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重症监护病房患者的感谢信:从感恩之情的表达至关怀应用伦理

Thank you letters from patients in an intensive care unit: From the expression of gratitude to an applied ethic of care.

作者信息

Herbland Alexandre, Goldberg Michel, Garric Nathalie, Lesieur Olivier

机构信息

Service de réanimation polyvalente, Hôpital Saint Louis, rue du docteur Schweitzer, Groupement Hospitalier La Rochelle Ré Aunis, 17019 La Rochelle Cedex, France.

Laboratoire Littoral, environnement et sociétés (LIENSs). UMR CNRS 6250 Bâtiment Curie. Université de La Rochelle, 17000 La Rochelle, France.

出版信息

Intensive Crit Care Nurs. 2017 Dec;43:47-54. doi: 10.1016/j.iccn.2017.05.007. Epub 2017 Jun 28.

DOI:10.1016/j.iccn.2017.05.007
PMID:28668642
Abstract

INTRODUCTION

Patients' perception of an intensive care unit stay can lead to a better understanding of the expectations and needs of patients hospitalised in intensive care so that care for critically ill patients can be adapted and improved. Thank you letters are sources of original information which come directly and spontaneously from patients.

OBJECTIVE

The objective of this study was to analyse the thank you letters from patients who required intensive care treatment and to identify messages that could be intended for the intensive care unit team.

DESIGN

We conducted a qualitative study according to a thematic analysis. The body of research consisted of 17 letters from patients hospitalised in intensive care unit.

SETTING

The study took place in the medical-surgical intensive care unit of a French general hospital. The intensive care unit is made up of 16 resuscitation beds and four continuous monitoring beds.

FINDINGS

Two main themes emerged: (i) expression of gratitude through a description of the caregivers' behaviour (humanity and professionalism) and recognition for surviving (ii) the narrative of the intensive care unit experience.

CONCLUSION

Thank you letters give a rich insight into how the patients perceived their stay in intensive care unit. Letters from patients give direct feedback on the quality of care provided, contribute to give meaning to work and raise the question of what the core values of care should be for all concerned in the healthcare providers-patients relationship.

摘要

引言

患者对重症监护病房住院经历的看法有助于更好地理解重症监护病房住院患者的期望和需求,从而使重症患者的护理能够得到调整和改善。感谢信是直接且自发地来自患者的原始信息来源。

目的

本研究的目的是分析来自需要重症监护治疗患者的感谢信,并识别可能是写给重症监护病房团队的信息。

设计

我们根据主题分析进行了一项定性研究。研究主体包括17封来自重症监护病房住院患者的信件。

背景

该研究在一家法国综合医院的内科-外科重症监护病房进行。重症监护病房由16张复苏床和4张持续监测床组成。

结果

出现了两个主要主题:(i)通过描述护理人员的行为(人性和专业精神)以及对存活的认可来表达感激之情;(ii)重症监护病房经历的叙述。

结论

感谢信能让我们深入了解患者对在重症监护病房住院经历的看法。患者的信件对所提供护理的质量给出了直接反馈,有助于赋予工作意义,并引发了关于在医护人员与患者关系中所有相关方护理的核心价值观应该是什么的问题。

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