Schandl Anna, Falk Ann-Charlotte, Frank Catharina
General Intensive Care Unit, Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital Solna, 17176 Stockholm, Sweden.
General Intensive Care Unit, Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital Solna, 17176 Stockholm, Sweden; Division of Nursing, Department of Neurobiology, Care Science and Society, Karolinska Institutet, 141 52 Stockholm, Sweden.
Intensive Crit Care Nurs. 2017 Oct;42:105-109. doi: 10.1016/j.iccn.2017.04.006. Epub 2017 May 20.
Patient participation in healthcare is important for optimizing treatment outcomes and for ensuring satisfaction with care. The purpose of the study wasto explore critical care nurses' perceptions of patient participation for critically ill patients.
Qualitative data were collected in four separate focus group interviews with 17 nurses from two hospitals. The interviews were analyzed using qualitative content analysis.
Initially, the nurses stated that patient participation in the intensive care unit (ICU) was dependent on the patient's health condition and consciousness. However, during the interviews three descriptive categories emerged from their experience, that is: passive patient participation, one-way communication and nurse/patient interaction.
In the ICU, the possibilities for patient participation in nursing care are not only dependent on the patient's health condition but also on the nurse's ability to include patients in various care actions despite physical and/or mental limitations. When the patient is not able to participate, nurses strive to achieve participation through relatives' knowledge and/or other external sources of information.
患者参与医疗保健对于优化治疗效果和确保对护理的满意度很重要。本研究的目的是探讨重症监护护士对重症患者参与情况的看法。
通过对两家医院的17名护士进行四次单独的焦点小组访谈收集定性数据。采用定性内容分析法对访谈进行分析。
最初，护士们表示患者在重症监护病房（ICU）的参与程度取决于患者的健康状况和意识。然而，在访谈过程中，从他们的经验中出现了三个描述性类别，即：被动患者参与、单向沟通和护士/患者互动。
在ICU中，患者参与护理的可能性不仅取决于患者的健康状况，还取决于护士在患者存在身体和/或精神限制的情况下将患者纳入各种护理行动的能力。当患者无法参与时，护士会努力通过亲属的知识和/或其他外部信息来源来实现参与。
