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从护士麻醉师的角度看儿童麻醉——一项定性研究

Anaesthetizing children-From a nurse anaesthetist's perspective-A qualitative study.

作者信息

Danielsson Lena, Lundström Marie-Louise, Holmström Inger K, Kerstis Birgitta

机构信息

Region Västmanland Västmanlands sjukhus Västerås Sweden.

School of Health, Care and Social Welfare Mälardalen University Västerås Sweden.

出版信息

Nurs Open. 2018 Apr 20;5(3):393-399. doi: 10.1002/nop2.147. eCollection 2018 Jul.

Abstract

AIM

The aim of this study was to describe nurse anaesthetists' experiences of encountering and caring for children in connection to anaesthesia.

DESIGN

Qualitative design.

METHODS

Sixteen written narratives based on eight nurse anaesthetists' experiences of meeting children was analysed using qualitative content analysis.

RESULTS

The overarching theme was: "anaesthetizing children is a complex caring situation, including interactions with the child and parents as well as ensuring patient safety, affected by the perioperative team and organizational prerequisites". The nurses stated that in their interaction with the family, their goal was to ensure that children and parents felt secure and calm. "Striving to work in confidence" underlined the team and organizational influences. Encountering children involves more than knowledge about technical equipment, procedures and drugs. Knowledge about children's development and fears and parents' needs are essential for an optimal caring situation. Organizations need to realize that extra time, skills and resources are needed to safely anaesthetize children.

摘要

目的

本研究旨在描述麻醉护士在麻醉过程中接触和护理儿童的经历。

设计

质性研究设计。

方法

采用质性内容分析法,对基于8名麻醉护士接触儿童经历的16篇书面叙述进行分析。

结果

首要主题为:“麻醉儿童是一种复杂的护理情境,包括与儿童及其父母的互动,以及确保患者安全,这受到围手术期团队和组织条件的影响”。护士们表示,在与家庭互动时,他们的目标是确保儿童和父母感到安全和平静。“努力自信地工作”强调了团队和组织的影响。接触儿童所涉及的不仅仅是关于技术设备、程序和药物的知识。了解儿童的发育情况、恐惧心理以及父母的需求对于实现最佳护理情境至关重要。各组织需要认识到,安全麻醉儿童需要额外的时间、技能和资源。

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