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住院青少年如何感到安全?一项定性研究。

How Do Hospitalized Adolescents Feel Safe? A Qualitative Study.

机构信息

PhD, RN, Assistant Professor, Department of Nursing, Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

PhD, RN, Associate Professor, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Nurs Res. 2019 Apr;27(2):e14. doi: 10.1097/jnr.0000000000000285.

Abstract

BACKGROUND

The feeling of safety makes an important contribution to the sense of well-being and quality of care for hospitalized adolescents, who are at a higher risk of feeling unsafe. Feeling unsafe during hospitalization may have a negative impact on recovery. Nurses must be sensitive to the possibility that patients feel unsafe, even in the absence of obvious direct physical threat.

PURPOSE

This study explores the experiences of hospitalized adolescents to obtain an understanding of psychological safety.

METHODS

A qualitative study using unstructured interviews was conducted to explore the sense of psychological safety of hospitalized adolescents aged 12-18 years and registered in a general medical or surgical pediatric unit. Purposive sampling was used to recruit new qualified participants until data saturation was reached (N = 16).

RESULTS

Psychological safety is reflected by the four themes of receiving comprehensive support, protection of human dignity, relaxing environment, and attempts to adapt.

CONCLUSIONS

Hospitalized adolescents stated that healthcare services should provide comprehensive support in a relaxing environment that allows them to retain their human dignity and that elicits feelings of psychological safety.

摘要

背景

安全感对住院青少年的幸福感和护理质量有重要贡献,他们更容易感到不安全。住院期间感到不安全可能会对康复产生负面影响。护士必须敏锐地意识到患者感到不安全的可能性,即使没有明显的直接身体威胁。

目的

本研究旨在探讨住院青少年的体验,以了解其心理安全感。

方法

采用非结构化访谈的定性研究方法,对 12-18 岁在普通内科或外科儿科病房住院的青少年进行心理安全感研究。采用目的抽样法招募新的合格参与者,直到达到数据饱和(N=16)。

结果

心理安全感体现在四个主题中:全面支持、保护人类尊严、放松的环境和适应的尝试。

结论

住院青少年表示,医疗服务应在一个让他们保持尊严、感到安全的放松环境中提供全面的支持。

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