School of Nursing, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa; and, Department of Health Studies, College of Humanities, University of South Africa, Pretoria.
Curationis. 2022 Jul 12;45(1):e1-e9. doi: 10.4102/curationis.v45i1.2298.
The increased complexity of the nursing care needs of patients and acuity in general wards present nursing care challenges for nurses. Self-led nurses are attentive, taking responsibility for activating the rapid response service when a patient is starting to deteriorate.
The purpose of this article is to describe nurses' experiences practising mindfulness during self-leadership in delivering a rapid response system (RRS) in a private hospital in Gauteng.
A qualitative, exploratory, descriptive and contextual design was followed. Homogenous purposive sampling was used and a total of eight focus groups were conducted. Focus groups durations were between 45 min and 60 min. The data analysis was carried out through open coding on Atlas.ti using the noticing things, collecting things and thinking about things (NCT) approach. An independent coder met with the researcher during a consensus meeting and finalised the analysis.
The findings indicated an underlying theme of nurses being mindful in their self-leadership through the development of self-motivation and self-direction in the RRS. Three categories with six subcategories emerged from the data analysis, namely self-motivation in an RRS by the team, self-direction through role-modelling to peers and training.
Nurses practised mindfulness during self-leadership, utilising behavioural and natural reward approaches and constructive thought patterns. These findings could assist management with developing training programmes for nurses.
患者的护理需求日益复杂，普通病房的病情也日益加重，这给护士的护理工作带来了挑战。自我领导的护士会时刻关注患者，在患者开始恶化时，负责启动快速反应服务。
本文旨在描述护士在私立医院的快速反应系统（RRS）中实施自我领导时实践正念的经验。
采用定性、探索性、描述性和情境设计。采用同质目的抽样法，共进行了 8 个焦点小组。焦点小组的持续时间为 45 分钟至 60 分钟。数据分析通过使用 Atlas.ti 进行开放式编码，采用注意事物、收集事物和思考事物（NCT）的方法。独立编码员在共识会议期间与研究人员会面，完成了分析。
研究结果表明，护士在 RRS 中通过自我激励和自我指导，表现出了正念的领导能力。从数据中分析出三个类别和六个子类，分别是团队在 RRS 中的自我激励、通过角色扮演和培训对同行的自我指导。
护士在自我领导中实践了正念，利用了行为和自然奖励方法以及建设性的思维模式。这些发现可以帮助管理层为护士制定培训计划。
