field. The emphasis will be on publishing quality papers rapidly and freely available to researchers worldwide. We welcome papers related to nursing and midwifery, with specific relevance to health care practice, policy and research. We publish under the following themes: -Nursing and Midwifery practice -Education -Research methodology -Evidence based practice -New role in practice -Systematic reviews -Case studies -Ethical and professional issues -Management in health care -Sustainability in health and health care provision All authors should make clear how the implications of their paper for nursing, midwifery and health care practice. They should also clearly identify the ‘take home message’ from their paper.
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