Graduate School of Health Management, Keio University, Tokyo, Japan; Faculty of Nursing and Medical Care, Keio University, 35 Shinanomachi, Shinjyuku-ku, Tokyo 160-8582, Japan.
Department of Nurse Anesthesia, School of Nursing, University of Pittsburgh, 360 Victoria Building 3500 Victoria Street, Pittsburgh, PA 15261, United States.
Int Emerg Nurs. 2023 Sep;70:101337. doi: 10.1016/j.ienj.2023.101337. Epub 2023 Aug 30.
An increasing number of international patients continue to visit emergency departments (EDs) in Japanese hospitals. However, nurses in Japan perceive challenges when caring for patients from other countries. This study explored ED nurses' perceptions of barriers when caring for walk-in international patients.
Five semi-structured online focus group interviews involving 15 registered nurses with experience in caring for patients in an ED at a university referral hospital located in the center of Tokyo were conducted. Thematic analysis was used to identify patterns from the interviews.
The themes that emerged were as follows: (1) hesitation to engage with patients due to ambiguity, (2) loss of harmony in the ED, (3) difficulty with mutual goal settings, and (4) decreased professional self-efficacy.
The findings provide an understanding of the challenges faced when caring for walk-in international patients. Educational interventions for ED nurses and other strategies, such as the use of interpreters, can enhance nurses' abilities to improve patient safety and maintain equality.
越来越多的国际患者继续前往日本医院的急诊科（ED）就诊。然而，日本的护士在照顾来自其他国家的患者时感到困难。本研究探讨了 ED 护士在照顾门诊国际患者时遇到的障碍的看法。
在东京市中心的一所大学附属医院的 ED 护理经验丰富的 15 名注册护士参加了 5 次半结构化在线焦点小组访谈。采用主题分析方法从访谈中识别模式。
出现的主题如下：（1）由于模糊性而与患者接触犹豫不决，（2）ED 中的和谐丧失，（3）共同目标设定困难，以及（4）专业自我效能感下降。
这些发现提供了对照顾门诊国际患者时面临的挑战的理解。对 ED 护士进行教育干预和其他策略，如使用口译员，可以提高护士的能力，以提高患者安全性并维护平等。
