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首页> 外文期刊>Journal of clinical nursing >Work in an intermediate unit: Balancing between relational, practical and moral care
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Work in an intermediate unit: Balancing between relational, practical and moral care

机译：在中间部门工作：关系，实践和道德关怀之间的平衡

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Aims and objectives: To explore the activities carried out and the conditions required to enable satisfactory work in an intermediate unit for patients aged 60 and older. Background: In recent years, several intermediate units have been established to improve the clinical pathway from hospital to home for older patients. Design: Qualitative study. Methods: Data were obtained from interviews with eight patients and 16 healthcare providers working in the unit and from observations in six multidisciplinary meetings and six report meetings in the unit. Transcripts of interviews and field notes were analysed using a method for systematic text condensation. Results: Care performed as a balance between relational, practical and moral aspects seems to be important to render good service to patients and to ensure the providers' job satisfaction. Most patients experienced their stay in the unit as positive. The providers highlighted 'suitable patients', an appropriate physical environment and communicating computer systems as significant factors for performing treatment and for providing nursing and rehabilitation in a caring manner. Conclusions: When environmental and organisational conditions exert pressure on the working situation, care as a practical activity seems to be prioritised at the expense of the two other aspects. The findings indicate that unfavourable environmental and organisational conditions impede patients' recovery process and thereby a good clinical pathway. Relevance to clinical practice: To recruit, support and retain a multidisciplinary staff to the best interest of patients, it seems to be important to perform care work as a balance between relational, practical and moral activities.
机译：目的和目标：探索开展的活动以及为使60岁及60岁以上患者在中级病房中获得令人满意的工作所需的条件。背景：近年来，已经建立了几个中间部门，以改善老年患者从医院到家庭的临床途径。设计：定性研究。方法：数据来自对本单位工作的8名患者和16名医疗保健提供者的访谈以及本单位6次多学科会议和6次报告会议的观察结果。访谈记录和现场笔记使用一种系统的文本压缩方法进行了分析。结果：在关系，实践和道德方面之间取得平衡的护理对于为患者提供优质服务并确保提供者的工作满意度似乎很重要。大多数患者在单位的住宿经历都是积极的。提供者强调“合适的患者”，适当的身体环境和通讯计算机系统是进行治疗以及以关怀方式提供护理和康复的重要因素。结论：当环境和组织条件对工作状况施加压力时，护理作为一项实践活动似乎被优先考虑，而牺牲了其他两个方面。研究结果表明不利的环境和组织条件阻碍了患者的康复过程，从而成为了良好的临床途径。与临床实践的相关性：为了招募，支持和保留最能满足患者利益的多学科人员，进行护理工作似乎很重要，以在关系，实践和道德活动之间取得平衡。

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