Faculty of Nursing, Prince of Songkla University, Hatyai, Thailand.
Nurs Crit Care. 2019 Jan;24(1):9-14. doi: 10.1111/nicc.12349. Epub 2018 Jul 30.
Caring for critically ill patients requires competent nurses to help save and secure the lives of patients, using technological developments while maintaining humanistic care. Nepal is a developing country with limited advanced technologies and resources. It is important to understand nursing care for critically ill patients under these shortages.
To describe the lived experiences of intensive care nurses in caring for critically ill patients in intensive care units.
A hermeneutic phenomenological study was conducted. Purposive sampling was used to recruit 13 nurses from three intensive care units, who met the inclusion criteria. Face-to-face, in-depth individual interviews with an audio recorder were used to collect the data. The interview transcriptions were analysed and interpreted using van Manen's approach. Trustworthiness was established following the criteria of Lincoln and Guba.
Seven thematic categories emerged from the experiences of nurses and were reflected within the four life worlds of space, body, relation and time. The categories were: low technology of care and insufficient resources (lived space); physical and psychological distress and requiring competency in caring (lived body); connecting relationship as a family, trusting technology of care, and realizing team working (lived relation); and less time to be with the patient as a whole person (lived time).
This study provides an understanding of the lived experience of nurses caring for critically ill patients, with inadequate support that can affect holistic care of patients and nurses' health.
Intensive care nurses need to enhance their knowledge and skills related to the use of technologies and patient care by attending training programs and gaining further education. This study recommends that hospital administrators should support sufficient facilities and technologies of care and, in particular, increase the competency of nurses in caring for critically ill patients as the whole person.
照顾危重症患者需要有能力的护士，在使用技术发展的同时，保持人文关怀，帮助挽救和保障患者的生命。尼泊尔是一个发展中国家，先进技术和资源有限。了解在这些短缺情况下对重症患者的护理是很重要的。
描述重症监护病房护士在重症监护病房照顾危重症患者的体验。
进行了一次解释学现象学研究。采用目的性抽样，从三家重症监护病房招募了 13 名符合纳入标准的护士。使用录音器进行面对面、深入的个人访谈来收集数据。使用范梅南的方法对访谈记录进行分析和解释。根据林肯和古巴的标准，建立了可信度。
从护士的经验中出现了七个主题类别，并反映在空间、身体、关系和时间的四个生活世界中。这些类别是：护理技术低和资源不足（生活空间）；身体和心理困扰以及需要护理能力（生活身体）；作为一个家庭建立联系关系、信任护理技术、并实现团队合作（生活关系）；以及作为一个整体病人，与病人相处的时间较少（生活时间）。
本研究提供了对护士照顾危重症患者的体验的理解，在这种体验中，护士得到的支持不足，这可能会影响到对患者的全面护理和护士的健康。
重症监护病房的护士需要通过参加培训计划和获得进一步的教育，增强他们与使用技术和患者护理相关的知识和技能。本研究建议医院管理人员应支持充足的护理设施和技术，特别是增加护士照顾危重症患者作为一个整体的能力。
