关于儿童急诊室护士对紧急情况的认知,使用Q方法主观研究
Hyeyeon Yeon1, Sunhui Choi2, Danbi Park3
1College of Nursing, Korea University, Republic of Korea.
Asian nursing research
|July 19, 2024
概括
韩国儿科急诊护士通过四种不同的类型来感知患者的紧迫性和严重性,整合知识和经验. 这一发现可以为改善急诊室临床判断的教育策略提供信息.
科学领域:
- 儿科急救医学 儿科急救医学
- 护理教育 护理教育
- 临床决策 - 临床决策
背景情况:
- 在急诊室 (ED) 进行分组对于患者安全至关重要.
- 护士的准确和及时的分拣决定是必不可少的.
- 了解护士对紧急情况的主观看法是关键.
研究的目的:
- 为了调查韩国儿科急诊护士如何感知紧急情况.
- 检查这些护士如何对患者的严重程度进行分类.
- 使用 Q 方法来探索分拣决策中的个人主观性.
主要方法:
- 收集了来自Q群体的84个陈述 (文献评论和采访).
- 选择了33个Q样本进行分析.
- 分析了30名儿科急诊护士的数据,使用主要成分因子分析 (PC-QUANL程序).
主要成果:
- 在护士中确定了四种不同类型的紧迫感知:经验应对,仔细推理,以患者为中心的思维和直觉预测.
- 这些类型反映了知识,临床经验和考虑儿童特征的整合.
- 这些发现凸显了儿科选所涉及的复杂认知过程.
结论:
- 识别的紧迫感知类型为未来的教育干预提供了基础.
- 提高儿科急诊护士的紧急判断和严重程度分类技能是主要目标.
- 改善分拣教育可以导致儿科ED的更好的患者安全结果.
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