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陷入困境的护士:尼日利亚癌症护理环境中癌症护理对护士心理情绪影响的定性研究

The Troubled Nurse: A Qualitative Study of Psychoemotional Effects of Cancer Care on Nurses in A Nigerian Cancer Care Setting.

作者信息

Nwozichi Chinomso Ugochukwu, Guino-O Theresa A, Madu Amarachi Marie, Hormazábal-Salgado Raúl, Jimoh Mutiu Alani, Arungwa Oluwatosin Taiwo

机构信息

Department of Adult Health Nursing, Babcock University, Ilishan Remo, Oguns State, Nigeria.

Department of Nursing, College of Nursing, Silliman University, Dumaguete City, Negros Oriental, Philippines.

出版信息

Asia Pac J Oncol Nurs. 2020 Sep 14;7(4):328-335. doi: 10.4103/apjon.apjon_25_20. eCollection 2020 Oct-Dec.

DOI:10.4103/apjon.apjon_25_20
PMID:33062827
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7529016/
Abstract

OBJECTIVE

Nurses who care for cancer patients are exposed to varying degrees of psychological pressure. These psychological issues among nurses are thought to have some consequences relating to professional satisfaction, quality of care, and patient outcome. This study aimed to explore the psychological and emotional impact of caring for persons among cancer care nurses.

METHODS

A qualitative, descriptive approach was employed, and a purposive sampling technique was used to select seven nurses who were interviewed one-on-one. Interview data were coded and analyzed using NVivo 12 to generate the final themes and patterns. The EQUATOR's COREQ guideline for qualitative studies was adhered to.

RESULTS

Data analysis yielded two major themes and four sub-themes. Participants expressed concerns about their frequent encounter with dying patients on the ward which affects their own mental well-being as persons. Sometimes, the health-care professionals used emotional distance to mitigate the emotional and psychological effects of the frequent deaths encountered on the ward. Professional dissatisfaction was also brought about by the increased amount of patients who died on the ward, the gloomy nature of the care environment, and the feeling of incapacitation to help.

CONCLUSIONS

The findings indicate that nurses who care for cancer patients need to be supported to enhance their psychological and emotional well-being. The findings of this study could help nurse managers to understand the level of psychological pressure cancer care impose on nurses and the importance of improving the mental health of nurses in cancer care.

摘要

目的

护理癌症患者的护士会面临不同程度的心理压力。护士中的这些心理问题被认为会对职业满意度、护理质量和患者预后产生一些影响。本研究旨在探讨癌症护理护士护理患者时的心理和情感影响。

方法

采用定性描述性方法,运用目的抽样技术选取7名护士进行一对一访谈。访谈数据使用NVivo 12进行编码和分析,以生成最终的主题和模式。遵循了EQUATOR的定性研究COREQ指南。

结果

数据分析得出两个主要主题和四个子主题。参与者表达了对在病房频繁接触濒死患者的担忧,这影响了他们自身作为个体的心理健康。有时,医护人员会采用情感距离来减轻在病房频繁遇到死亡所带来的情感和心理影响。病房死亡患者数量的增加、护理环境的阴沉性质以及无力提供帮助的感觉也导致了职业满意度下降。

结论

研究结果表明,需要为护理癌症患者的护士提供支持,以提高他们的心理和情感幸福感。本研究结果有助于护士长了解癌症护理给护士带来的心理压力水平,以及改善癌症护理中护士心理健康的重要性。

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