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从护士的角度看急诊科中对酒精中毒患者的护理 - 重点关注态度和技能。

Caring for alcohol-intoxicated patients in an emergency department from the nurses' point of view - focus on attitudes and skills.

机构信息

Satakunta Hospital District, Psychiatric Care Division, Pori, Finland.

Faculty of Social Sciences, Health Sciences, Nursing Science, Tampere University, Tampere, Finland.

出版信息

Scand J Caring Sci. 2021 Mar;35(1):115-122. doi: 10.1111/scs.12825. Epub 2020 Feb 9.

Abstract

BACKGROUND

Healthcare professionals have a key role in detecting health risks from alcohol use. The earlier the alcohol misuse is identified and addressed, the lower the risk of harm and the need for actual drug treatment. Positive attitudes and high motivation on the part of nurses are needed for achieving success in the care of intoxicated patients.

AIM

The aim of the study was to describe nurses' skills to care for and attitudes towards the care of patients with alcohol intoxication in emergency departments (EDs).

METHOD

The data were collected from nursing staff who participated in online training related to the care of alcohol-intoxicated patients in the EDs (N = 20, n = 17). As part of the training, nurses wrote two essays. The essays made up the data of this study which were analysed using inductive content analysis.

RESULTS

Three main categories emerged from the nurses' descriptions of their skills in caring for and attitudes towards the care of patients with alcohol intoxication: nurse's lack of commitment to intoxicated patient care; nurse's commitment to intoxicated patient care; and nurse's skills in intervention methods.

CONCLUSION

Many different factors influence nurses' commitment or lack of commitment in the care of intoxicated patients. Nurses' attitudes and skills are linked to the success of care of intoxicated patients in ED.

IMPLICATIONS FOR NURSING OF ALCOHOL-INTOXICATED PATIENTS: Increasing awareness of alcohol-related issues seems to help nurses to understand better the situation of a patient with alcohol intoxication, make their attitudes more positive and help them to use the intervention methods.

摘要

背景

医疗保健专业人员在发现酒精使用带来的健康风险方面发挥着关键作用。及早发现和处理酒精滥用问题,降低伤害风险和实际药物治疗的需求。护士需要具备积极的态度和高度的积极性,才能成功地护理醉酒患者。

目的

本研究旨在描述护士在急诊科护理酒精中毒患者的技能和态度。

方法

数据来自参加与急诊科酒精中毒患者护理相关的在线培训的护理人员(N=20,n=17)。作为培训的一部分,护士写了两篇文章。这些文章构成了本研究的数据,采用归纳内容分析法进行分析。

结果

从护士对护理酒精中毒患者的技能和态度描述中,出现了三个主要类别:护士对醉酒患者护理的承诺不足;护士对醉酒患者护理的承诺;以及护士干预方法的技能。

结论

许多不同的因素影响护士对醉酒患者护理的承诺或缺乏承诺。护士的态度和技能与急诊科醉酒患者护理的成功相关。

对护理酒精中毒患者的启示

提高对酒精相关问题的认识似乎有助于护士更好地理解酒精中毒患者的情况,使他们的态度更加积极,并帮助他们使用干预方法。

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