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重症监护护士在重症监护病房使用挥发性麻醉剂的体验:一项探索性研究。

Intensive care nurses' experiences using volatile anaesthetics in the intensive care unit: An exploratory study.

机构信息

Lovisenberg Diaconal University College, Lovisenberggata 15B, 0456 Oslo, Norway; Department of Postoperative and Intensive Care, Division of Emergencies and Critical Care, Oslo University Hospital, Ullevål sykehus, Postboks 4956 Nydalen, 0424 Oslo, Norway.

Faculty of Health Science, OsloMet - Oslo Metropolitan University, Oslo, Norway.

出版信息

Intensive Crit Care Nurs. 2022 Jun;70:103220. doi: 10.1016/j.iccn.2022.103220. Epub 2022 Feb 23.

DOI:10.1016/j.iccn.2022.103220
PMID:35216899
Abstract

OBJECTIVE

To explore the experiences intensive care nurses have with volatile anaesthetics in the intensive care unit.

RESEARCH METHODOLOGY AND DESIGN

A qualitative exploratory and descriptive design was used. Data were collected in 2019 from individual interviews with nine intensive care nurses, who were recruited using purposive sampling. Data were analysed using systematic text condensation.

SETTING

The study was undertaken in two general intensive care units from different university hospitals in Norway where volatile anaesthetics were utilised.

FINDINGS

Three categories emerged from the data analysis: experiencing the benefits of volatile anaesthetics; coping with unfamiliarity in handling volatile anaesthetics; and meeting challenges related to volatile anaesthetics in practice.

CONCLUSION

The intensive care nurses had positive experiences related to administering volatile anaesthetics in the intensive care unit and responded positively to the prospect of using it more often. Because volatile anaesthetics were rarely used in their units, the participants felt uncertain regarding its use due to unfamiliarity. Collegial support and guidelines were perceived as pivotal in helping them cope with this uncertainty. The participants also experienced several challenges in using volatile anaesthetics in the intensive care unit, with ambient pollution being regarded as the main challenge.

摘要

目的

探索重症监护病房护士在使用挥发性麻醉剂方面的经验。

研究方法和设计

采用定性探索性和描述性设计。于 2019 年,通过目的性抽样,从挪威两所不同大学附属医院的两个普通重症监护病房中招募了 9 名重症监护护士,对其进行了个人访谈,收集数据。使用系统文本浓缩法对数据进行分析。

设置

该研究在挪威两所使用挥发性麻醉剂的大学附属医院的两个普通重症监护病房进行。

结果

数据分析产生了三个类别:体验挥发性麻醉剂的益处;应对处理挥发性麻醉剂方面的不熟悉;以及在实践中遇到与挥发性麻醉剂相关的挑战。

结论

重症监护病房的护士在重症监护病房使用挥发性麻醉剂方面有积极的经验,并对更频繁地使用它持积极态度。由于挥发性麻醉剂在他们的单位很少使用,参与者由于不熟悉而对其使用感到不确定。同事的支持和指南被认为是帮助他们应对这种不确定性的关键。参与者在重症监护病房使用挥发性麻醉剂时也遇到了一些挑战,环境污染物被认为是主要挑战。

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