Caught in an artificial split: a phenomenological study of being a caregiver in the technologically intense environment.
Caught in an artificial split: a phenomenological study of being a caregiver in the technologically intense environment.
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DOI：
10.1016/j.iccn.2007.08.003
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发表时间：
2008-04-01
影响因子：
5.3
通讯作者：
Ekebergh, M
中科院分区：
文献类型：
--
作者：
Almerud, S;Alapack, R J;Ekebergh, M
技术和关怀之间存在共生关系，然而，技术进步的环境对照顾者构成了挑战。这项研究的目的是揭示在科技密集的环境中成为照顾者的意义。对重症监护人员的10次开放式采访构成了数据。现象学分析表明，歧义在语境中比比皆是。负责任地阅读和调整仪器的行为很容易将患者和机器融合到一幅临床图景中。这种融合扭曲了客观距离和人际距离之间的平衡。科技设备令人兴奋而迷人的诱惑引诱了照顾者，并诱使他们产生一种虚构的安全感。在照看病人的同时监控机器的行为中，既要在盲目的掌握和安全的‘时刻’之间权衡，又要受到不安全的威胁，这是令人难以置信和令人心碎的。每当四面楚歌的照顾者将技术与人的触觉分开时，模棱两可就会退化为矛盾心理。关怀和技术变得两极分化。每个人都是输家。照顾者的能力减弱；病人受苦。重症监护病房的技术应该是先进的，但也应该建立在一个公开的空间，在那里安慰、信任和安慰自然地发生。关爱专业人员需要在最先进的技术与综合全面的护理之间取得平衡，并将主观性的要求与客观迹象相协调。
A symbiotic relationship exists between technology and caring, however, technologically advanced environments challenge caregivers. The aim of this study is to uncover the meaning of being a caregiver in the technologically intense environment. Ten open-ended interviews with intensive care personnel comprise the data. A phenomenological analysis shows that ambiguity abounds in the setting. The act of responsibly reading and regulating instruments easily melds the patient and the machinery into one clinical picture. The fusion skews the balance between objective distance and interpersonal closeness. The exciting captivating lure of technological gadgets seduces the caregivers and lulls them into a fictive sense of security and safety. It is mind-boggling and heart-rending to juggle 'moments' of slavish mastery and security menaced by insecurity in the act of monitoring a machine while caring for a patient. Whenever the beleaguered caregiver splits technique from human touch, ambiguity decays into ambivalence. Caring and technology become polarized. Everyone loses. Caregiver competence wanes; patients suffer. The intensive care unit should be technologically sophisticated, but also build-in a disclosive space where solace, trust, and reassurance naturally happen. Caring professionals need to balance state-of-the-art technology with integrated and comprehensive care and harmonize the demands of subjectivity with objective signs.