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“试图保护自己和患者”:一项关于重症监护护士错误恢复的扎根理论研究。

"Attempting to protect self and patient": A grounded theory study of error recovery by intensive care nurses.

机构信息

Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Nurs Open. 2023 Jul;10(7):4690-4704. doi: 10.1002/nop2.1719. Epub 2023 Mar 13.

DOI:10.1002/nop2.1719
PMID:36915234
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10277418/
Abstract

AIM

The aim of this study was to explore the process of error recovery (ER) by nurses in intensive care unit (ICU).

DESIGN

This qualitative study was conducted in 2018-2020 using the grounded theory methodology.

METHODS

Participants were 20 staff nurses, head nurses and nursing managers recruited from the ICUs. Sampling was started purposively and continued theoretically. Data were collected using semi-structured interviews and were analysed using the approach proposed by Corbin and Strauss.

RESULTS

The findings indicated that nurses' primary concern was for the patient and their own personal/professional identity. Five strategies were found including evaluating situation, identifying error, analysing error and situation, determining the agent for error correction, and reducing error effects. Contextual factors were also highlighted as being important in the error recovery. "Attempting to protect self and patient" was the core category of the study. Nurses' concern about protecting patient life and their own personal/professional identity make them use unprofessional approaches for ER.

摘要

目的

本研究旨在探讨重症监护病房(ICU)护士的错误恢复(ER)过程。

设计

这是一项 2018-2020 年期间采用扎根理论方法进行的定性研究。

方法

参与者为 20 名来自 ICU 的在职护士、护士长和护理经理。采用目的性抽样,并根据理论进行持续抽样。使用半结构式访谈收集数据,并采用 Corbin 和 Strauss 提出的方法进行分析。

结果

研究结果表明,护士主要关注的是患者和他们自己的个人/专业身份。发现了 5 种策略,包括评估情况、识别错误、分析错误和情况、确定错误纠正的代理人,以及减少错误的影响。还强调了背景因素在错误恢复中的重要性。“试图保护自己和患者”是本研究的核心类别。护士对保护患者生命和自己的个人/专业身份的关注,使他们在错误恢复中使用非专业的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4218/10277418/b0f13b0ee8a8/NOP2-10-4690-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4218/10277418/b0f13b0ee8a8/NOP2-10-4690-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4218/10277418/b0f13b0ee8a8/NOP2-10-4690-g001.jpg

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本文引用的文献

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Factors affecting nursing error communication in intensive care units: A qualitative study.影响重症监护病房护理差错沟通的因素:一项定性研究。
Nurs Ethics. 2021 Feb;28(1):131-144. doi: 10.1177/0969733020952100. Epub 2020 Sep 28.
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Characteristics of recovery from near misses in primary health care nursing: A Prospective descriptive study.初级卫生保健护理中 Near Miss(未遂事件)恢复的特征:一项前瞻性描述性研究。
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Nurses' Adherence to Patient Safety Principles: A Systematic Review.
护士对患者安全原则的遵守:系统评价。
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BMC Health Serv Res. 2019 Sep 2;19(1):622. doi: 10.1186/s12913-019-4464-8.
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BMJ. 2019 Jul 17;366:l4185. doi: 10.1136/bmj.l4185.
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