Senften Jonah, Engström Åsa
J Senften, RN, CCN, MSc, Critical Care Nurse, Intensive Care Unit, Gällivare Hospital, Gällivare, Sweden.
Nurs Crit Care. 2015 Jan;20(1):25-33. doi: 10.1111/nicc.12063. Epub 2013 Nov 14.
Intensive care is conducted in intensive care units (ICUs), and also during the transportation of critically ill people.
The aim of the study was to describe critical care nurses' (CCNs) experiences of nursing critically ill patients during helicopter transport.
Seven CCNs, five women and two men participated in this study.
Seven participants from two centres in Sweden were recruited. The design uses an inductive, qualitative approach with data collected by means of qualitative interviews with seven CCNs.
The interviews were transcribed verbatim and subjected to qualitative thematic content analysis.
The analysis resulted in one theme which is safe nursing care, but sometimes feeling afraid and six categories as follows: experiencing the care environment as an ICU with limited space; a loud environment complicates communication; planning and checking to minimize risks; experience and good co-operation; facing the dilemma of allowing relatives to accompany the patient or not; feeling the patient's and their own fear.
CCNs plan for the transportation and control of patients to improve patient safety, but can sometimes feel afraid. Good co-operation is necessary.
The possibilities for CCNs to provide effective nursing care in helicopters are good, although in some cases limited by the environmental conditions.
重症监护在重症监护病房（ICU）进行，也在危重症患者转运期间进行。
本研究的目的是描述重症监护护士（CCN）在直升机转运危重症患者过程中的护理经历。
7名CCN参与了本研究，其中5名女性，2名男性。
从瑞典两个中心招募了7名参与者。该设计采用归纳性定性方法，通过对7名CCN进行定性访谈收集数据。
访谈逐字转录并进行定性主题内容分析。
分析得出一个主题，即安全的护理，但有时会感到害怕，以及六个类别，如下所示：将护理环境体验为空间有限的ICU；嘈杂的环境使沟通复杂化；规划和检查以尽量减少风险；经验和良好的合作；面临是否允许亲属陪伴患者的困境；感受到患者和自身的恐惧。
CCN为患者的转运和控制制定计划以提高患者安全性，但有时会感到害怕。良好的合作是必要的。
CCN在直升机上提供有效护理的可能性很大，尽管在某些情况下会受到环境条件的限制。
