重症监护护士的患者维权行动。
Patient advocacy actions by intensivist nurses.
作者信息
Vargas Caroline Porcelis, Vargas Mara Ambrosina de Oliveira, Tomaschewski-Barlem Jamila Geri, Ramos Flávia Regina Souza, Schneider Dulcinéia Ghizoni, Camponogara Silviamar
机构信息
Universidade Federal de Santa Catarina , Departamento de Enfermagem , Programa de Pós-Graduação em Enfermagem , Florianópolis , SC , Brasil .
Universidade Federal do Rio Grande , Escola de Enfermagem , Rio Grande , RS , Brasil .
出版信息
Rev Esc Enferm USP. 2019 Aug 5;53:e03490. doi: 10.1590/S1980-220X2018011703490.
OBJECTIVE
To explore the actions and factors associated to patient advocacy by intensivist nurses using the Protective Nursing Advocacy Scale.
METHOD
A quantitative, descriptive-exploratory, cross-sectional study. The questionnaire was answered by nurses who worked in Intensive Care Units in the South and Southeast regions of Brazil. A factorial exploratory analysis of the data, T-tests and the chi-square test were used for association between factors.
RESULTS
451 nurses participated in the study. A greater number of nurses disagreed with the negative consequences that patient advocacy may have or bring to them. Greater dialogue among nursing staff would enhance teamwork results. Nurses with two or more job relationships need more physical and mental effort, which compromises their quality of life and work, leading to them being those who least practice patient advocacy.
CONCLUSION
Nurses understand patient advocacy as an important part of their work, as well as factors which may influence their decision to defend their patients, but are still unaware of the benefits of advocacy.
目的
使用保护性护理倡导量表探讨重症监护护士进行患者倡导的行为及相关因素。
方法
一项定量、描述性探索性横断面研究。问卷由在巴西南部和东南部地区重症监护病房工作的护士作答。对数据进行因子探索性分析、T检验和卡方检验以分析因素之间的关联。
结果
451名护士参与了研究。更多护士不同意患者倡导可能给他们带来的负面后果。护理人员之间加强对话将提高团队合作效果。有两种或更多工作关系的护士需要更多的身心投入，这会损害他们的生活质量和工作，导致他们成为最不践行患者倡导的人。
结论
护士将患者倡导视为其工作的重要组成部分，以及可能影响他们为患者辩护的决定的因素，但仍未意识到倡导的益处。
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