在重症监护中探索护理交接期间的实践:人类学研究
Stelios Parissopoulos1,2, Fiona Timmins3, Marianna Mantzorou1
1Department of Nursing, University of West Attica, Athens, Greece.
Nursing in critical care
|February 19, 2026
概括
经验丰富的重症监护室 (ICU) 护士通过展示专业知识和指导来影响临床决策. 这些关键时刻增强了患者的安全和专业自主权.
科学领域:
- 医学人类学 医学人类学
- 护理科学 护理科学
- 关键的护理关键的护理
背景情况:
- 在重症监护室 (ICU) 中,护理人员的移交对于患者的安全和护理的连续性至关重要.
- 移交是关键时刻,护理专业知识可以影响患者治疗轨迹.
- 在移交期间,权力动态和护理知识的可见性未得到充分探索.
研究的目的:
- 探索经验丰富的ICU护士如何通过交接实践影响临床决策.
- 调查护理专业知识在重症监护决策中的作用.
主要方法:
- 在希腊的ICU中使用参与者观察和采访的民族学研究.
- 数据收集了两年 (2012-2014年,截至2020年).
- 使用Atlas.ti.的实地笔记进行主题分析.
主要成果:
- 护理转让是护理专业知识的"异构",可以对决策产生影响.
- 经验丰富的护士讲述了患者的发展轨迹,展示了专业知识,指导,口头决定,并暂时逆转了等级制度.
- 护士的临床推理变得明显,影响了患者管理.
结论:
- 护理移交是护士重新定义ICU职业界限的战略机会.
- 移交可以加强团队协作,支持决策,并提高患者护理.
- 承认移交作为护理专业知识的保护空间对于重症监护的专业自主性至关重要.
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