Faculty of Health, University of Technology, Sydney, NSW, Australia.
J Clin Nurs. 2018 Apr;27(7-8):1599-1611. doi: 10.1111/jocn.14231. Epub 2018 Feb 8.
To explore patient-centred nursing, compassion satisfaction and compassion fatigue from intensive care nurses' perspectives.
Compassion satisfaction and compassion fatigue can influence critical care nurses' decisions to either continue or leave the profession, and could impact the compassionate patient-centred nursing care patients receive during their ICU admission.
This qualitative research design was informed by Charmaz's Grounded Theory Constructivist methodology.
In-depth interviews were conducted with 21 critical care nurses of two ICUs in Australia during 2016. Interview data were analysed using grounded theory processes.
Findings reflected positive and negative impacts on critical care nurses' ability to deal compassionately with their patients. Effects on patient-centred nursing and critical care nurses' own well-being were revealed. A core category of "Expectations" emerged, explaining the tension between critical care nurses' biomedical, clinical skills and knowledge versus compassionate, patient-centred nursing care. This tension was clarified and expanded in subcategories of "Life in the Balance," "Passion and Pressure," "Understanding and Advocacy" and "Tenacity and Fragility".
Providing patient-centred nursing may enhance critical care nurses' experience of compassion satisfaction, in turn impacting delivery of compassionate patient-centred nursing to generate a virtuous circle. Critical care nurses who feel respected and supported by their management team and colleagues experience feelings of compassion satisfaction, leading to greater engagement and care towards their patient.
Systematically addressing critical care nurses' needs to successfully balance biomedical with compassionate nursing care may lead to greater well-being in the critical care nursing workforce and improve patient experience of intensive care.
从重症监护护士的角度探讨以患者为中心的护理、同情满足和同情疲劳。
同情满足和同情疲劳会影响重症监护护士继续或离开该职业的决定，并可能影响患者在入住 ICU 期间接受的富有同情心的以患者为中心的护理。
本定性研究设计基于 Charmaz 的扎根理论建构主义方法论。
2016 年，在澳大利亚的两个 ICU 中对 21 名重症监护护士进行了深入访谈。使用扎根理论过程对访谈数据进行分析。
研究结果反映了对重症监护护士以同情心对待患者的能力产生积极和消极的影响。揭示了以患者为中心的护理和重症监护护士自身福祉的影响。出现了一个核心类别“期望”，解释了重症监护护士的生物医学、临床技能和知识与富有同情心、以患者为中心的护理之间的紧张关系。这种紧张关系在“生活平衡”、“激情与压力”、“理解与倡导”和“坚韧与脆弱”等子类别中得到了阐明和扩展。
提供以患者为中心的护理可能会增强重症监护护士同情满足的体验，进而影响到富有同情心的以患者为中心的护理的提供，从而产生良性循环。感到受到管理层和同事尊重和支持的重症监护护士会感受到同情满足感，从而更投入地照顾他们的患者。
系统地满足重症监护护士成功平衡生物医学与富有同情心的护理需求，可能会提高重症监护护理人员的幸福感，并改善患者对重症监护的体验。
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