Dunn Sandra V, Schmitz Karl
Flinders University/Flinders Medical Centre, Adelaide, South Australia.
Aust J Adv Nurs. 2005 Mar-May;22(3):33-40.
The study used semi-structured interviews in an interpretive research design to explore nurses' perceptions of patients requiring disproportionate amounts of nursing resources, and factors influencing those perceptions. A total of 50 senior nurses from a variety of medical and surgical settings, including a high dependency unit, were interviewed and the data analysed to determine common themes and differences between participants. The four major themes of patient characteristics, family needs, staffing and organisational context defined the factors nurses perceived as influencing their perceptions of patients' dependency. Patient requirements for nursing resources were seen as a continuum rather than a specific point, and were balanced on the combined influences of the four themes. At times, demands imposed on nursing resources lead to nurses' perceptions of delivering less than ideal care, stress and frustration. The latter applied particularly to factors that were outside of the control of nurses such as staffing levels and skill mix.
该研究采用解释性研究设计中的半结构化访谈，以探讨护士对需要不成比例护理资源的患者的看法，以及影响这些看法的因素。总共对来自各种医疗和外科环境（包括高依赖病房）的50名资深护士进行了访谈，并对数据进行了分析，以确定参与者之间的共同主题和差异。患者特征、家庭需求、人员配备和组织背景这四个主要主题定义了护士认为影响其对患者依赖性看法的因素。患者对护理资源的需求被视为一个连续体，而非一个特定点，并在这四个主题的综合影响下达到平衡。有时，对护理资源的需求会导致护士认为提供的护理不理想、产生压力和挫败感。后者尤其适用于护士无法控制的因素，如人员配备水平和技能组合。
