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救护车护士护理重症及受伤儿童的经验:救护车护理工作的一个难点

Ambulance nurses' experiences of nursing critically ill and injured children: A difficult aspect of ambulance nursing care.

作者信息

Nordén Charlotte, Hult Karin, Engström Åsa

机构信息

Falck Ambulans AB, Hässleholm, Sweden.

Jokkmokk Ambulace, Jokkmokk, Sweden.

出版信息

Int Emerg Nurs. 2014 Apr;22(2):75-80. doi: 10.1016/j.ienj.2013.04.003. Epub 2013 May 24.

DOI:10.1016/j.ienj.2013.04.003
PMID:23711561
Abstract

BACKGROUND

Ambulance nurses work daily in both emergency and non-emergency situations that can be demanding. One emotionally demanding situation for ambulance nurses is to nurse children who are ill.

AIM

The aim of this study was to describe ambulance nurses' experiences of nursing critically ill or injured children.

METHOD

Eight specialist ambulance nurses were interviewed and the interviews were analyzed using qualitative content analysis.

FINDINGS

The analysis resulted in one theme, a difficult aspect of ambulance nursing care, with five categories. The security of both child and parents was considered to be paramount. Ambulance nurses felt relieved when they handed over the responsibility and the child to the receiving unit. The ambulance nurses felt that more training, education and follow-up was desirable in order to increase their security when nursing children.

CONCLUSION

Ambulance nurses are subject to stressful feelings while nursing children. As providing reassurance to the child and its parents is a cornerstone of the treatment, it is important for the ambulance nurses to take the time to build up a trusting relationship in such an encounter. Skill development in the area might lead to increased security and reduce the mental burden resulting from negative stress.

摘要

背景

救护车护士每天都在要求苛刻的紧急和非紧急情况下工作。对救护车护士来说,情感上要求苛刻的一种情况是护理生病的儿童。

目的

本研究的目的是描述救护车护士护理重症或受伤儿童的经历。

方法

对8名专业救护车护士进行了访谈,并采用定性内容分析法对访谈进行了分析。

结果

分析得出一个主题,即救护车护理的一个困难方面,包括五个类别。儿童和父母的安全被认为是至关重要的。当救护车护士将责任和孩子移交给接收单位时,他们会感到宽慰。救护车护士认为,需要更多的培训、教育和跟进,以增强他们护理儿童时的安全感。

结论

救护车护士在护理儿童时会产生压力情绪。由于向儿童及其父母提供安慰是治疗的基石,因此救护车护士在这种情况下花时间建立信任关系非常重要。该领域的技能发展可能会提高安全感,并减轻负面压力带来的精神负担。

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