Rakhshan Mahnaz, Joolaee Soodabeh, Mousazadeh Noushin, Hakimi Hamideh, Bagherian Samaneh
Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Evaluation & Research Service, Fraser health authority, Surrey, Canada.
BMC Nurs. 2022 Aug 12;21(1):225. doi: 10.1186/s12912-022-01004-y.
Medical care that has therapeutic effects without significant benefits for the patient is called futile care. Intensive Care Units are the most important units in which nurses provide futile care. This study aimed to explain the causes of futile care from the perspective of nurses working in Intensive Care Units are.
The study was conducted using a qualitative approach. Qualitative content analysis was used to analyze the data. Study participants were 17 nurses who were working in the Intensive Care Units are of hospitals in the north of Iran. They were recruited through a purposeful sampling method. Data was gathered using in-depth, semi-structured interviews from March to June 2021. Recruitment was continued until data saturation was reached.
Two main themes, four categories, and thirteen subcategories emerged from the data analysis. The main themes were principlism and caring swamp. The categories were moral foundation, professionalism, compulsory care, and patient's characteristics.
In general, futile care has challenged nursing staff with complex conflicts. By identifying some of these conflicts, nurses will be able to control such situations and plan for better management strategies. Also, using the findings of this study, nursing managers can adopt supportive strategies to reduce the amount of futile care and thus solve the specific problems of nurses in intensive care units such as burnout, moral stress, and intention to leave.
对患者没有显著益处却具有治疗效果的医疗护理被称为无效护理。重症监护病房是护士提供无效护理最为集中的科室。本研究旨在从重症监护病房护士的角度解释无效护理的成因。
本研究采用定性研究方法。运用定性内容分析法对数据进行分析。研究参与者为伊朗北部医院重症监护病房的17名护士。他们通过目的抽样法招募。2021年3月至6月，采用深度半结构化访谈收集数据。持续招募直至达到数据饱和。
数据分析得出两个主要主题、四个类别和十三个子类别。主要主题为原则主义和关怀困境。类别包括道德基础、专业精神、强制护理和患者特征。
总体而言，无效护理给护理人员带来了复杂的冲突。通过识别其中一些冲突，护士将能够控制此类情况并制定更好的管理策略。此外，利用本研究的结果，护理管理者可以采取支持性策略来减少无效护理的数量，从而解决重症监护病房护士的具体问题，如职业倦怠、道德压力和离职意愿。
