护理学专业最后一年学生照顾患者的经历。
Final-year student nurses' experiences of caring for patients.
作者信息
Kobe Sewela C, Downing Charlene, Poggenpoel Marie
机构信息
Department of Nursing, University of Johannesburg, Johannesburg.
出版信息
Curationis. 2020 Mar 2;43(1):e1-e9. doi: 10.4102/curationis.v43i1.2033.
BACKGROUND
Shortage of nurses in South African hospitals has affected the nurse-patient ratio, thus prompting nurses to be focussed on completing nursing-related duties with less or no caring for the patient. Caring involves having a therapeutic relationship with the patients, and it can be challenging and demanding for final-year student nurses who are still novices in the nursing profession.
OBJECTIVES
To explore and describe the experiences of caring for patients amongst final-year student nurses in order to develop and provide recommendations to facilitate caring.
METHOD
A qualitative, descriptive and contextual design was used. Data collection was done through eight in-depth individual interviews. Giorgi's five-step method of data analysis was used, along with an independent coder. Measures to ensure trustworthiness and ethical principles were applied throughout the research.
RESULTS
Four themes with 12 subthemes emerged from the data: therapeutic relationship with patients as an integral part of caring, teamwork - team spirit makes caring easy, continuous caring that promotes quality and safe nursing, as well as satisfaction amongst staff and patients, and various barriers that contributed to lack of caring in the unit.
CONCLUSION
The majority of student nurses had positive experiences of caring, which included therapeutic relationships between nurses and the patients, teamwork and team spirit that fostered safe and quality nursing care, rendered effortlessly. Barriers to caring were also highlighted as negative experiences.
背景
南非医院护士短缺影响了护患比例，这促使护士专注于完成护理相关职责，而很少或根本不关心患者。关怀涉及与患者建立治疗性的关系，对于护理专业仍为新手的本科最后一年学生护士来说，这可能具有挑战性且要求颇高。
目的
探讨并描述本科最后一年学生护士照顾患者的经历，以便制定并提供促进关怀的建议。
方法
采用定性、描述性和情境性设计。通过八次深入的个人访谈收集数据。使用了 Giorgi 的五步数据分析方法以及一名独立编码员。在整个研究过程中都采用了确保可信度和道德原则的措施。
结果
数据中出现了四个主题及 12 个子主题：与患者的治疗性关系是关怀的一个组成部分、团队合作——团队精神使关怀变得容易、持续关怀促进优质安全护理以及员工和患者的满意度，以及导致科室缺乏关怀的各种障碍。
结论
大多数学生护士有积极的关怀体验，其中包括护士与患者之间的治疗性关系、促进安全优质护理的团队合作和团队精神，且这些都能轻松实现。关怀的障碍也被突出为负面经历。
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