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“我们是护士,他们是医生”:约旦术后疼痛管理中护士角色的障碍

'We are nurses, they are doctors': barriers to nurses' roles in pain management following surgery in Jordan.

作者信息

Shoqirat Noordeen

机构信息

Fundamental and Adult Health Nursing, Faculty of Nursing, Mutah University, Karak, Jordan.

出版信息

Int J Nurs Pract. 2015 Apr;21(2):200-6. doi: 10.1111/ijn.12240. Epub 2014 Oct 13.

Abstract

This study explored barriers to nurses' roles in pain management following surgery in Jordan. A qualitative approach using four focus group discussions (n = 4) was used. The total convenience sample of surgical wards nurses included 25 nurses. The analysis revealed two categories explaining the context and perceived barriers affecting nurses' roles in pain management. First were barriers within bedside nursing, comprising attention-seeking patients, 'buzzer obsession' and family interferences. Second were barriers within nursing, comprising lack of staff and 'nurses need pain relief before patients', and the perception of 'we are nurses, they are doctors.' Nurses' roles in managing patients' pain following surgery is hindered by contextually complex barriers identified by this research. Multidisciplinary actions are therefore urgently needed to address barriers to pain management at the nursing professional, ward culture and policy levels. Failure to do so might lead to more pain sufferers following surgery, and thus poor recovery.

摘要

本研究探讨了约旦护士在术后疼痛管理中所面临的障碍。采用了定性研究方法,进行了四次焦点小组讨论(n = 4)。手术病房护士的便利样本总数为25名护士。分析揭示了两类解释影响护士疼痛管理角色的背景和感知障碍。第一类是床边护理中的障碍,包括寻求关注的患者、“蜂鸣器痴迷”和家庭干扰。第二类是护理工作中的障碍,包括人员短缺和“护士比患者更需要疼痛缓解”,以及“我们是护士,他们是医生”的观念。本研究确定的背景复杂的障碍阻碍了护士在术后管理患者疼痛方面的作用。因此,迫切需要采取多学科行动,在护理专业、病房文化和政策层面解决疼痛管理的障碍。否则,可能会导致更多患者术后遭受疼痛,进而恢复不佳。

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