沉默的做法成为规范:在重症监护夜班期间,护士计划午睡 - - 焦点小组研究
Carita Löfqvist1, Johanna Kaarina Siivonen2, Anna Axelin3
1Doctoral Researcher, Department of Nursing Science, University of Turku, Turku, Finland.
Journal of research in nursing : JRN
|February 24, 2026
概括
计划的午睡可以在重症监护室 (ICU) 夜班期间对抗护士疲劳. 成功实施需要组织支持和明确的协议,以提高福祉和患者安全.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 职业健康 职业健康 职业健康
背景情况:
- 在重症监护病房 (ICU) 的夜班导致护士的身体和认知疲劳显著.
- 这种疲劳会对工作人员的福祉和患者的安全产生负面影响.
- 尽管有证据支持短暂的午睡可以减少疲劳,但它们在重症监护室的使用是有限的,并未得到充分理解.
研究的目的:
- 探索重症监护室 (ICU) 护士和护士经理对计划性小睡的看法.
- 确定在ICU环境中实施计划性小睡的障碍和促进者.
主要方法:
- 使用九个焦点小组采访的定性描述性设计,对芬兰三个重症监护室的20名参与者进行了采访.
- 在数据分析中使用了诱导性内容分析.
主要成果:
- 护士报告说,在夜班期间严重疲劳,并认识到小睡的好处,如提高警觉性,减少错误,提高幸福感.
- 有非正式的小睡,但没有正式的结构.
- 障碍包括不清楚的政策和文化抵抗,而促进者涉及组织文化,安排和管理支持.
结论:
- 计划性小睡被认为是管理ICU护士疲劳的有价值策略.
- 成功实施取决于机构支持,情境敏感的规划和明确的协议.
- 结果为开发基于证据的协议提供了实际见解,以改善员工福利,患者安全和可持续的护理实践.
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