探索护士在照顾医疗精神病并发症患者方面的经验:一种定性采访研究
Ruth Jong1, Sharon van den Berg2, Sigrid C J M Vervoort3
1Department of Internal Medicine, Nursing Science Section, Erasmus University Medical Center, Rotterdam, the Netherlands.
International journal of mental health nursing
|October 21, 2025
概括
护士面临的挑战是照顾患有医疗精神病并发症的患者,原因是系统性障碍,而不是患者的行为. 改善培训和组织支持对于改善护理和护士福祉至关重要.
科学领域:
- 护理 护理 护理
- 精神病学是一个精神病学.
- 医疗保健管理的管理
背景情况:
- 三分之一的普通医院患者患有精神障碍,增加了成本和恶化的结果.
- 照顾患有医疗精神病并发症的患者,为护士带来了独特的挑战,包括管理困难的行为.
- 现有的支持结构和培训可能不足以满足这些复杂的患者需求.
研究的目的:
- 探索注册护士在一般医院环境中照顾患有医疗精神病并发症的患者的经验.
- 确定这些情况下护士所面临的关键挑战和应对策略.
- 为改进支持系统和教育干预措施的发展提供信息.
主要方法:
- 使用半结构面试进行的定性研究.
- 参与者包括来自荷兰大学医疗中心八个病房的16名注册护士.
- 数据使用布劳恩和克拉克的感应主题分析来分析.
主要成果:
- 护士的经验被分为三个主题:管理情绪,适应上下文因素和建立能力.
- 挑战包括情绪调节 (对同情心的丧),时间压力,竞争要求和不合适的环境.
- 能力建设涉及体验式学习,突出教育需求和多学科合作.
结论:
- 护士的困难源于有限的培训,组织结构和系统性障碍,而不仅仅是患者的行为.
- 有效的护理需要组织,教育和专业间的支持,超越个人应对机制.
- 基于模拟的培训,结构化的反思和专业间的合作可以提高护士的能力和信心,改善患者的护理和福祉.
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