在流行病情景下,重症监护护士行使专业自主权
Rafaela Lira Mendes Costa1, Regina Maria Dos Santos2, Isabel Comassetto2
1Universidade Federal de Santa Catarina (UFSC). Programa de Pós-Graduação em Enfermagem. Florianópolis, Santa Catarina, Brasil.
在COVID-19大流行期间,重症监护护士因知识有限,沟通问题和资源短缺而面临着行使专业自主权的挑战. 这些因素显著影响了他们有效执行角色的能力.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 职业社会学的社会学
背景情况:
- 在全球范围内,COVID-19大流行给医疗保健系统带来了前所未有的挑战.
- 重症监护室 (ICU) 处于疫情应对行动的最前沿.
- 了解对医疗保健专业人员自主权的影响对于系统弹性至关重要.
研究的目的:
- 分析重症监护护士职业自主权的行使情况.
- 探索在新型冠状病毒大流行期间影响自治的因素.
主要方法:
- 进行了一项描述性,定性研究.
- 与19名重症监护护士进行了半结构面试.
- 根据弗雷德森的职业社会学指导,采用了主题内容分析.
主要成果:
- 护士报告说,在疫情期间,他们很难以完全的专业自主行动.
- 关键的挑战包括对新型疾病的有限知识和脆弱的团队协作沟通.
- 材料和人力资源的稀缺性进一步阻碍了自主实践.
结论:
- 重症监护护士的专业自主性在很大程度上是由上下文因素决定的.
- 流行病危机创造了复杂的环境,挑战了专业自主权的行使.
- 解决资源限制和沟通对于支持危机中护士自主至关重要.
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