Glawing Carina, Karlsson Ingela, Kylin Camilla, Nilsson Jan
Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden.
Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden.
J Adv Nurs. 2024 Feb;80(2):538-549. doi: 10.1111/jan.15819. Epub 2023 Aug 2.
To describe experiences of work-related stress, stress reactions and coping strategies among registered nurses (RNs) in the ambulance service (AS).
A descriptive and qualitative design.
Participants were recruited from eight different ambulance stations from different geographical locations in central Sweden. Data were collected from 14 RNs during the period from January 2022 to May 2022 using a semi-structured interview guide. Qualitative content analysis was used to analyse data using an abductive approach.
Three categories describe the RNs' experiences; (1) Situations that cause work-related stress, (2) Reactions and feelings that occur and (3) Management of work-related stress. These three main categories included a total of 12 subcategories. Work-related stress was experienced when participants were a part of traumatic events or experienced insufficient cooperation or a disturbing event in the work environment. The different causes lead to different kinds of reactions with feelings of frustration, fear and loneliness being prominent. To manage the work-related stress, RNs used different kinds of strategies and support from colleagues or lack thereof seemed to have a major impact.
Findings revealed the importance of having competent colleagues in the AS. Working with a competent colleague can reduce experiences of stress and prevent feelings of loneliness. It is important for the AS to provide stress-reduction support, to promote cooperation and to maintain and develop RNs' professional competence to ensure quality care and patient safety in the AS.
描述救护服务（AS）中注册护士（RN）的工作相关压力、压力反应及应对策略。
描述性和定性设计。
从瑞典中部不同地理位置的八个不同救护站招募参与者。2022年1月至2022年5月期间，使用半结构化访谈指南从14名注册护士收集数据。采用归纳法进行定性内容分析以分析数据。
三类描述了注册护士的经历；（1）导致工作相关压力的情况，（2）出现的反应和感受，以及（3）工作相关压力的管理。这三个主要类别共包括12个子类别。当参与者参与创伤性事件或在工作环境中经历合作不足或干扰事件时，会体验到工作相关压力。不同的原因导致不同类型的反应，其中沮丧、恐惧和孤独感较为突出。为了管理工作相关压力，注册护士采用了不同的策略，同事的支持与否似乎有重大影响。
研究结果揭示了救护服务中有胜任能力的同事的重要性。与胜任的同事合作可以减少压力体验并防止孤独感。救护服务提供减压支持、促进合作以及维持和发展注册护士的专业能力以确保救护服务中的优质护理和患者安全非常重要。
