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护士如何在时间压力下管理工作?重症监护病房中护理隐性配给的发生:一项定性研究。

How do nurses manage their work under time pressure? Occurrence of implicit rationing of nursing care in the intensive care unit: A qualitative study.

机构信息

Department of Intensive Care Unit, the First Affiliated Hospital of Soochow University, No. 899 Pinghai Street, Suzhou, Jiangsu, People's Republic of China.

Department of Intensive Care Unit, the First Affiliated Hospital of Soochow University, No. 899 Pinghai Street, Suzhou, Jiangsu, People's Republic of China.

出版信息

Intensive Crit Care Nurs. 2023 Apr;75:103367. doi: 10.1016/j.iccn.2022.103367. Epub 2022 Dec 19.

DOI:10.1016/j.iccn.2022.103367
PMID:36543721
Abstract

OBJECTIVES

The aim of this study was to explore the experience of intensive care unit nurses under time pressure and the occurrence of implicit rationing under time pressure.

METHODS

In-depth audio-recorded interviews were conducted with 18 intensive care unit nurses. Colaizzi seven-step analysis of phenomenological data was used.

FINDINGS

Three themes emerged from the analysis: the influence of internal and external environments, perceived differences in time pressure, and broad coping styles.

CONCLUSIONS

Under the influence of various factors, including continuous or intermittent time pressure, nurses employ strategies to deal with the pressure. Sometimes, these strategies allow them to complete all their necessary work. However, with the increase in time pressure, sometimes some work that must be done is changed into work that should be done in the consciousness of nurses. In such cases, nurses choose the strategy of implicit rationing to deal with time pressure.

摘要

目的

本研究旨在探讨重症监护病房护士在时间压力下的体验,以及时间压力下隐性配给的发生情况。

方法

对 18 名重症监护病房护士进行深入的音频记录访谈。采用 Colaizzi 七步现象学数据分析方法。

结果

分析结果呈现出三个主题:内部和外部环境的影响、感知到的时间压力差异,以及广泛的应对方式。

结论

在各种因素的影响下,包括持续或间歇性的时间压力,护士们采用策略来应对压力。有时,这些策略使他们能够完成所有必要的工作。然而,随着时间压力的增加,有时一些必须完成的工作在护士的意识中变成了应该完成的工作。在这种情况下,护士选择隐性配给策略来应对时间压力。

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