Lundahl Maja-Klara, Olovsson Karl Johan, Rönngren Ylva, Norbergh Karl-Gustaf
Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
J Clin Nurs. 2014 Sep;23(17-18):2589-98. doi: 10.1111/jocn.12475. Epub 2013 Dec 25.
To describe registered nurses' views and experiences providing care for gamma-hydroxybutyric acid and gamma-butyrolactone abuse inpatients in a psychiatric unit.
Gamma-hydroxybutyric acid and gamma-butyrolactone are illegal drugs with potentially fatal outcomes that are entering wider use in Scandinavia. Gamma-hydroxybutyric acid-dependent persons with withdrawal symptoms often require forceful withdrawal treatment provided in psychiatric units.
A qualitative study with a purposive sample including interviews from registered nurses.
Data were collected from interviews with 15 registered nurses working in specialised dependency units in psychiatric wards. The data collected were analysed through a descriptive, qualitative analysis.
The registered nurses' narratives revealed four main areas of convergence: feelings of anxiety and despair, preparation for unpredictable and precarious situations, striving for good relationship and striving to optimise and develop nursing care. The interviews revealed that registered nurses reflect on and discuss their feelings about their patients' situations with colleagues; prepare themselves for potential aggressiveness and unpredictable situations; improve their care through conscious attitude adjustment and relationship-forming behaviours; and strive to increase their personal knowledge, maintain a hopeful outlook and exhibit a positive approach. These themes were found in all nine categories and sixteen subcategories.
The findings based on the registered nurses' narratives indicated that the registered nurses experienced their work situation when caring for these patients to be very complex and demanding.
The study revealed that registered nurses worked extensively to craft their approach and attitude towards their patients. It is clear that registered nurses use themselves as tools or instruments for the creation of good relationships, thus providing the best care possible.
Registered nurses should be given more education, clearer guidelines and better guidance to assist them in facing such challenging and often problematic situations. One-on-one shadowing provides the possibility to create and develop relationship.
描述注册护士在精神科病房为γ-羟基丁酸和γ-丁内酯滥用患者提供护理的观点和经历。
γ-羟基丁酸和γ-丁内酯是具有潜在致命后果的非法药物，在斯堪的纳维亚半岛正被更广泛地使用。有戒断症状的γ-羟基丁酸依赖者通常需要在精神科病房接受强制戒断治疗。
一项定性研究，采用目的抽样法，包括对注册护士的访谈。
收集了对15名在精神科病房专门依赖治疗单元工作的注册护士的访谈数据。所收集的数据通过描述性定性分析进行分析。
注册护士的叙述揭示了四个主要的趋同领域：焦虑和绝望感、为不可预测和不稳定情况做准备、努力建立良好关系以及努力优化和发展护理。访谈表明，注册护士会与同事反思并讨论他们对患者情况的感受；为潜在的攻击性和不可预测的情况做好准备；通过有意识的态度调整和建立关系的行为来改善护理；并努力增加个人知识，保持乐观的前景并展现积极的态度。这些主题出现在所有九个类别和十六个子类别中。
基于注册护士叙述的研究结果表明，注册护士在护理这些患者时，体验到工作情况非常复杂且要求很高。
该研究表明，注册护士广泛努力塑造他们对患者的方法和态度。显然，注册护士将自己作为建立良好关系的工具或手段，从而尽可能提供最佳护理。
应给予注册护士更多教育、更明确的指导方针和更好的指导，以帮助他们面对此类具有挑战性且往往有问题的情况。一对一的跟班学习提供了建立和发展关系的可能性。
