Donnelly Frank, Feo Rebecca, Jangland Eva, Muntlin Athlin Åsa
Adelaide Nursing School, Faculty of Health and Medical Sciences, Level 4, Adelaide Health & Medical Sciences Building, Cnr North Terrace & George Street, Adelaide, SA 5005, Australia.
College of Nursing & Health Sciences, Flinders University,Sturt Road, Bedford Park, South Australia 5042, GPO Box 2100, Adelaide, SA 5001, Australia.
Australas Emerg Care. 2019 Jun;22(2):97-102. doi: 10.1016/j.auec.2019.04.002. Epub 2019 May 2.
Acute abdominal pain is a common reason for presentation to the emergency department. Understanding the role of nurses involved in management of acute abdominal pain is important for improving patient care and outcomes. The aim of this study was to understand the perceptions of emergency nurses in the management of acute abdominal pain.
Using a qualitative design, a purposeful sample (n=9) of experienced registered nurses was recruited from the emergency department of a large tertiary public hospital in South Australia. Semi-structured interviews, informed by literature describing the management of acute abdominal pain, were used to identify the perceptions of emergency nurses when caring for patients with acute abdominal pain.
Thematic analysis of interviews identified four themes: Centrality of Diagnosis; Busyness and Patient Management; Systems Issues; and Communication Challenges. Of the four themes, the Centrality of Diagnosis was especially important to the nurses' sense of contribution to patient care. Care was also affected by the busyness of the environment, the systems and processes in place to manage patients and communication in the emergency department.
The management of patients with acute abdominal pain is influenced by how nurses participate in the diagnostic process. Nurses identified their role in this process and described how this role impacted their delivery of fundamental care. Further studies of the nursing contribution to diagnosis, communication, and the systems that affect care delivery in the emergency department are required.
急性腹痛是患者前往急诊科就诊的常见原因。了解护士在急性腹痛管理中的作用对于改善患者护理及预后至关重要。本研究旨在了解急诊护士对急性腹痛管理的看法。
采用定性设计，从南澳大利亚一家大型三级公立医院的急诊科招募了一个有目的的样本（n = 9），即经验丰富的注册护士。根据描述急性腹痛管理的文献进行半结构化访谈，以确定急诊护士在护理急性腹痛患者时的看法。
访谈的主题分析确定了四个主题：诊断的核心地位；忙碌与患者管理；系统问题；以及沟通挑战。在这四个主题中，诊断的核心地位对护士对患者护理的贡献感尤为重要。护理还受到环境的忙碌程度、管理患者的现有系统和流程以及急诊科沟通情况的影响。
急性腹痛患者的管理受到护士参与诊断过程方式的影响。护士确定了他们在这一过程中的角色，并描述了这一角色如何影响他们提供基本护理。需要进一步研究护理在急诊科诊断、沟通以及影响护理提供的系统方面所做的贡献。
