College of Nursing, Yonsei University, Seoul, Republic of Korea.
Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
PLoS One. 2021 Feb 18;16(2):e0247062. doi: 10.1371/journal.pone.0247062. eCollection 2021.
In recent times, there has been an increasing burden in traumatic, medical, and surgical emergency conditions, placing more emphasis on the need for quality emergency care. This study aimed to explore the challenges experienced by nurses working in the emergency unit of a secondary referral hospital.
The study used an exploratory qualitative research design with a constructivist approach and a grounded theory method. Data were collected through in-depth interviews lasting between 30 to 45 minutes using a semi-structured interview guide. Inductive content analysis was used to analyse data.
Eleven (11) participants were interviewed. The majority were female (9), aged between 31-40 years. From the inductive content analysis, four themes emerged. These were; 1) overcrowding in the emergency unit, 2) understaffing at the emergency unit, 3) lack of emergency equipment, 4) inadequate managerial support.
The study identified several major challenges confronting nurses working in the emergency unit which are linked with managerial processes and inadequate managerial support. These challenges need to be addressed to promote quality emergency nursing care. To foster a positive working environment, hospital management should validate and address the aforementioned concerns of the Emergency Department nurses.
近年来，创伤、医疗和外科急诊的负担不断增加，这更加凸显了提供高质量急诊护理的必要性。本研究旨在探讨二级转诊医院急诊护士所面临的挑战。
本研究采用探索性定性研究设计，采用建构主义方法和扎根理论方法。通过使用半结构化访谈指南进行的 30 至 45 分钟的深入访谈来收集数据。采用归纳内容分析法对数据进行分析。
共对 11 名参与者进行了访谈。大多数是女性（9 人），年龄在 31-40 岁之间。通过归纳内容分析，出现了四个主题。分别是：1）急诊室过度拥挤，2）急诊室人手不足，3）急救设备短缺，4）管理支持不足。
本研究确定了在急诊室工作的护士所面临的几个主要挑战，这些挑战与管理流程和管理支持不足有关。需要解决这些挑战，以促进高质量的急诊护理。为了营造积极的工作环境，医院管理层应验证并解决急诊科护士的上述问题。
