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护士对复苏程序中个人参与感的认知:一项定性研究。

Perception of Personal Participation of the Nurses in Resuscitation Procedures: A Qualitative Study.

机构信息

Faculty of Health Sciences, University of Maribor, 2000 Maribor, Slovenia.

Slovene Center for Suicide Research, Andrej Marušič Institute, University of Primorska, 6000 Koper, Slovenia.

出版信息

Medicina (Kaunas). 2024 Jan 24;60(2):196. doi: 10.3390/medicina60020196.

DOI:10.3390/medicina60020196
PMID:38399484
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10890641/
Abstract

Resuscitation is one of the most stressful tasks in emergency medicine. The participation of nurses in this procedure can have specific effects on them. In this research, we wanted to find out what these effects are. A qualitative approach by conducting semi-structured interviews was used, and a thematic data analysis of the recorded interviews was carried out. The collected data were transcribed verbatim, with no corrections to the audio recordings. The computer program ATLAS.ti 22 was used for the qualitative data analysis. Eleven male registered nurses were interviewed, with an average of 18.5 years of experience working in a prehospital environment (max. 32/min. 9). A total of 404 min of recordings were analyzed, and 789 codes were found, which were combined into 36 patterns and 11 themes. As the most stressful situations, the interviewees pointed out the resuscitation of a child, familiar persons, conflicts with the environment, conflicts within the resuscitation team, nonfunctioning or insufficient equipment, complications during resuscitation, and resuscitating a person only for training. As positive effects, the interviewees cited successful resuscitations or their awareness that, despite an unsuccessful resuscitation, they did everything they could. Participation in these interventions has a specific positive or negative impact on the performers. The interviewees shared the opinion that they can cope effectively with the adverse or stressful effects of resuscitation. Yet, despite everything, they allow the possibility of subconscious influences of this intervention on themselves.

摘要

复苏是急诊医学中最具压力的任务之一。护士参与这项程序可能会对他们产生特定的影响。在这项研究中,我们想了解这些影响是什么。我们采用了定性方法,通过进行半结构化访谈,对记录的访谈进行了主题数据分析。收集的数据进行了逐字转录,对录音没有进行任何校正。使用计算机程序 ATLAS.ti 22 对定性数据进行了分析。我们采访了 11 名男性注册护士,他们平均在院前环境中工作了 18.5 年(最长 32 分钟,最短 9 分钟)。共分析了 404 分钟的录音,发现了 789 个代码,这些代码被组合成 36 个模式和 11 个主题。受访者指出,最具压力的情况包括对儿童、熟人、与环境的冲突、复苏团队内部的冲突、设备故障或不足、复苏过程中的并发症以及仅为培训而进行复苏。作为积极的影响,受访者提到了成功的复苏或他们意识到,尽管复苏不成功,但他们已经尽了一切努力。参与这些干预措施对执行者有特定的积极或消极影响。受访者认为,他们可以有效地应对复苏的不利或压力影响。然而,尽管如此,他们允许这种干预对自己产生潜意识影响的可能性。

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本文引用的文献

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Periodic Resuscitation Cart Checks and Nurse Situational Awareness: An Observational Study.周期性复苏车检查与护士情境意识:一项观察性研究。
J Emerg Nurs. 2022 Mar;48(2):189-201. doi: 10.1016/j.jen.2021.12.002. Epub 2022 Feb 5.
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Identifying teamwork-related needs of the medical emergency team: Nurses' perspectives.识别医疗急救团队中与团队合作相关的需求:护士的观点。
Nurs Crit Care. 2022 Nov;27(6):804-814. doi: 10.1111/nicc.12676. Epub 2021 Jul 3.
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Nurses' Participation in Limited Resuscitation: Gray Areas in End of Life Decision-Making.护士参与有限复苏:生命终末期决策中的灰色地带。
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European Resuscitation Council Guidelines 2021: Epidemiology of cardiac arrest in Europe.欧洲复苏委员会指南 2021:欧洲心脏骤停的流行病学。
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European Resuscitation Council Guidelines 2021: Adult advanced life support.欧洲复苏理事会指南 2021:成人高级生命支持。
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Effectiveness of Simulation Training and Assessment of PICU Nurses' Resuscitation Skills: A Mixed Methods Study from the Netherlands.荷兰一项混合方法研究:模拟培训和 PICU 护士复苏技能评估的效果。
J Pediatr Nurs. 2021 Jul-Aug;59:e52-e60. doi: 10.1016/j.pedn.2021.01.029. Epub 2021 Feb 20.
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Family presence during resuscitation in paediatric and neonatal cardiac arrest: A systematic review.在儿科和新生儿心脏骤停复苏期间允许家属在场:系统评价。
Resuscitation. 2021 May;162:20-34. doi: 10.1016/j.resuscitation.2021.01.017. Epub 2021 Feb 9.
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Rescuers at Risk: Posttraumatic Stress Symptoms Among Police Officers, Fire Fighters, Ambulance Personnel, and Emergency and Psychiatric Nurses.身处险境的救援人员:警察、消防员、救护人员以及急诊和精神科护士的创伤后应激症状
Front Psychiatry. 2021 Jan 19;11:602064. doi: 10.3389/fpsyt.2020.602064. eCollection 2020.
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Qualitative thematic analysis based on descriptive phenomenology.基于描述现象学的质性主题分析。
Nurs Open. 2019 Apr 7;6(3):733-739. doi: 10.1002/nop2.275. eCollection 2019 Jul.
10
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