Giarratano Gloria, Orlando Susan, Savage Jane
Louisiana State University Health Sciences Center, School of Nursing, New Orleans, USA.
MCN Am J Matern Child Nurs. 2008 Jul-Aug;33(4):249-57. doi: 10.1097/01.NMC.0000326080.26870.85.
To make explicit the perinatal nurses' shared meanings of their lived experience while providing nursing care in the New Orleans area during the disaster of Hurricane Katrina.
Interpretative phenomenology.
Semi-structured, in-depth interviews were conducted with 16 perinatal nurses 9 to 18 months after they worked in obstetrical and newborn hospital settings in the Greater New Orleans area during the Hurricane Katrina disaster. Van Manen's process of reflective thematic analysis-guided data analysis was used.
Themes and subthemes included (1) duty to care (back to the basics, empathy, and advocacy in action); (2) conflicts in duty; (3) uncertain times: chaos after the storm (evacuation: routes through uncertainty, hopelessness, abandonment, and/or fear); (4) strength to endure; (5) grief: loss of relationships, identity, and place; (6) anger; and (7) feeling right again.
Nurses who work during disasters must live through the uncertainty of the situation and be prepared to adapt to the needs that arise in patient care situations and self-preservation. Excellent basic nursing skills, intuitive problem solving, and a sense of staff unity are primary resources. Nurses and other caregivers need ongoing supportive interventions to rebound from the experience and cope with symptoms associated with trauma exposure.
明确围产期护士在卡特里娜飓风灾难期间于新奥尔良地区提供护理服务时，对其生活经历的共同理解。
解释性现象学。
在16位围产期护士于卡特里娜飓风灾难期间在大新奥尔良地区的产科和新生儿医院工作9至18个月后，对她们进行了半结构化的深入访谈。采用了范曼的反思性主题分析过程来指导数据分析。
主题和子主题包括：（1）护理职责（回归基础、同理心和实际行动中的倡导）；（2）职责冲突；（3）不确定时期：风暴后的混乱（疏散：穿越不确定性、绝望、被遗弃和/或恐惧的路线）；（4）忍受的力量；（5）悲伤：人际关系、身份和场所的丧失；（6）愤怒；以及（7）再次恢复正常感觉。
在灾难期间工作的护士必须经历局势的不确定性，并准备好适应患者护理情况和自我保护中出现的需求。出色的基础护理技能、直观的问题解决能力和团队团结意识是主要资源。护士和其他护理人员需要持续的支持性干预措施，以从经历中恢复并应对与创伤暴露相关的症状。
