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护士和护士长对手术工作中可持续发展的看法:一项定性研究。

Nurses´ and nurse managers´ perceptions of sustainable development in perioperative work: A qualitative study.

机构信息

Department of Nursing Sciences, University of Eastern Finland, Kuopio, Finland.

Villanova University M Louise Fitzpatrick College of Nursing, M. Louise Fitzpatrick College of Nursing, Villanova, PA, USA.

出版信息

J Clin Nurs. 2022 Apr;31(7-8):1061-1072. doi: 10.1111/jocn.15970. Epub 2021 Jul 18.

DOI:10.1111/jocn.15970
PMID:34278641
Abstract

AIMS AND OBJECTIVES

To describe how nurses and nurse managers consider sustainable development principles in their daily work, how well they recognise these principles and how these principles are considered in decision-making in perioperative work.

BACKGROUND

Sustainable development involves interpersonal social and cultural relations and long-term economic and ecological thinking in societal decision-making. These dimensions are well-suited for a foundation of decision-making in acute health care. No previous research has been performed on perioperative work from the sustainable development perspective.

DESIGN

Qualitative descriptive design was used. Data were collected from perioperative nurses (n = 20) and nurse managers (n = 6) working in five surgical departments in a Finnish university hospital. Data were analysed by content analysis. The reporting follows qualitative research checklist (COREQ).

RESULTS

The principles of sustainable development were poorly known among the participants. Nurse managers considered their opportunities to influence decision-making were reduced by their limited economic knowledge. Resource use, individuality, and ecological viewpoints were emphasised in the decision-making process in perioperative work.

CONCLUSIONS

Findings reveal that perioperative nurses and nurse managers are aware of economic and ecological sustainability, but they do not actively consider it as part of their work. Social and cultural sustainability must be developed further in decision-making in perioperative work.

RELEVANCE TO CLINICAL PRACTICE

Perioperative nurses and nurse managers consider that it is important to develop the principles of sustainable development in perioperative work. This research indicates that economic understanding is not guiding decision-making, and there is a lack of knowledge about the benefits of ecological procedures. Social and cultural sustainability are not connected in perioperative work, although there is collaboration between the surgical team and the patient is essential. This study helps to organise operating room management effectively and diversely.

摘要

目的和目标

描述护士和护士长如何在日常工作中考虑可持续发展原则,他们对这些原则的认识程度以及这些原则如何在手术工作中的决策中得到考虑。

背景

可持续发展涉及到人际社会和文化关系以及社会决策中的长期经济和生态思维。这些维度非常适合成为急性保健决策的基础。以前没有从可持续发展角度对手术工作进行过研究。

设计

采用定性描述性设计。数据来自芬兰一所大学医院五个外科部门的手术护士(n=20)和护士长(n=6)。使用内容分析法对数据进行分析。报告遵循定性研究清单(COREQ)。

结果

参与者对可持续发展原则知之甚少。护士长认为,他们经济知识有限,影响决策的机会减少了。在手术工作的决策过程中,强调了资源利用、个性和生态观点。

结论

研究结果表明,手术护士和护士长意识到经济和生态可持续性,但并未将其积极视为工作的一部分。必须进一步发展手术工作中的社会和文化可持续性。

临床相关性

手术护士和护士长认为在手术工作中发展可持续发展原则很重要。这项研究表明,经济理解并未指导决策,而且对生态程序的益处缺乏了解。在手术工作中,社会和文化可持续性没有联系,尽管外科团队之间存在协作,并且与患者合作至关重要。本研究有助于有效地、多样化地组织手术室管理。

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