护理中的伙伴关系:概念分析

S. Yuan, Joanne Murphy
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引用次数: 4

摘要

目的:这个概念分析的目的是提供一个更好的理解术语“伙伴关系”在护理。对这一领域的实证研究进行批判性回顾,可以为改善护士和客户之间的伙伴关系以及以个人为中心的护理奠定基础。方法:采用“伙伴关系”、“护士”、“客户”等检索词,对2007 - 2017年发表的相关研究进行综合文献检索。选定的研究必须关注伙伴关系和护理。在概念分析中,在综合实证研究证据时采用了Walker and Avant(2004)的框架。它有助于区分混淆或不清楚的概念,并通过分析其属性、操作定义、前件、结果和参考来促进批判性思维。结果:在护理中,伙伴关系是个体之间基于协作的关系,这些个体对责任有信任和信心,并且具有能力和同理心。前提条件是健康问题或要求、签约成为合作伙伴的意愿和持续的承诺;而结果则表现为服务质量、治疗结果、客户安全和满意度、经济利益以及时间限制和专业人员的情感负担的改善。病人护理伙伴关系问卷可以帮助评估护理伙伴关系。结论:这个概念分析通过使用Walker和Avant(2004)的框架,告知护理伙伴关系的概念。通过综合实证研究的证据,为护士创新护客关系提供了理论和临床框架——护士被视为护理的伙伴而不是专家,这可以鼓励客户自我管理,改善以人为本的护理。
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Partnership in nursing care: a concept analysis
Objectives: This concept analysis aims to provide a better understanding of the term “partnership” in nursing care. A critical review of empirical studies regarding this area, can lay the groundwork for improving partnership between nurses and clients, as well as per-son-centered nursing care. Methods: A comprehensive literature search used various “partnership”, “nurse” and “clients” search terms to identify relevant studies published from 2007 to 2017. The selected studies had to focus on partnership and nursing care. Walker and Avant’ (2004) framework was used when synthesizing the evidence from empirical studies in the concept analysis. It helps to dis-tinguish confusing or unclear concepts, and to promote critical thinking through analyzing its attributes, operational definitions, antecedents, consequences, and reference. Results: In nursing care, partnership is the relationship based on collaboration among individuals, who place trust and confidence in accountability, and who have capability and empathy. The antecedents are health problems or requirements, willingness to sign up as partners and ongoing commitment; while the consequences were presented as improvement in quality of service, treatment outcomes, clients’ safety and satisfaction, financial benefit as well as time constraints and p rofessiona ls’ emotional burden. The Patient Partnership in Care questionnaire can help assess partnership in nursing care. Conclusion: This concept analysis informs the concept of partnership in nursing care by using Walker and Avant’ (2004) framework. By synthesizi ng the evidence from empirical studies, it provides theoretical and clinical frameworks for nurses to innovate nurse-client relationships - nurses are seen as partners in care instead of experts, which can encourage clients’ self -management and improve person-centered nursing care.
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