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护理实践中的挑战:护士在照顾患有药物滥用/依赖的住院内科/外科患者时的认知。

Challenges in nursing practice: nurses' perceptions in caring for hospitalized medical-surgical patients with substance abuse/dependence.

机构信息

Author Affiliations: Professor (Dr Neville), School of Nursing, Kean University, Union; and Advanced Practice Nurse (Dr Roan), Somerset Medical Center, Somerville, New Jersey.

出版信息

J Nurs Adm. 2014 Jun;44(6):339-46. doi: 10.1097/NNA.0000000000000079.

Abstract

OBJECTIVE

The objective of this study was to investigate nurses' perceptions of caring for hospitalized medical-surgical patients with comorbid conditions of substance abuse/dependence.

BACKGROUND

Critical to this issue of quality patient care is the rising incidence of comorbid drug and alcohol abuse among hospitalized patients. Little research exists on the perceptions of nurses providing care to substance abuse/dependent medical-surgical hospitalized patients. There exists the need to further explore nurses' perceptions regarding caring for this challenging population.

METHODS

Using a qualitative inductive approach, a convenience sample of 24 nurses completed research questions regarding their perceptions of caring for hospitalized patients with substance abuse/dependence.

RESULTS

Data analysis revealed ethical duty to care, negative perceptions toward patients with substance abuse/dependence, need for further education, sympathy, and issues with pain management. Providing quality nursing care for the hospitalized medical-surgical patient with concomitant alcohol and/or drug dependence is challenging for nursing. Nurses need additional education and professional support in caring for these individuals.

摘要

目的

本研究旨在探讨护士对患有药物滥用/依赖共病的住院内科-外科患者护理的看法。

背景

影响患者护理质量的关键问题是住院患者中药物和酒精滥用的发病率不断上升。很少有研究关注为药物滥用/依赖的内科-外科住院患者提供护理的护士的看法。需要进一步探讨护士对护理这一具有挑战性人群的看法。

方法

采用定性归纳法,对 24 名护士进行了方便抽样,了解他们对护理有药物滥用/依赖的住院患者的看法。

结果

数据分析显示护士对照顾有药物滥用/依赖的患者有伦理责任,对这些患者有负面看法,需要进一步的教育、同情以及疼痛管理问题。为同时患有酒精和/或药物依赖的住院内科-外科患者提供优质护理对护理人员来说是一个挑战。护士在照顾这些人时需要额外的教育和专业支持。

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