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Types and meanings of touch in the daily nursing care situation -Nurse's intention and patients acceptance-.

日常护理情境中触摸的类型和意义-护士的意图和患者的接受度-。

基本信息

批准号：
14370811
负责人：
TAKADA Sanae
金额：
$ 4.16万
依托单位：
Kobe City College of Nursing
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2003
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14370811/
关键词：
Touch Expertise Expert Expert Nurse Qualitative Research Observation ケアリング看護技術

项目摘要

This study aims two issues ; one purpose is depicting touching phenomena that are done by a nurse to a patient during the daily care-giving activities in a hospital or in a nurturing facility as well as classifying types of the deeds and clarifying the meaning without separating them from context of nursing and supporting, while another purpose is pursuing nurses' physical knowledge, especially experienced nurses' knowledge that is indispensable in nursing activities with examining the cases from viewpoints of nurses' intention of touching and patients' sensitivities of being touched.From the data result of scrutinizing nurses' touching in total of four facilities of general hospitals in Kobe and in Sapporo, palliative care unit, and senior care unit of a general hospital, we have found that nurses/attendants do eight types of touching activities in daily nursing care, which are for "establishing a relationship", "drawing attention", "observing", "giving a necessary care and/or treatme … More nt", "making to be comfortable", "assisting and/or guiding", "protecting and preparing", and "making a cordial greeting".Comparing our study with the preceding research data by Botorrof (1993) and Estabrooks (1989) in Canada, it seems that several points obviously agree with them : "establishing a relationship", "drawing attention", and " making a cordial greeting", correspond to "connecting touch" and "social touch" by Botorrof, and "caring touch" by Estabrooks ; "observing" and "giving a necessary care and/or treatment" to "working touch" by Botorrof and "task-oriented touch" by Estabrooks ; "making to be comfortable" to "comforting touch" by Botorrof, and "caring touch" by Estabrooks ; "assisting and/or guiding" and "protecting and preparing" to "orienting touch" by Botorrof and "task-oriented touch", & "protective touch" by Estabrooks.The result of our study indicates that touching types in our country are very similar to those elucidated in the preceding research, and are categorized in eight (8) different styles probably because of delicate nuances of Japanese language.As for the study we performed to nurses who are considered to be experts, we have found that an expert nurse creates a total image of caring processes of a patient prior to the treatment, which is shown explicitly in their explaining words and attitudes. Particularly in touching, unnecessary actions or conversations are not included, and it is apparently characteristic that expert nurses know exactly what is the next step and/or what will happen next as they supervise the overall and extensive situation, so that they can afford to give reliable words and treatments to a patient. It is also recognized that expert nurses apply experientially acquired physical knowledge every time they need to make a judgment in giving a care/treatment. Less

本研究针对两个问题：一个目的是描述护士在医院或护理设施中的日常护理活动中对患者所做的触摸现象，并将行为类型分类并澄清其含义，而不将其与护理和支持背景分开，另一个目的是追求护士的物理知识，从护士的触摸意向和患者对触摸的敏感度的观点出发，对护理活动中不可或缺的特别是有经验的护士的知识进行调查。根据对科比和本研究以某综合医院的札幌、安宁疗护病房及老人照护病房为研究对象，发现护理人员在日常护理工作中会进行八种类型的触碰活动，分别为“建立关系”、“吸引注意力”、“观察”、“给予必要的照顾及/或治疗”、“与他人建立关系”、“引起他人注意”、“观察”及“给予他人必要的照顾及/或治疗”。 ...更多信息 nt”、“使人感到舒适”、“协助和/或引导”、“保护和准备”、“亲切问候”，与加拿大Botorrof（1993）和Estabrooks（1989）的研究资料比较，似乎有几点明显地与他们一致：“建立关系”、“引起注意”和“亲切问候”，对应于Botorrof的“连接触摸”和“社会触摸”以及Estabrooks的“关怀触摸”;“观察”和“给予必要的照顾和/或治疗”，以“工作触摸”的Botorrof和“任务导向触摸”的Estabrooks ;“使舒适”的“安慰触摸”的Botorrof，和“关怀触摸”的Estabrooks ;“辅助和/或引导”和“保护和准备”到Botorrof的“定向触摸”和“任务导向触摸”，研究结果表明，我国的触摸类型与前面研究中阐明的触摸类型非常相似，在对被认为是专家的护士进行的研究中，我们发现，专家护士在治疗前创造了一个关于患者护理过程的整体形象，这在他们的解释话语和态度中得到了明确的体现。特别是在触摸中，不包括不必要的动作或对话，显然，专家护士在监督整体和广泛的情况时确切地知道下一步是什么和/或下一步会发生什么，这是一个明显的特点，这样他们就可以为病人提供可靠的话语和治疗。它也被认为是专家护士应用经验获得的物理知识，每次他们需要作出判断，在给予护理/治疗。少