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沙特阿拉伯外科环境中护士照顾营养不良患者的观点和经验——一项定性研究。

Nurses' views and experiences of caring for malnourished patients in surgical settings in Saudi Arabia - a qualitative study.

机构信息

The PRO-CARE Group, School of Health and Society, Kristianstad University, Elmetorpsvägen 15, S-291 88 Kristianstad, Sweden ; The Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden.

The PRO-CARE Group, School of Health and Society, Kristianstad University, Elmetorpsvägen 15, S-291 88 Kristianstad, Sweden.

出版信息

BMC Nurs. 2014 Oct 13;13:29. doi: 10.1186/1472-6955-13-29. eCollection 2014.

DOI:10.1186/1472-6955-13-29
PMID:25317076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4196725/
Abstract

BACKGROUND

Although the occurrence of malnutrition in hospitals is a growing concern, little is known about how hospital staff understand the care that nurses provide to patients with malnutrition. The purpose of this study was to explore nurses' views and experiences of caring for malnourished patients in Saudi Arabia (KSA).

METHODS

Using a qualitative explorative design, fifteen nurses were interviewed as part of a purposive sample hospital staff. The transcripts were analyzed using latent content analysis.

RESULTS

The nurses spontaneously and consistently linked malnutrition with physical inactivity. The two main categories, which emerged, were: 'Potentials for nurses to provide good nutrition and physical activity', and 'Having the ability but not the power to promote proper nutrition and physical activity'. These arose from the subcategories: Good nursing implies providing appropriate health education; Acknowledging the Mourafiq (sitter) as a potential resource for the nursing, but also as a burden; Inadequate control and lack of influence; Cultural diversity and lack of dialog; and Views of women's weight gain in KSA society.

CONCLUSIONS

The nurses felt they have the capacity and passion to further improve the nutrition and activity of their patients, but obstacles in the health care system are impeding these ambitions. The implications for nursing practice could be acknowledgement of the nurses' views in the clinical practice; culturally adjusted care, improved communication and enhanced language skills.

摘要

背景

尽管医院的营养不良发生率日益受到关注,但对于医院工作人员如何理解护士为营养不良患者提供的护理,人们知之甚少。本研究旨在探讨沙特阿拉伯(KSA)护士对照顾营养不良患者的看法和经验。

方法

采用定性探索性设计,对 15 名护士进行了访谈,作为目的抽样的医院工作人员的一部分。使用潜在内容分析法对转录本进行了分析。

结果

护士们自发地一致将营养不良与身体不活动联系起来。出现的两个主要类别是:“护士提供良好营养和身体活动的潜力”和“有能力但没有权力促进适当的营养和身体活动”。这些源于亚类:良好的护理意味着提供适当的健康教育;承认 Mourafiq(坐者)是护理的潜在资源,但也是一种负担;控制不足和缺乏影响力;文化多样性和缺乏对话;以及 KSA 社会中对女性体重增加的看法。

结论

护士们认为他们有能力和热情进一步改善患者的营养和活动水平,但医疗保健系统中的障碍阻碍了这些愿望的实现。对护理实践的影响可能包括在临床实践中承认护士的观点;文化上调整护理、改善沟通和提高语言技能。

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本文引用的文献

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Nurturing and nourishing: the nurses' role in nutritional care.养育与滋养:护士在营养护理中的角色。
J Clin Nurs. 2011 Feb;20(3-4):317-30. doi: 10.1111/j.1365-2702.2010.03502.x.
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Malnutrition prevalence and precision in nutritional care: an intervention study in one teaching hospital in Iceland.营养不良的流行情况和营养护理的精准度:冰岛一所教学医院的干预研究。
J Clin Nurs. 2010 Jul;19(13-14):1830-7. doi: 10.1111/j.1365-2702.2009.03179.x.
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The bariatric surgery patient: a growing role for registered dietitians.肥胖症手术患者:注册营养师的作用日益重要。
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Caring for undernourished patients in an orthopaedic setting.在骨科环境中护理营养不良的患者。
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Perception of nursing care: views of Saudi Arabian female nurses.对护理服务的认知:沙特阿拉伯女护士的观点
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Effectiveness of interventions for under nourished older inpatients in the hospital setting.医院环境中针对营养不良老年住院患者的干预措施的有效性。
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