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1、JournalofClinicalNursing2000;9:723±731Nurse±patientrelationshipsandpartnershipinhospitalcareANNEMANNEMcQUEENBA,MSc,MPhil,RGN,SCM,RCNT,NTLecturer,DepartmentofNursingStudies,UniversityofEdinburgh,40GeorgeSquare,Edinburgh,EH89LL,UKAcceptedforpublication20January2000Summary·InthereformedUKNational
2、HealthService,shapedbygovernmentinitiatives(DepartmentofHealth,1989,1990,1998),thosereceivinghealthcareareencouragedtotakeanactivepartindecision-makingaffectingtheirtherapyandcareandtotakestepstoimprovetheirhealthandwell-being.ThisisendorsedbytheUnitedKingdomCentralCouncilforNursing,Midwiferya
3、ndHealthVisiting.·Toenablethis,healthcareconsumersrequireinformation,education,encour-agementandsupport,andnursesareinanidealpositiontomeetthisneed.·Fundamentaltothisistheformationofatrustingprofessionalrelationship,theimportanceofwhichisarguablyovershadowedbymoreobservablenursingwork.·Theargu
4、menthereisthatformingsuchatherapeuticrelationshipinvolvesthenurseinworkofaninterpersonalandemotionalnaturethatisrequiredtoberecognizedinclinicalpractice,educationandresearch.Keywords:invisiblework,nurse-patientrelationships,partnership.literaturefrompatienttoclientandconsumerimpliesIntroductio
5、nparticipationandthe`buying'ofaservicewiththeHealthcareinitiativesemphasizevalueformoney,theexpectationofcertainstandards.provisionofgoodqualitycareandco-operationbetweenCorrespondinglytheauthoritative,paternalistichealthcareprovidersandthosewhorequiretheirservicesapproachfromprofessionalshasb
6、eenchallenged.The(DepartmentofHealth,1989,1990,1998).Overthelastpositionofpowerassociatedwithspecialknowledgeandantwodecadeslanguageassociatedwithhealthcarepolicieseliteprofessionalstatusthatcreatedabarrierbetweenandpracticehaschangedtore¯ectamovetowardspatientandhealthworkerhasbeenweakenedwit
7、hthe®nancialef®ciency,costcontainmentandacknowledge-conceptof`newnursing'(Savage,1995).Thisdescribesamentofthehealthcarerecipientasaconsumerofhealthshiftawayfromnursesadoptingadirectiveapproachtoservices.Thepassive,acceptingroleadoptedb
