复杂性中的护理:重症监护护士对终身护理的看法和经验 - - 一项定性研究
Emmanuel Kwame Korsah1, Shelley Schmollgruber2, Alhassan Sibdow Abukari3
1Division of Clinical Associates, Department of Family Medicine and Primary Care, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa.
Nursing in critical care
|December 2, 2025
概括
在临终关怀期间,重症监护护士面临着巨大的情绪损失和沟通挑战. 解决环境和决策障碍对于改善患者和护士福祉至关重要.
科学领域:
- 护理 护理 护理
- 关键护理医学 关键护理医学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 在重症监护室 (ICU) 进行终身护理对护士来说是一个复杂的挑战.
- 护士平衡临床职责与照顾垂死患者和家人的情感和伦理方面.
研究的目的:
- 探索重症监护护士对终身护理的看法和经验.
- 确定在成人重症监护室环境中护士所面临的挑战.
主要方法:
- 定性探索性描述性研究.
- 16名经验丰富的ICU护士 (≥5年经验) 参加.
- 通过半结构面试收集的数据,并使用感应主题分析进行分析.
主要成果:
- 确定了四个主题:情感损失,与家庭的沟通挑战,ICU环境问题以及无能/被排斥的感觉.
- 由于个人依恋和情绪紧张,护士们经历了燃烧.
- 悲伤,否认和紧张的关系阻碍了沟通;过度拥挤和缺乏隐私等环境因素增加了压力.
结论:
- 加强ICU终身护理需要解决系统性障碍,促进专业间合作,改善护士教育和支持.
- 赋予护士决策权和支持他们的角色至关重要.
- 改善护理包括沟通/息护理培训,家庭包容性环境和员工福利举措.
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