Cypress Brigitte S
Brigitte S. Cypress, EdD, RN, CCRN, is a tenure track assistant professor of nursing at Lehman College and The Graduate Center, City University of New York. She teaches different courses in the baccalaureate and master's level at Lehman College including philosophy of science in the doctoral level at the Graduate Center, City University of New York. Dr Cypress was a critical care nurse for 18 years and serves as a reviewer of manuscripts for Dimensions of Critical Care Nursing.
Dimens Crit Care Nurs. 2013 Nov-Dec;32(6):310-21. doi: 10.1097/DCC.0000000000000005.
Despite many studies conducted aimed to understand and improve emergency care, research on the triad of nurses, patients, and family members looking at the lived emergency department experiences and their perspective of each from the other is notably absent. In a hermeneutic phenomenological study using van Manen's method, a sample of 10 patients, 5 family members, and 8 nurses of a nonprofit community hospital was recruited and interviewed in 2010 to 2011 to explore, understand, and describe their lived experiences during critical illness in the emergency department. The nurses perceived that addressing the patient's physiologic deficit promptly is vital in the emergency department as well as including family members as coparticipants in the care. Patients and family members perceived that communication, critical thinking, sensitivity, and caring are essential for emergency department nurses. The American Association of Critical-Care Nurses' Synergy Model for Patient Care was applied in conceptualizing the findings and served as a framework in recommending practices and interventions geared toward improving competencies required in caring for critically ill patients and their families in the emergency department. The study supports recognizing the patient and family as active participants in the patient's medical care; encouraging family-member presence and creating institutional policies for patient- and family-centered care, as well as encouraging the development of ongoing programs that will recognize, enhance, and support the psychological and emotional well-being of emergency department nurses.
尽管开展了许多旨在了解和改善急诊护理的研究，但对于护士、患者和家属这三者在急诊室的实际经历以及他们相互之间的看法的研究却明显缺失。在一项采用范曼方法的诠释现象学研究中，2010年至2011年招募了一家非营利性社区医院的10名患者、5名家属和8名护士作为样本并进行访谈，以探索、理解和描述他们在急诊室危重病期间的实际经历。护士们认为，在急诊室迅速解决患者的生理缺陷至关重要，同时让家属作为护理的共同参与者。患者和家属认为，沟通、批判性思维、敏感度和关怀对急诊室护士至关重要。美国重症护理护士协会的患者护理协同模型被用于对研究结果进行概念化，并作为一个框架来推荐旨在提高急诊室护理危重病患者及其家属所需能力的实践和干预措施。该研究支持将患者和家属视为患者医疗护理的积极参与者；鼓励家属陪伴，并制定以患者和家属为中心的护理的机构政策，同时鼓励开展持续项目，以认可、增强和支持急诊室护士的心理和情感健康。
