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希腊重症监护护士的护理体验;一项定性研究。

Intensive Care Nurses' Experience of Caring in Greece; A Qualitative Study.

作者信息

Parissopoulos Stelios, Timmins Fiona, Mpouzika Meropi, Mantzorou Marianna, Kapadochos Theodore, Papagaroufali Eleni

机构信息

Department of Nursing, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece.

School of Nursing, Midwifery & Health Systems, University College Dublin, Belfield, D04 V1W8 Dublin, Ireland.

出版信息

Healthcare (Basel). 2023 Jan 5;11(2):164. doi: 10.3390/healthcare11020164.

DOI:10.3390/healthcare11020164
PMID:36673532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9859179/
Abstract

BACKGROUND

Whilst nurses and critical care services have been at the forefront of the COVID-19 pandemic, it has become more apparent that intensive care nurses are presented with challenging ethical and clinical decisions and are required to care for individuals with critical illnesses under high-pressure conditions. This is not a new phenomenon. The aim of this study, which was conducted before the outbreak of COVID-19, was to explore the experience of caring through the narratives of intensive care nurses in Greece.

METHODS

A qualitative study was conducted through in-depth, semi-structured interviews with nineteen ICU nurses in Athens. Transcripts were subjected to Braun and Clarke's thematic analysis and organised with Atlas.ti v8 QDA software.

RESULTS

The intensive care nurses' experience of caring in Greece encompassed four themes: (A) being "", "" and caring with empathy, (B) being " for your patient and with the doctors, (C) technology and "", and (D) "" and disappointment.

CONCLUSIONS

The narratives of this study highlight that ICU nurses in Greece provide patient-centred and compassionate care. Nurse leaders should develop appropriate healthcare policies so as to ensure the adequate provision of staff, specialist education, and support to nurses working in critical care. Failure to address these issues may lead to poor quality of care and negative patient outcomes.

摘要

背景

虽然护士和重症护理服务在新冠疫情中处于前沿位置,但越来越明显的是,重症监护护士面临着具有挑战性的伦理和临床决策,并且需要在高压条件下照顾重症患者。这并非新现象。本研究在新冠疫情爆发前进行,旨在通过希腊重症监护护士的叙述来探索护理体验。

方法

通过对雅典的19名重症监护病房护士进行深入的半结构化访谈开展了一项定性研究。访谈记录采用布劳恩和克拉克的主题分析方法,并使用Atlas.ti v8 QDA软件进行整理。

结果

希腊重症监护护士的护理体验包括四个主题:(A) “……”、“……”以及共情护理,(B) 为患者“……”并与医生“……”,(C) 技术与“……”,以及(D) “……”与失望。

结论

本研究的叙述突出表明,希腊的重症监护护士提供以患者为中心且富有同情心的护理。护士领导者应制定适当的医疗政策,以确保为重症护理工作的护士提供充足的人员配备、专业教育和支持。未能解决这些问题可能导致护理质量低下和患者出现不良后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b9/9859179/628a2e8185e3/healthcare-11-00164-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b9/9859179/8e1469c83132/healthcare-11-00164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b9/9859179/ac54ac4d93c8/healthcare-11-00164-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b9/9859179/628a2e8185e3/healthcare-11-00164-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b9/9859179/8e1469c83132/healthcare-11-00164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b9/9859179/ac54ac4d93c8/healthcare-11-00164-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b9/9859179/628a2e8185e3/healthcare-11-00164-g003.jpg

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Intensive Crit Care Nurs. 2022 Apr;69:103182. doi: 10.1016/j.iccn.2021.103182. Epub 2022 Jan 4.
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Prevalence of depression and depressive symptoms among intensive care nurses: A meta-analysis.重症监护护士中抑郁症及抑郁症状的患病率:一项荟萃分析。
Nurs Crit Care. 2022 Nov;27(6):739-746. doi: 10.1111/nicc.12734. Epub 2022 Jan 5.
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Nurses' spiritual well-being and the COVID-19 pandemic: A thematic approach.
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J Nurs Manag. 2022 Apr;30(3):604-611. doi: 10.1111/jonm.13540. Epub 2022 Jan 7.
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Cardiovascular nurses' experiences of working in the COVID-19 intensive care unit: A qualitative study.心血管护士在 COVID-19 重症监护病房工作的体验:一项定性研究。
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A qualitative study of nurses' perception on patients' thirst in intensive care units.一项关于重症监护病房护士对患者口渴感知的定性研究。
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