Kim Jang Mi, Kim Na Geong, Lee Eun Nam
Nursing Department, Masan University, 2640 Gyeongsangnam-do, Masan 51217, Korea.
College of Nursing, Dong-A University, Busan 49201, Korea.
Nurs Rep. 2022 Jul 4;12(3):472-481. doi: 10.3390/nursrep12030045.
Implementing person-centred care is often considered difficult in congested emergency rooms. The purpose of this study was to understand person-centred care experienced by emergency room nurses in depth and examine the essence of emergency room nurses' lived experience of the person- centred care. Eight nurses working in the emergency room of a large hospital in South Korea and who had over six months of experience were surveyed via semi-structured interviews in February 2019. The data were transcribed and analysed using Colaizzi's framework. The major findings related to person-centred care experiences among emergency room nurses were: (1) feeling distanced from patients; (2) guilt and frustration; (3) accepting patients' symptoms and emotions as they are; (4) person-centred care as a domain of nursing that cannot be replaced by machines; and (5) nursing as an art wherein the minutest details make a difference. Providing person-centred practice in the emergency room is difficult, but it will not only improve the quality of patient care but also increase the job satisfaction of nurses. Based on an in-depth understanding of person-centred care experienced by emergency nurses, it will contribute to enhancing the quality of nursing care in the emergency room.
在拥挤的急诊室实施以患者为中心的护理通常被认为是困难的。本研究的目的是深入了解急诊室护士所体验到的以患者为中心的护理，并探究急诊室护士以患者为中心的护理生活体验的本质。2019年2月，对韩国一家大型医院急诊室的八名护士进行了调查，这些护士都有超过六个月的工作经验，采用半结构化访谈的方式进行。数据采用科莱齐框架进行转录和分析。急诊室护士以患者为中心的护理体验的主要发现包括：（1）与患者有距离感；（2）内疚和沮丧；（3）接受患者的症状和情绪；（4）以患者为中心的护理是护理工作中机器无法替代的领域；（5）护理是一门艺术，细微之处见真章。在急诊室提供以患者为中心的护理实践很困难，但这不仅会提高患者护理质量，还会提高护士的工作满意度。基于对急诊护士以患者为中心的护理的深入理解，这将有助于提高急诊室的护理质量。
