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从重症监护护士的战时经历及其长期影响中学习。

Learning from critical care nurses' wartime experiences and their long-term impacts.

作者信息

Segev Ronen

机构信息

Department of Nursing Sciences, Ruppin Academic Center, Emek-Hefer, Israel.

出版信息

Nurs Crit Care. 2023 Mar;28(2):253-260. doi: 10.1111/nicc.12819. Epub 2022 Jul 14.

DOI:10.1111/nicc.12819
PMID:35833305
Abstract

BACKGROUND

The history of critical care nursing is intertwined with that of battlefield nursing, where for almost 200 years, nurses worked to save injured soldiers' lives, risking their own physical and emotional injuries. Today, with nurses increasingly deployed to provide critical care during natural, man-made and public health crises that can resemble battlefield situations, there is much to learn from battlefield nurses.

AIM

This qualitative study aims to explore the lessons of the experiences of civilian nurses deployed to Israeli battlefields in three wars between 1967 and 1982.

METHODS

Qualitative, semi-structured, in-depth interviews were conducted with twenty-two former military nurses who were deployed in three wars between 1967 and 1982. We analysed interview transcripts using a content analysis approach. COREQ, a 32-item checklist, guided method selection, data analysis and the findings' presentation.

FINDINGS

Data analysis revealed three main themes, with ten related subthemes: Field Service Challenges, Coping with Challenges, and Nurses' Need for Recognition.

CONCLUSION

The findings identify mental, emotional, and organizational issues resulting from nurses' wartime experiences, revealing numerous opportunities for better preparing and supporting critical care nurses before, during, and after crises.

RELEVANCE TO CLINICAL PRACTICE

Critical care nursing during crises, such as wartime, is unique but increasingly common. The memories and ongoing impact of those experiences offer invaluable information for nursing and health policy stakeholders planning for future deployments during wartime or other disasters such as the COVID-19 pandemic and the Russo-Ukrainian war.

摘要

背景

重症护理的历史与战地护理紧密相连,在近200年的时间里,护士们冒着自身身体和情感受伤的风险,努力挽救受伤士兵的生命。如今,随着护士越来越多地被部署到自然、人为和公共卫生危机期间提供重症护理,而这些危机可能类似于战场情况,有很多可以从战地护士身上学到的东西。

目的

本定性研究旨在探讨1967年至1982年间在三场战争中被部署到以色列战场的文职护士的经验教训。

方法

对22名曾在1967年至1982年间的三场战争中服役的前军事护士进行了定性、半结构化的深入访谈。我们采用内容分析方法分析访谈记录。COREQ(一份32项的清单)指导了方法选择、数据分析和研究结果的呈现。

结果

数据分析揭示了三个主要主题以及十个相关子主题:战地服务挑战、应对挑战以及护士对认可的需求。

结论

研究结果确定了护士战时经历所导致的心理、情感和组织问题,揭示了在危机前、危机期间和危机后更好地准备和支持重症护理护士的众多机会。

与临床实践的相关性

战时等危机期间的重症护理是独特的,但越来越普遍。这些经历的记忆和持续影响为护理和卫生政策利益相关者在规划战时或其他灾难(如新冠疫情和俄乌战争)期间的未来部署提供了宝贵信息。

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