Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway.
Nurs Open. 2023 Oct;10(10):6808-6816. doi: 10.1002/nop2.1927. Epub 2023 Jun 23.
This study aimed to explore challenges faced by clinical nurses in the process of implementing medical orders.
A qualitative study using inductive content analysis.
Semi-structured individual interviews were carried out with 17 participants including nurses, nurse managers and medical doctors who were purposefully selected. The collected data underwent inductive qualitative content analysis.
The main research finding was the category of 'unsafe doctor-nurse interaction'. It included three subcategories: 'conflicts in documenting and executing orders', 'not accepting the nurse's suggestions for writing and correcting orders' and 'failure to accept the responsibility of orders by the doctor'. Challenges in the professional relationship between doctors and nurses cause mistrust and conflict. They also enhance nurses' concerns about professional and legal issues in the workplace and endanger patient safety.
本研究旨在探讨临床护士在执行医嘱过程中所面临的挑战。
采用归纳内容分析法的定性研究。
采用半结构式个体访谈法，对包括护士、护士长和医生在内的 17 名参与者进行了访谈，参与者是经过有目的选择的。收集的数据经过了归纳定性内容分析。
主要研究发现是“不安全的医护互动”类别，包括三个亚类别：“医嘱记录和执行方面的冲突”、“不接受护士对医嘱书写和修改的建议”和“医生不承担医嘱责任”。医生和护士之间职业关系中的挑战导致了不信任和冲突，也增加了护士对工作场所中专业和法律问题的关注，并危及患者安全。
