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爱的劳动:为护士提供奖励和满足感:基于扎根理论的痴呆症护理研究结果。

A labour of love: Reward and satisfaction for nurses: Findings from a grounded theory study in dementia care.

机构信息

1458Federation University, Ballarat, Australia.

2080La Trobe University, Melbourne, Australia.

出版信息

Dementia (London). 2021 Jul;20(5):1697-1710. doi: 10.1177/1471301220965557. Epub 2020 Oct 6.

DOI:10.1177/1471301220965557
PMID:33021392
Abstract

AIM

To understand nurses' perceptions of quality nursing care in the dementia-specific care unit. As the world's population ages, the incidence of dementia is projected to rise in tandem. The requirement for skilled, dementia-trained registered nurses who can provide quality nursing care will need to increase accordingly to meet the needs of these individuals. Extensive research has been completed on dementia nursing care in a variety of settings; however, little research has been undertaken into nurses' perceptions of quality nursing care in the dementia-specific care unit. Understanding how registered nurses perceive quality nursing care in the dementia-specific care unit is important and provides valuable information about nursing practice in this environment for nurses and decision-makers. Gaining a better understanding of quality nursing care in this care unit may result in better nurse education and an improved patient experience. It may also assist nursing organisations, residential aged-care facilities, government bodies and nongovernment agencies that support, manage, and oversee dementia-specific care units.

METHOD

A grounded theory study was conducted to understand nurses' perceptions of quality nursing care in dementia-specific care units. The study involved interviewing nine registered nurses working in two dementia-specific care units on the Gold Coast, Queensland. Data were collected during semi-structured interviews and analysed using both constant comparison and thematic analysis.

FINDINGS

Three themes emerged from this study-, The largest theme, , represents the personal reward and feeling of satisfaction six nurses said they experienced when interacting with individuals living in the dementia-specific care unit. They identified and repeatedly discussed the joy and fulfilment they experienced when caring for them, and considered this to be an essential element of quality nursing care. It was evident from the data that the nurses cared very deeply about these individuals, and despite increased risks to personal safety at work, they did not want to work anywhere else. This article reports on the largest and key theme identified in the study

摘要

目的

了解护士在痴呆症专科护理单元中对优质护理的看法。随着世界人口老龄化,预计痴呆症的发病率将同步上升。需要相应增加熟练的、接受过痴呆症培训的注册护士,以提供优质的护理,以满足这些人的需求。已经在各种环境中完成了大量关于痴呆症护理的研究;然而,对于护士在痴呆症专科护理单元中对优质护理的看法的研究却很少。了解注册护士如何看待痴呆症专科护理单元中的优质护理,对于护士和决策者了解该环境中的护理实践非常重要。更好地了解该护理单元中的优质护理,可能会导致更好的护士教育和改善患者体验。它还可能有助于护理组织、养老院、政府机构和支持、管理和监督痴呆症专科护理单元的非政府机构。

方法

本研究采用扎根理论研究方法,了解护士在痴呆症专科护理单元中对优质护理的看法。该研究涉及对昆士兰州黄金海岸的两个痴呆症专科护理单元的 9 名注册护士进行半结构化访谈。数据收集在半结构化访谈中进行,并使用恒定性比较和主题分析进行分析。

结果

本研究产生了三个主题——最大的主题代表了六名护士在与生活在痴呆症专科护理单元的个体互动时所说的他们所经历的个人回报和满足感。他们确定并反复讨论了他们在照顾这些人时所经历的快乐和满足感,并认为这是优质护理的一个重要组成部分。从数据中可以明显看出,护士非常关心这些人,尽管工作中的个人安全风险增加,但他们不想在其他地方工作。本文报告了研究中确定的最大和关键主题。

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