在重症监护室对智力发育障碍患者的护理:一种现象学研究
Adrianna Lorraine Watson1, Gabby Sutton-Clark2, Matthew Anderson3
1Adrianna Lorraine Watson is an assistant professor, College of Nursing, Brigham Young University, Provo, Utah.
概括
护士需要专门的培训和支持来有效地照顾重症监护室的智力发育障碍患者. 改善护理需要系统的适应能力和专门的资源.
科学领域:
- 危急护理护理
- 智力发展障碍
- 医疗保健中的差异
背景情况:
- 智力发育障碍 (IDD) 患者在医疗保健方面存在显著差异,特别是在重症监护室 (ICU).
- 护士往往缺乏专业知识,导致在重症监护机构为IDD患者提供足够的护理.
- 这种知识差距导致这个脆弱的患者群体的健康状况较差.
研究的目的:
- 探索护士在ICU照顾IDD患者的经验.
- 确定为IDD患者提供关键护理的关键挑战和成功策略.
- 为改善护理方案和支持系统的发展提供信息.
主要方法:
- 使用解释主义范式的描述性现象设计.
- 在美国与执照护士进行的半结构面试,这些护士在ICU照顾了IDD患者.
- 采访数据的主题分析,使用贝蒂·纽曼的系统模型.
主要成果:
- 五个新兴主题:公平和保护,家庭/护理人员参与,建立治疗关系,需要专业化流程和加强护理支持.
- 护士强调了定制方法和强有力的沟通的重要性.
- 需要加强机构支持和专业培训.
结论:
- 投资专门培训和强有力的护士支持系统至关重要.
- 医疗环境必须系统地适应以满足IDD患者的独特需求.
- 专门的资源对于成功和公平地为IDD患者提供关键护理至关重要.
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