"在混乱中保持空间":护士在急诊室提供创伤信息护理的经验
Abdulrhman Khaled Al Abdulqader1, Sayed Ibrahim Ali2, Samah Anwar Shalaby3
1Department of Internal Medicine, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia.
Research in nursing & health
|December 13, 2025
概括
紧急护士通过创造安全和管理情感收费,在混乱中提供创伤信息的护理. 系统性问题往往阻碍了这种护理,需要对持续的道德实践提供机构支持.
科学领域:
- 护理 护理 护理
- 创伤护理 创伤护理
- 医疗保健系统 医疗保健系统
背景情况:
- 紧急诊所 (ED) 经常遇到患有急性或累积创伤的患者.
- 创伤信息化护理 (TIC) 是治疗和心理安全的框架,但高急性ED的护士对其实施的研究不足.
研究的目的:
- 探索紧急护士如何理解,交付和情感导航在沙特阿拉伯的三级医院环境中的创伤信息护理.
主要方法:
- 定性现象设计. 定性现象设计.
- 与17名注册护士进行了深入的半结构面试,这些护士在费萨尔国王大学医院的ED处工作.
- 使用Braun和Clarke的六阶段框架进行主题分析,并使用NVivo 14软件进行管理.
主要成果:
- 出现了四个主题:护士创造心理安全 ("在临床混乱中保持情绪空间"),组织约束 ("与创伤相关的价值观的系统失调"),护士应对机制 ("保护性同情心和适应性策略") 和对护士的情绪影响 ("累积的情绪代价").
- 在EDS中,创伤知情护理是关系式的,在情感上要求很高,并且经常受到系统因素的限制.
结论:
- 机构必须投资创伤信息系统,员工支持和教育,以便在急性环境中提供道德,情感一致的护理.
- 这些发现可以为策略提供信息,以提高紧急护理中以患者为中心,创伤为导向的实践.
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