护士对患者在麻醉后护理单元参与情况的认知——一项定性焦点小组研究
Nurses' Perceptions of Patient Participation in the Postanesthesia Care Unit-A Qualitative Focus Group Study.
作者信息
Miller Pernille Reck, Guldager Rikke, Herling Suzanne F
机构信息
Department of Neurosurgery, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Department of Neurosurgery, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
出版信息
J Perianesth Nurs. 2021 Dec;36(6):656-663. doi: 10.1016/j.jopan.2021.02.005. Epub 2021 Aug 25.
PURPOSE
To explore postanesthesia care unit (PACU) nurses' experiences and perception of patient participation during PACU care.
DESIGN
Qualitative focus group study based on a phenomenological hermeneutic approach.
METHODS
We conducted three focus group interviews with 18 nurses from three different PACUs. Themes were created based on interpretive theory inspired by Ricoeur.
FINDINGS
Four themes and 11 subthemes were found. Patients' clinical condition and situation, time management, ethical aspects, and the patient-nurse relationship all had a high impact on postanesthesia nursing practice and conditions for involving patients.
CONCLUSIONS
PACU nurses want patients to participate in their own treatment and care in the PACU; however, nurses perceive patient participation differently. Nurses experience challenges including patients' impaired autonomy, absence of a holistic approach, and lack of time and resources. Nurses highlight that these barriers should not become an excuse for noninvolvement.
目的
探讨麻醉后护理单元（PACU）护士在PACU护理期间对患者参与的体验和认知。
设计
基于现象学诠释学方法的定性焦点小组研究。
方法
我们对来自三个不同PACU的18名护士进行了三次焦点小组访谈。主题是根据受里科尔启发的解释性理论创建的。
结果
发现了四个主题和11个子主题。患者的临床状况和情况、时间管理、伦理方面以及护患关系都对麻醉后护理实践和患者参与条件产生了很大影响。
结论
PACU护士希望患者参与其在PACU的自身治疗和护理；然而，护士对患者参与的认知有所不同。护士面临的挑战包括患者自主能力受损、缺乏整体方法以及时间和资源不足。护士强调这些障碍不应成为不参与的借口。
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