护士在照顾因临床并发症而住院的精神健康问题患者方面的经验
Gabriella Paulão Previato Piton1, Aldair Weber1, Ana Paula Rigon Francischetti Garcia1
1Universidade Estadual de Campinas. Campinas, São Paulo, Brazil.
护士在非精神病医疗单位照顾住院精神病患者时面临挑战,由于生物医学重点,护士经常提供分散的护理. 综合护理需要整合主观经验,而不仅仅是临床因素.
科学领域:
- 护理 护理 护理
- 心理健康 心理健康
- 定性研究是指质量研究.
背景情况:
- 护士经常在一般医院环境中照顾患有心理健康问题的患者,同时照顾身体状况.
- 了解护士在这些复杂的护理情况中的生活经历,对于改善患者的治疗结果至关重要.
研究的目的:
- 探索护士在照顾因临床并发症而被住院治疗在非精神病室的精神健康问题患者方面的经验.
- 确定在这些环境中提供综合护理的挑战和促进者.
主要方法:
- 一个使用社会现象学的定性研究.
- 进行了16次现象学访谈.
- 进行了内容分析,分为三个分析类别.
主要成果:
- 护士们描述了护理方面的挑战,护理行动的碎片化以及"理想护理"的概念.
- 护理往往与患者的整体需求脱节,强调生物医学方法而不是主观经验.
- 护士倾向于将护理责任外部化,而不是将其整合到他们的实践中.
结论:
- 由于临床现实与患者体验的主观方面之间的断开,护士的当前实践往往缺乏全面的患者护理.
- 需要重新定义护士对护理责任的理解,以培养一种更全面,更综合的方法,并纳入患者的生活世界.
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