Dunnion Mary E, Griffin Miriam
Department of Nursing and Health Studies, Letterkenny Institute of Technology, Co. Donegal, Ireland.
Int Emerg Nurs. 2010 Apr;18(2):67-75. doi: 10.1016/j.ienj.2009.10.002. Epub 2009 Nov 12.
There are many demands placed on staff working in emergency departments such as the currently witnessed overcrowding, bed shortages and long waiting times for patients. Despite these demands nursing care needs to be carefully assessed, planned and documented. This study aimed to examine attitudes of staff towards the use of a nursing care plan in the emergency department. The sample comprised the total population (n=38) of all nursing staff working in an emergency department at one regional general hospital in the Republic of Ireland. The method adopted was a survey approach which employed the use of standardised questionnaires comprising both open and closed questioning styles. Raw statistical data were analysed using SPSS for Windows while the qualitative data arising from the open-ended questions were manually analysed for themes. The data obtained in this study identified that care plans were valued by respondents, stating that they contribute to holism, increased nurse/patient contact time and better communication. The findings also identified that there is a need for continuing education, further research and a need to address issues in relation to specific patient groups, including paediatrics, minor injuries, mental health and the elderly attending the emergency department.
急诊科工作人员面临着诸多要求,比如当前出现的过度拥挤、床位短缺以及患者等待时间过长等情况。尽管有这些要求,但护理工作仍需仔细评估、规划并记录在案。本研究旨在考察工作人员对在急诊科使用护理计划的态度。样本包括爱尔兰共和国一家地区综合医院急诊科所有护理人员的总数(n = 38)。采用的方法是调查法,使用了包含开放式和封闭式提问方式的标准化问卷。原始统计数据使用SPSS for Windows进行分析,而开放式问题产生的定性数据则手动分析主题。本研究获得的数据表明,护理计划受到受访者重视,他们表示护理计划有助于实现整体护理、增加护士与患者的接触时间以及改善沟通。研究结果还表明,需要继续教育、进一步研究,并且需要解决与特定患者群体相关的问题,包括儿科、轻伤、心理健康以及前往急诊科就诊的老年人。