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首页> 外文期刊>Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing >Anything but basic: Nursing's challenge in meeting patients' fundamental care needs
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Anything but basic: Nursing's challenge in meeting patients' fundamental care needs

机译：除了基本内容：满足患者基本护理需求的护理挑战

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Purpose: Nursing has not explored the fundamental aspects of patient care in a systematic, conceptually coherent, scientific way, and this has created a number of ongoing challenges. Organizing Construct: Each challenge is identified and addressed in the form of a proposition, with evidence provided to support the arguments put forward and defend the proposed actions. Findings: The challenges include: the need for an integrated way of thinking about the fundamentals of care from a conceptual, methodological, and practical perspective; the ongoing and unresolved tension in nursing practice between a depersonalized and mechanistic approach (termed a "task and time" driven culture) and the need for consistency around understanding and managing the dynamics of the nurse-patient relationship or encounter (termed a "thinking and linking" approach); and the need for a systematic approach to the fundamentals or basics of care that combines the physical, psychosocial, and relational dimensions of the care encounter within the wider context of the care environment. Pragmatic and practical frameworks are needed to ensure that the basic physical and psychosocial needs of patients are embedded not only in the practice but also in the thinking, reflection, and assessment processes of the nurse. Conclusions: Nursing's challenge to meet patients' basic or fundamental needs is complex. Developing a knowledge base will include identifying researchable questions, using rigorous methodologies, ensuring the relational dimensions are not lost, and ensuring the new knowledge is applied in practice. This requires collaboration on an international scale to achieve improvements in care. Clinical Relevance: To work collaboratively to generate, test, and implement meaningful ways of capturing nursing practice around basic or fundamental care in order to ensure more integrated, holistic patient care nursing practices.
机译：目的：护理还没有以系统的，概念上连贯的，科学的方式探索患者护理的基本方面，这带来了许多持续的挑战。组织建构：以命题的形式识别和解决每个挑战，并提供证据支持提出的论点并捍卫拟议的行动。调查结果：挑战包括：需要以综合的方式从概念，方法和实践的角度来考虑护理的基本原理;个性化和机械化方法（称为“任务和时间”驱动的文化）之间的护理实践中持续存在的和尚未解决的紧张关系，以及在理解和管理护士与病人之间的关系或遭遇的动态方面保持一致性的需求（称为“思考和思考”）链接”方法）;并且需要一种系统的方法来处理护理的基本要素或基础知识，从而在更广泛的护理环境中结合护理所遇到的身体，心理和关系方面。需要有务实的实践框架，以确保患者的基本生理和心理需求不仅体现在实践中，而且还体现在护士的思考，反思和评估过程中。结论：满足患者基本或基本需求的护理挑战是复杂的。开发知识库将包括使用严格的方法来确定可研究的问题，确保关系维度不会丢失以及确保将新知识应用到实践中。这就要求在国际范围内进行合作以改善护理水平。临床意义：协作以生成，测试和实施有意义的方式来获取基本或基本护理方面的护理实践，以确保更全面，整体的患者护理实践。

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