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工作中断和护理缺失:必要之恶还是机遇?护士控制感的作用。

Work interruptions and missed nursing care: A necessary evil or an opportunity? The role of nurses' sense of controllability.

机构信息

The Cheryl Spencer Department of Nursing, University of Haifa, Haifa, Israel.

出版信息

Nurs Open. 2022 Jan;9(1):309-319. doi: 10.1002/nop2.1064. Epub 2021 Oct 6.

Abstract

AIM

To explore nurses' experiences with work interruptions (WIs) through the lens of missed nursing care (MNC).

DESIGN

A qualitative descriptive design.

METHODS

Eleven small focus groups involving 34 nurses (three nurses per group on average) from acute-care hospital wards were conducted. Nurses shared their experiences with WIs (sources, reactions and decisions) from the MNC perspective. Data analysis was conducted via content analysis.

RESULTS

A preponderant theme emerged-the dynamic of controllability. Nurses who perceived a sense of controllability felt that they could decide whether to accept or reject the WI, regardless of WI type, and emotions of anger emerged. Conversely, nurses who did not perceive sense of controllability attended the secondary task: MNC occurred, and distress emotions emerged. Results emphasized that nurses are active agents prioritizing whether to omit or complete care in the face of WIs. Controllability, accompanied by active negative emotions, perpetuate a prioritization process that makes it less probable that MNC occurs.

摘要

目的

从遗漏的护理(MNC)角度探讨护士对工作中断(WI)的体验。

设计

定性描述设计。

方法

对来自急症病房的 34 名护士(每组 3 名护士)进行了 11 个小焦点小组。护士从 MNC 的角度分享了他们对 WI(来源、反应和决策)的体验。数据分析采用内容分析法进行。

结果

出现了一个主要主题——可控性的动态。感知到可控感的护士觉得他们可以决定是否接受或拒绝 WI,无论 WI 类型如何,愤怒情绪都会出现。相反,没有感知到可控感的护士会参与次要任务:MNC 发生,出现痛苦情绪。结果强调,护士是积极的代理人,在面对 WI 时会优先考虑是否省略或完成护理。可控性伴随着积极的负面情绪,延续了一个优先级的过程,使 MNC 发生的可能性降低。

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Ethical elements in priority setting in nursing care: A scoping review.护理优先权设定中的伦理要素:范围综述。
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