重症监护护士在 COVID-19 大流行第一阶段的工作经历 - 应用以人为中心的实践框架。
Critical care nurses' experiences of working during the first phase of the COVID-19 pandemic - Applying the Person-centred Practice Framework.
机构信息
Lulea University of Technology, Department of Health, Education and Technology, Division of Nursing and Medical Technology, SE-97187 Luleå, Sweden.
Lulea University of Technology, Department of Health, Education and Technology, Division of Nursing and Medical Technology, SE-97187 Luleå, Sweden; Karlstad University, Department of Health Science, Faculty of Health, Science, and Technology, Sweden.
出版信息
Intensive Crit Care Nurs. 2022 Apr;69:103179. doi: 10.1016/j.iccn.2021.103179. Epub 2021 Nov 17.
AIM
The aim of the study was to deductively study person-centred care, based on critical care nurses' experiences during the first phase of the CoViD-19 pandemic.
DESIGN
The study used a qualitative design.
METHOD
Data collection was conducted as individual interviews and was analysed with qualitative content analysis with a deductive approach.
PARTICIPANTS
Six critical care nurses working in a special CoViD-19 intensive care unit during the first phase of the pandemic participated.
FINDINGS
The findings are presented within the four domains of person-centred practice: the prerequisites, the care environment, person-centred processes and person-centred outcomes. While the ambition and knowledge about how to work in accordance with person-centred practice were high, there were several obstacles to perform it.
CONCLUSION
We need to prepare ahead of time so that nurses have optimal organisational prerequisites to be able to work in accordance with person-centred practice, also during pandemics and other crisis, which means to be able to give nursing care in accordance with the ill person's needs and resources.
目的
本研究旨在从重症监护护士在 COVID-19 大流行第一阶段的经验出发，演绎性地研究以患者为中心的护理。
设计
本研究采用了定性设计。
方法
数据收集采用个体访谈的方式进行，并采用演绎的定性内容分析法进行分析。
参与者
在大流行第一阶段，有 6 名在专门的 COVID-19 重症监护病房工作的重症监护护士参与了研究。
结果
研究结果呈现于以患者为中心的护理实践的四个领域内：前提条件、护理环境、以患者为中心的过程和以患者为中心的结果。虽然实现以患者为中心的护理的意愿和相关知识水平较高，但实施过程中存在一些障碍。
结论
我们需要提前做好准备，使护士具备最佳的组织前提条件，以便在大流行和其他危机期间能够按照以患者为中心的护理实践进行工作，这意味着能够根据患者的需求和资源提供护理。
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