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重症监护病房转出:病房视角

Discharge from intensive care: a view from the ward.

作者信息

Whittaker J, Ball C

机构信息

Intensive Care Unit, The London Hospital, Barts and the London NHS Trust, UK.

出版信息

Intensive Crit Care Nurs. 2000 Jun;16(3):135-43. doi: 10.1054/iccn.2000.1488.

DOI:10.1054/iccn.2000.1488
PMID:10859622
Abstract

Relocation stress is a common phenomenon in patients discharged from an intensive care unit (ICU) to a ward. A variety of nursing interventions, initiated by intensive care nurses, have been introduced following research in this area. Ward nurses are ideally situated to minimize stress in this patient population, yet their contribution has not been considered. The aim of this study was to identify the experience of the ward nursing staff when receiving a patient from the ICU. An exploratory pilot study was conducted over a 6-month period. The sample group comprised nursing staff in two wards, who regularly received ICU patients. Data collection methods were triangulated and involved the use of open-ended questionnaires and semi-structured interviews. Thirty-six questionnaires were sent, yielding a 36.1% (n = 13) response rate. Seven staff of various grades were interviewed. Data analysis was undertaken using Burnard's (1991) Thematic Content Analysis. Four major categories were identified in the analysis of the data. These were emotions; problems; communication; and interventions. However, the experience of ward staff receiving patients from intensive care differed according to grade.

摘要

转科压力是重症监护病房(ICU)患者转至普通病房时的常见现象。在该领域开展研究后,重症监护护士发起了多种护理干预措施。普通病房护士处于理想位置,可将这类患者的压力降至最低,但尚未考虑她们的作用。本研究旨在确定普通病房护理人员接收来自ICU的患者时的体验。在6个月期间进行了一项探索性试点研究。样本组由两个病房的护理人员组成,这些病房定期接收ICU患者。数据收集方法采用了三角互证法,包括使用开放式问卷和半结构式访谈。共发放36份问卷,回复率为36.1%(n = 13)。对7名不同级别的工作人员进行了访谈。采用伯纳尔德(1991年)的主题内容分析法进行数据分析。在数据分析中确定了四大类。分别是情绪;问题;沟通;以及干预措施。然而,普通病房工作人员接收重症监护患者的体验因级别而异。

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