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“护理的最高准则”——对护士关于照顾80岁及以上老人看法的质性内容分析

"The supreme discipline of Nursing"-A qualitative content analysis of nurses' opinions on caring for people eighty years of age and older.

作者信息

Lampersberger Lena Maria, Schüttengruber Gerhilde, Lohrmann Christa, Großschädl Franziska

机构信息

Institute of Nursing Science, Medical University of Graz, Graz, Austria.

出版信息

Heliyon. 2024 Feb 22;10(5):e26877. doi: 10.1016/j.heliyon.2024.e26877. eCollection 2024 Mar 15.

Abstract

INTRODUCTION

Nurses often experience stress and feel under time pressure when working with older people, increasing their job dissatisfaction. Especially people 80 years of age and older often require more complex and a greater measure of care, as the risk of care dependency is higher in this age group. This study was conducted to collect nurses' experiences and opinions regarding the care of people 80 years of age and older, as well as to learn more about how nurses perceive this care.

METHOD

We analysed narratives collected in an Austrian nationwide, cross-sectional online study to investigate nurses' attitudes towards people 80 years of age and older and their perceptions regarding their care (N = 1197). Data were collected from May-October 2021 by using a convenience sampling method. In total, 149 participants filled in the free text field; these texts were analysed using a qualitative content analysis method.

RESULTS

Three main themes emerged from the analysis of the nurses' narratives: (1) 'opinions on people in need of care', (2) 'reputation of nursing profession', and (3) 'criticism of current nursing practice'. Most narratives were assigned to the subthemes 'positive opinions on nursing', 'ideal image of nursing', and 'shortage of staff'.

CONCLUSION

Nurses considered their work with people aged 80 years and older to be meaningful and important, but they criticised working conditions which need to be improved. This could be achieved by offering further education and increasing nursing staff. Further research is needed to investigate nurses' needs and wishes regarding the care of people aged 80 years and older.

摘要

引言

护士在照顾老年人时经常感到压力,且觉得时间紧迫,这增加了他们对工作的不满。尤其是80岁及以上的老人通常需要更复杂、更大量的护理,因为这个年龄组的护理依赖风险更高。本研究旨在收集护士对80岁及以上老人护理的经验和看法,以及更多地了解护士如何看待这种护理。

方法

我们分析了在奥地利全国范围内进行的一项横断面在线研究中收集的叙述,以调查护士对80岁及以上老人的态度以及他们对其护理的看法(N = 1197)。数据于2021年5月至10月采用便利抽样法收集。共有149名参与者填写了自由文本字段;这些文本采用定性内容分析法进行分析。

结果

对护士叙述的分析得出了三个主要主题:(1)“对需要护理者的看法”,(2)“护理职业的声誉”,以及(3)“对当前护理实践的批评”。大多数叙述被归入“对护理的积极看法”、“护理的理想形象”和“人员短缺”等子主题。

结论

护士认为他们对80岁及以上老人的工作是有意义且重要的,但他们批评了需要改善的工作条件。这可以通过提供进一步的教育和增加护理人员来实现。需要进一步研究以调查护士对80岁及以上老人护理的需求和愿望。

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