重症监护病房护士的文化
The Culture of Nurses in a Critical Care Unit.
作者信息
Scholtz Suegnèt, Nel Elsabe W, Poggenpoel Marie, Myburgh Chris P H
机构信息
University of Johannesburg, Johannesburg, South Africa.
出版信息
Glob Qual Nurs Res. 2016 Feb 10;3:2333393615625996. doi: 10.1177/2333393615625996. eCollection 2016 Jan-Dec.
Critical care nurses have to adapt to a fast-paced and stressful environment by functioning within their own culture. The objective of this study was to explore and describe the culture of critical care nurses with the purpose of facilitating recognition of wholeness in critical care nurses. The study had a qualitative, exploratory, descriptive, and contextual design. The ethnographic study included data triangulation of field notes written during 12 months of ethnographic observations, 13 interviews from registered nurses, and three completed diaries. Coding and analysis of data revealed patterns of behavior and interaction. The culture of critical care nurses was identified through patterns of patient adoption, armor display, despondency because of the demands to adjust, sibling-like teamwork, and non-support from management and medical doctors. An understanding of the complexity of these patterns of behavior and interaction within the critical care nursing culture is essential for transformation in the practice of critical care nursing.
重症监护护士必须在自身文化环境中发挥作用，以适应快节奏且压力重重的工作环境。本研究的目的是探索和描述重症监护护士的文化，以便促进对重症监护护士整体性的认识。该研究采用了定性、探索性、描述性和情境性设计。这项人种志研究包括对12个月人种志观察期间所写的实地记录、对13名注册护士的访谈以及三本完整日记的数据三角测量。数据的编码和分析揭示了行为和互动模式。通过患者接纳模式、防护装备展示、因适应要求而产生的沮丧情绪、兄弟般的团队合作以及来自管理层和医生的不支持等模式，确定了重症监护护士的文化。理解重症监护护理文化中这些行为和互动模式的复杂性对于重症监护护理实践的转变至关重要。
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