Edwards Marie, Throndson Karen, Girardin Julie
Faculty of Nursing, University of Manitoba, Winnipeg, MB.
Dynamics. 2012 Fall;23(3):15-9.
The purpose of this study was to enhance our understanding of Canadian critical care nurses' experiences of and responses to situations of conflict in the ICU. Through a 35-item web-based survey, members of the Canadian Association of Critical Care Nurses were asked questions regarding the types, causes and frequency of conflict experienced, the nursing interventions found most helpful in situations of conflict, and the resources found most helpful in responding to situations of conflict. A total of 241 nurses responded to the survey. The mean age of the nurses was 43 years, and the majority were female (89.2%), direct care providers (66.4%), with greater than 11 years of experience in critical care (58.3%), and working in medical/surgical ICUs (66.4%) in tertiary care hospitals (67.2%). Approximately 51% of the nurses reported being involved in at least one situation of conflict related to the management of a patient in the last week worked. The most common types of conflict encountered were disagreements between the team and family (46.5%) or within the team (35.3%). The nurses acknowledged the importance of clear, consistent and honest communication with patients and families when conflict arises and rank-ordered the resources found most helpful to patients, families, and nurses in conflict situations. Implications for practice and education are discussed and recommendations for future research are outlined.
本研究的目的是加深我们对加拿大重症监护护士在重症监护病房（ICU）中遭遇冲突的经历及应对方式的理解。通过一项基于网络的包含35个条目的调查，向加拿大重症护理护士协会的成员询问了有关所经历冲突的类型、原因和频率、在冲突情况下最有帮助的护理干预措施以及在应对冲突情况时最有帮助的资源等问题。共有241名护士回复了该调查。护士的平均年龄为43岁，大多数为女性（89.2%），是直接护理提供者（66.4%），在重症护理领域有超过11年的工作经验（58.3%），并在三级医院的内科/外科重症监护病房工作（66.4%）。约51%的护士报告称在上周工作期间至少参与了一次与患者管理相关的冲突情况。遇到的最常见冲突类型是团队与家属之间的分歧（46.5%）或团队内部的分歧（35.3%）。护士们认识到冲突发生时与患者及家属进行清晰、一致和诚实沟通的重要性，并对在冲突情况下对患者、家属和护士最有帮助的资源进行了排序。讨论了对实践和教育的启示，并概述了对未来研究的建议。
