与死亡率的第一次接触:对伊朗新手护士在护理中的病人的死亡经历的定性研究
Amir Shahzeydi1,2, Mansour Dianati3, Faramarz Kalhor4,5
1Medical Surgical Nursing, Nursing and Midwifery Care Research Center, Department of Adult Health Nursing, Isfahan University of Medical Sciences, Isfahan, Iran.
BMC nursing
|November 1, 2025
概括
新手护士在处理患者死亡时面临着严重的情绪困扰,缺乏机构支持. 医疗保健系统必须为这些护士提供更好的培训和资源,以确保富有同情心的护理和专业的弹性.
科学领域:
- 护理 护理 护理
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 病人死亡对新手护士造成了严重的压力,因为他们的经验有限,对生命结束时的沟通没有做好准备.
- 现有的研究忽略了新手护士在伊朗等特定文化背景下面临的独特挑战.
- 这项研究探讨了新手伊朗护士在临床环境中面对患者死亡的经历.
研究的目的:
- 探索新手伊朗护士遇到患者死亡的实践经验.
- 确定新手护士面临的挑战和支持系统 (或缺乏) .
- 了解影响新手护士对患者死亡率反应的文化和精神层面.
主要方法:
- 由格兰海姆和隆德曼 (2004) 指导的定性内容分析.
- 针对伊朗医院的20名新手护士 (经验不到36个月) 进行了有目的的抽样.
- 使用MAXQDA 2020分析的深入,半结构化的访谈,通过成员检查,审计轨道,团队讨论和厚厚的描述来确保可信度.
主要成果:
- 在护士的个人经历和机构支持之间存在着显著的脱节.
- 六个主要主题出现了:情绪动荡,道德悖论,系统性差距,专业转型,文化精神意义创造和寻求平衡.
- 新手护士经历了强烈的情绪反应和道德困境,没有足够的系统准备或支持.
结论:
- 新手护士没有充分的准备和支持来处理患者死亡的创伤.
- 迫切需要有结构的机构支持,包括汇报和伦理咨询.
- 护理课程需要加强终身护理的实践培训,以培养弹性和同情的实践.
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