心脏护理单元实施以患者为中心的护理的挑战：一项定性研究。
Challenges in implementation of patient-centred care in cardiac care unit: A qualitative study.
机构信息
Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Nursing Care Research Center in Chronic Disease, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
出版信息
Nurs Open. 2023 Feb;10(2):838-849. doi: 10.1002/nop2.1352. Epub 2022 Sep 4.
AIM
This study aimed to explore the barriers to the implementation of patient-centred care (PCC) in the cardiac care unit (CCU) from the perspectives of patients, nurses, physicians and nursing managers.
DESIGN
This study was performed with a descriptive qualitative study approach.
METHODS
In this study, the data were collected through face-to-face in-depth semi-structured interviews with 10 cardiac care nurses, one assistant nurse, two cardiologists, seven patients admitted to the CCU and nine nursing managers and analysed by Graneheim and Lundman content analysis method.
RESULTS
After analysing the data, eight subcategories and three main categories were extracted. The main categories included challenges related to: organization, healthcare providers and patients. This study demonstrated the barriers to the implementation of PCC in the CCU. Insights into these barriers can guide interventions aimed at improving the quality of PCC in the CCU, which in turn can lead to improved disease outcomes.
目的
本研究旨在从患者、护士、医生和护理管理人员的角度探讨心脏监护病房（CCU）实施以患者为中心的护理（PCC）的障碍。
设计
本研究采用描述性定性研究方法进行。
方法
在这项研究中，通过与 10 名心脏监护病房护士、1 名助理护士、2 名心脏病专家、7 名入住 CCU 的患者和 9 名护理经理进行面对面的深入半结构化访谈收集数据，并采用 Graneheim 和 Lundman 内容分析方法进行分析。
结果
对数据进行分析后，提取出 8 个亚类和 3 个主类。主要类别包括与组织、医疗保健提供者和患者相关的挑战。本研究揭示了 CCU 实施以患者为中心的护理的障碍。了解这些障碍可以指导旨在改善 CCU 以患者为中心的护理质量的干预措施，从而改善疾病结局。
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