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医护人员针刺伤后心理不适及应对过程的质性内容分析

Qualitative content analysis of psychologic discomfort and coping process after needlestick injuries among health care workers.

作者信息

Jeong Jae Sim, Son Haeng Mi, Jeong Ihn Sook, Son Jun Seok, Shin Kyong-sok, Yoonchang Sung Won, Jin Hye Young, Han Si Hyeon, Han Su Ha

机构信息

Department of Nursing, University of Ulsan, Ulsan, Republic of Korea.

College of Nursing, Pusan National University, Busan, Republic of Korea.

出版信息

Am J Infect Control. 2016 Feb;44(2):183-8. doi: 10.1016/j.ajic.2015.09.002. Epub 2015 Oct 30.

Abstract

BACKGROUND

This study was designed to survey psychologic discomfort and coping processes of health care workers that suffered needlestick injuries (NSIs).

METHODS

This qualitative analysis was performed with 15 health care workers who experienced NSIs. Data were collected using face-to-face interviews. The study subjects were asked the following: please describe the psychologic discomfort that you experienced after the NSI incidence. Data were evaluated by qualitative content analysis.

RESULTS

Types of psychologic discomfort after NSI among health care workers included anxiety, anger, and feelings of guilt. Some personnel adopted active coping strategies, such as seeking first aid or reporting the incident to a monitoring system, whereas others used passive coping methods, such as avoidance of reporting the incident, vague expectancy to have no problems, and reliance on religious beliefs. Recommended support strategies to improve the prevention of NSIs were augmenting employee education and increasing recognition of techniques for avoiding NSIs.

CONCLUSION

Medical institutions need to provide employees with repeated education so that they are familiar with guidelines for preventing NSIs and to stimulate their alertness to the risk of injuries at any time, in any place, and to anybody.

摘要

背景

本研究旨在调查遭受针刺伤(NSIs)的医护人员的心理不适及应对过程。

方法

对15名经历过针刺伤的医护人员进行了定性分析。通过面对面访谈收集数据。研究对象被问及以下问题:请描述针刺伤事件发生后你所经历的心理不适。通过定性内容分析对数据进行评估。

结果

医护人员针刺伤后的心理不适类型包括焦虑、愤怒和内疚感。一些人员采取了积极的应对策略,如寻求急救或向监测系统报告事件,而另一些人则采用了消极的应对方法,如避免报告事件、模糊地期望不会有问题以及依赖宗教信仰。为改进针刺伤预防推荐的支持策略包括加强员工教育和提高对避免针刺伤技术方法的认识。

结论

医疗机构需要为员工提供反复教育,以便他们熟悉预防针刺伤的指南,并随时、随地、对任何人激发其对受伤风险的警觉性。

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