在临床实践中，护士的“同情心”如何被表达和传递？（护理SCI文献解读） / 开普饭

“同情心”一直是比较好的一个话题。知网数据库也展示了很多关于该主题的研究（见下图）：

今天给大家分享这篇文献源自《Journal of Advanced Nursing》，主要是从“触摸”来表达同情心的角度探讨一下该问题：Durkin, J, Jackson, D, Usher, K. The expression and receipt of compassion through touch in a health setting; a qualitative study. J Adv Nurs. 2021; 77: 1980– 1991. https://doi.org/10.1111/jan.14766

Abstract摘要

Aim To investigate and understand how compassion is expressed by nurses and received by patients in a hospital setting.

研究目的：本研究旨在调查和理解“同情”是如何被表达和接受的。

Background Concerns regarding the absence of compassion in a healthcare setting has necessitated further research in the field. To define and measure compassion is difficult and problematic. Compassion is subjective and in the contemporary literature the views of patients are under‐represented. Touch is an important component of nursing practice and can also be considered problematic.

研究背景：在临床及科研中，对“同情心”的关注一直是研究的热点。首先，对同情心的定义是比较难的，毕竟这是主观的表现。之前的研究多数都忽略了来自患者角度的观点。其中，“触摸”作为一种同情心的表达是我们该研究的主题。

Design Secondary analysis of narrative interviews.

研究设计：叙述性访谈的二次分析。

Methods Secondary analysis of 12 participant interviews with nurses (n‐4) and patients (n‐8). Data were collected between August 2018 and August 2019.

研究方法：对12名参与者（其中，护士4名，患者8名）访谈进行二次分析。数据收集于2018年8月至2019年8月。

Findings Compassion was expressed and received through touch for nurses and patients. Patients receive compassion through the touch of the nurse and this touch conveyed comfort and safety. Touch allowed for the establishment of an authentic connection between nurse and patient. Nurses used touch to express compassion and patients received compassion when they were comforted with touch. Compassion was present in incidental touch and deliberate comforting touch. Nurses were respectful of the meanings of touch. Patients describe nurses knowing when to touch and using touch appropriately.

研究结果：①通过触摸，护士表达了同情。②病人通过护士的触摸得到同情，这种触摸传达了舒适和安全。③触摸可以在护士和病人之间建立一种真实的联系。④护士用触摸来表达同情，当病人得到安慰时，他们就会得到同情。同情存在于偶然的触摸和有意的安慰的触摸中。⑤护士们尊重触摸的意义。⑥病人描述：护士知道什么时候触摸并正确使用触摸（技巧）。

Conclusions Nurses in our study were respectful of the meaning of touch for their patients and described using touch to convey compassion. Patients in our study perceived compassion through the touch by the nurse. Through these narratives, touch is revealed as an essential part of compassionate practice conveying safety, authenticity and connection.

研究结论：在我们的研究中，护士尊重触摸对他们的病人的意义，并描述使用触摸来传达同情。在我们的研究中，病人通过护士的触摸感受到同情。通过这些叙述，触摸被揭示为传达安全、真实和联系的同情实践的一个基本部分。

Impact Patients in this study describe receiving compassion through the use of touch which made them feel safe. Nurses in this study used touch to create an authentic connection with patients and were aware of the different meanings of touch. Avoiding touch, being wary of touch, or considering touch taboo robs patients of compassion moments.

研究意义：在这项研究中，患者描述了通过触摸获得同情，这让他们感到安全。同时，护士使用触摸与病人建立真实的联系，并意识到触摸的不同含义。避免触摸，警惕触摸，或认为触摸禁忌剥夺了病人的同情体验。

通知：

《 Journal of Advanced Nursing》正在征稿，具体征稿内容可以去官网查看。官网：

https://onlinelibrary.wiley.com/journal/13652648