Marck Patricia, Molzahn Anita, Berry-Hauf Rhonda, Hutchings Loretta Gail, Hughes Susan
Nephrol Nurs J. 2014 Jan-Feb;41(1):25-35; quiz 36.
This study used principles and methods of good ecological restoration, including participatory photographic research methods, to explore perceptions of safety and quality in one hemodialysis unit. Using a list of potential safety and quality issues developed during an initial focus group, a practitioner-led photo walkabout was conducted to obtain photographs of the patient care unit and nurses' stories (photo narration) about safety and quality in their environment. Following a process of iterative coding, photos were used to discuss preliminary themes in a photo elicitation focus group with four additional unit staff The major themes identified related to clutter, infection control, unit design, chemicals and air quality, lack of storage space, and health and safety hazards (including wet floors, tripping hazards from hoses, moving furniture/chairs). The visual methods engaged researchers and unit nurses in rich dialogue about safety in this complex environment and provides an ongoing basis for monitoring and enhancing safety.
本研究运用了良好生态修复的原则和方法，包括参与式摄影研究方法，以探究一家血液透析单位的安全与质量认知情况。利用在初始焦点小组期间制定的潜在安全和质量问题清单，开展了一次由从业者主导的照片巡访活动，以获取患者护理单元的照片以及护士们关于其工作环境中安全与质量的故事（照片叙述）。经过迭代编码过程后，这些照片被用于在另一个由四名单位工作人员组成的照片启发焦点小组中讨论初步主题。确定的主要主题涉及杂乱、感染控制、单元设计、化学品与空气质量、存储空间不足以及健康和安全隐患（包括湿滑地面、软管导致的绊倒危险、移动家具/椅子）。这些视觉方法促使研究人员和单位护士就这个复杂环境中的安全问题展开了丰富的对话，并为监测和提高安全性提供了持续的依据。
