夜晚是用来睡觉的":护士在护理老年人时如何处理相互冲突的时间顺序。

IF 2.5 2区 医学 Q2 HEALTH POLICY & SERVICES
Health Sociology Review Pub Date : 2024-03-01 Epub Date: 2024-04-01 DOI:10.1080/14461242.2024.2316737
Nienke van Pijkeren, Jitse Schuurmans, Iris Wallenburg, Roland Bal
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引用次数: 0

摘要

本文探讨了地区护士这一角色在时间顺序上的冲突,这一角色的引入是为了应对日益增长的老年护理需求和地区环境中的劳动力短缺问题。我们以在荷兰进行的人种学研究为基础,将地区护士作为一种新的专业角色进行研究,这种角色负责满足(亚)急性护理需求,在非办公时间连接并协调不同的护理场所。我们使用 "时间区域秩序 "的概念来反思管理和护理从业人员在与病人和非正式护理人员密切互动的过程中,以不同的方式对护理实践进行时间结构化。在研究结果中,对区域时间秩序的破坏可分为三种类型:身体节奏和需求的干扰;技术的(意外)运作;病人和亲属的干扰行为。地区护士的首要责任是稳定这些干扰,防止或减轻对地区秩序的破坏。为了实现这一目标,我们展示了护士如何在不同的护理环境中精心设计自己的专业角色,同时又不过多地参与病人护理工作,从而成为流动的 "临时护理人员"。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
'The night is for sleeping': how nurses care for conflicting temporal orders in older person care.

This paper examines the conflicting temporal orders of the regional nurse, a role which has been introduced to deal with the increasing demands of aged care and workforce shortages in regional settings. We build on ethnographic research in the Netherlands, in which we examine regional district nurses as a new professional role that attends to (sub)acute care needs, connecting and coordinating different places of care during out of office hours. We use the concept of 'temporal regional order' to reflect on the different ways caring practices are temporally structured by management and care practitioners, in close interaction with patients and informal care givers. In the results three types of disruptions of the regional temporal order are distinguished: interfering bodily rhythms and needs; (un)expected workings of technologies; and disrupting acts of patient and relatives. It was region nurses' prime responsibility to stabilise these interferences and prevent or soften a disruption of the regional order. In accomplishing this, we show how nurses craft their professional role in between various care settings, without getting involved too much in patient care, to be mobile as 'temporal caregivers'.

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来源期刊
CiteScore
7.50
自引率
0.00%
发文量
14
期刊介绍: An international, scholarly peer-reviewed journal, Health Sociology Review explores the contribution of sociology and sociological research methods to understanding health and illness; to health policy, promotion and practice; and to equity, social justice, social policy and social work. Health Sociology Review is published in association with The Australian Sociological Association (TASA) under the editorship of Eileen Willis. Health Sociology Review publishes original theoretical and research articles, literature reviews, special issues, symposia, commentaries and book reviews.
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