Al-Ghabeesh Suhair Hussni, Thabet Asmaa, Rayan Ahmad, Abu-Snieneh Hana Mohammad
Al-Zaytoonah University of Jordan, Faculty of Nursing, Amman, Jordan.
Zarqa University, Faculty of Nursing, Zarqa, Jordan.
Heliyon. 2023 Mar 2;9(3):e14141. doi: 10.1016/j.heliyon.2023.e14141. eCollection 2023 Mar.
Worldwide, nurses employed in the Emergency Department (ED) face many challenges that negatively influence their well-being and ability to provide high-quality patient care. Previous researchers have investigated these challenges regarding their causes, consequences, and how to deal with them. However, most of the previous research addressed these challenges using quantitative research. The current study is the first qualitative study that examined these challenges in the Jordanian context. A descriptive naturalistic qualitative design was used to explore the most critical challenges facing nurses employed in the ED and described the suggested solutions for these challenges from nurses' perspectives. Ten registered nurses employed in the most prominent ED in Jordan were selected through purposive sampling. Semi-structured interviews were used to collect data. Thematic analysis technique was used to analyze data. Six main themes emerged: the definition of challenge, challenges facing registered nurses in the emergency department (five sub-themes), preventive measurements, possible solutions (five sub-themes), effects of the challenges (two sub-themes), and future challenges. The outcomes of this study could be integrated into the educational curricula to prepare new nurses to deal with these challenges in the future after graduation and contribute to finding solutions and solving some significant problems facing registered nurses in the ED. The hospital administrators and the policymakers should develop effective interventions to overcome the challenges facing nurses in the ED to ensure a better work environment and high-quality patient care.
在全球范围内,急诊科(ED)的护士面临着诸多挑战,这些挑战对他们的幸福感以及提供高质量患者护理的能力产生了负面影响。先前的研究人员已经就这些挑战的成因、后果以及应对方法进行了调查。然而,之前的大多数研究都是使用定量研究来探讨这些挑战的。当前的研究是第一项在约旦背景下对这些挑战进行考察的定性研究。本研究采用描述性自然主义定性设计,以探究急诊科护士所面临的最关键挑战,并从护士的角度描述针对这些挑战所提出的解决方案。通过目的抽样法,选取了约旦最著名的急诊科的十名注册护士。采用半结构化访谈收集数据。运用主题分析技术对数据进行分析。出现了六个主要主题:挑战的定义、急诊科注册护士面临的挑战(五个子主题)、预防措施、可能的解决方案(五个子主题)、挑战的影响(两个子主题)以及未来的挑战。本研究的结果可以纳入教育课程,以便让新护士在毕业后能够应对未来的这些挑战,并有助于找到解决方案,解决急诊科注册护士面临的一些重大问题。医院管理人员和政策制定者应制定有效的干预措施,以克服急诊科护士所面临的挑战,确保有一个更好的工作环境和高质量的患者护理。