新生儿重症监护护士对母亲/孕妇暴露于物质的家庭的护理账户:批判性的话语分析
Amber C Welborn1, Tracy Nichols2, Meredith Gringle2
1Department of Nursing, Appalachian State University, Boone, North Carolina, USA.
Journal of advanced nursing
|August 7, 2023
概括
医院结构和权力动态挑战新生儿重症监护护士照顾从暴露物质怀孕 (SEP) 的婴儿. 由这些因素加剧的高工作负载,可以增加耻辱感,并阻碍以家庭为中心的护理.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 卫生社会学 卫生社会学
背景情况:
- 新生儿重症监护病房 (NICU) 面临着独特的挑战,当照顾婴儿和受物质暴露妊娠 (SEP) 影响的家庭.
- 现有研究表明,工作环境可能会影响护士与家庭建立关系的机会.
研究的目的:
- 探索权力动态和医院组织结构如何影响NICU护士与SEP的婴儿和家庭的经验.
- 确定这些因素如何影响护理质量和潜在的耻辱感.
主要方法:
- 通过对来自美国东南部的9名NICU护士的采访进行二次数据分析.
- 批判性话语分析被用作理论镜头和分析技术.
- 分析重点是51个护理故事,检查与组织结构和护理交付相关的叙述.
主要成果:
- 护士报告说,在为SEP的婴儿提供高质量,以家庭为中心的护理方面存在挑战.
- 工作负担是一个核心挑战,因权力不平衡和组织约束而加剧.
- 这些问题可能会阻碍建立关系,可能会支持耻辱.
结论:
- 权力不平衡和组织结构可能会阻碍新生儿重症监护室提供高质量的护理.
- 解决工作量需求和组织因素对于支持医疗保健团队和患者至关重要.
- 这些发现强调了领导人需要优化临床环境并支持在压力较大的环境中护士的需求.
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