School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna Västerås, Sweden.
School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna Västerås, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Int Emerg Nurs. 2021 Sep;58:101050. doi: 10.1016/j.ienj.2021.101050. Epub 2021 Sep 11.
There is a strong biomedical focus within emergency care. However, while failure to meet patients' fundamental care needs has severe consequences for the patient, there is limited knowledge on how nursing care is provided in emergency rooms and the related implications for patients.
This study aims to explore how fundamental care needs of critically ill patients are met in emergency rooms.
Non-participant observations at an emergency department in Sweden included 108 observations and field notes (150 h). Data were analysed using descriptive statistics.
Observations showed that registered nurses (RN) identified patients' fundamental care needs and provided nursing care. However, the RNs' focus on the patient decreased over time. When the RN communicated with the patient, the patients' physical needs were met to a greater extent. The organisational structure and physical environment of emergency rooms limit RNs' ability to meet patients' fundamental care needs.
Not all patients had their fundamental care needs optimally met. This study highlights the importance of RNs working in an integrated manner; an RN working bedside is crucial for establishing a patient-nurse relationship to meet the patient's physical, psychosocial, and relational needs.
急救护理中存在强烈的生物医学重点。然而，尽管未能满足患者的基本护理需求会对患者造成严重后果，但对于急救室中如何提供护理以及这对患者的相关影响知之甚少。
本研究旨在探讨如何满足重症患者在急救室的基本护理需求。
在瑞典的一个急诊部门进行了非参与式观察，包括 108 次观察和现场记录（150 小时）。使用描述性统计对数据进行分析。
观察结果表明，注册护士（RN）识别了患者的基本护理需求并提供了护理。然而，随着时间的推移，RN 对患者的关注减少了。当 RN 与患者沟通时，患者的身体需求得到了更大程度的满足。急救室的组织结构和物理环境限制了 RN 满足患者基本护理需求的能力。
并非所有患者的基本护理需求都得到了最佳满足。本研究强调了 RN 以综合方式工作的重要性；床边工作的 RN 对于建立护患关系以满足患者的身体、心理社会和关系需求至关重要。
