Taylan Seçil, Özkan İlknur
Akdeniz University, Kumluca Faculty of Health Sciences, Nursing Department, Kumluca-Antalya, Turkey.
J Perianesth Nurs. 2024 Oct;39(5):802-807. doi: 10.1016/j.jopan.2023.12.013. Epub 2024 Apr 6.
Missed nursing care is a condition that is likely to be encountered frequently in the surgical care process and is generally related to the educational and emotional needs of the patients. Perception of and witnessing missed care can affect nursing images, expectations, and experiences by causing nursing students to experience professional disappointment. The purpose of the study was to explore nursing students' perception of perioperative missed nursing care (PMNC) according to "role theory" and Benner's "novice to expert" theories.
The study used a qualitative design based on Heidegger's hermeneutical phenomenological approach.
Study data were collected using a semistructured interview form prepared by the researchers through face-to-face interviews lasting approximately 50 minutes. The analysis of the data was conducted using van Manen's thematic analysis. The Standards for Reporting Qualitative Research checklist was used in reporting the study.
This study, which was conducted to explore awareness of PMNC, consisted of 12 students, including five males and seven females. It was understood that nursing students noticed PMNC in clinical practice, experienced internal conflict about the issue, were concerned about the image of nursing, and experienced role and professional identity confusion. The themes of the study were formed in light of these experiences of nursing students. Three themes and 11 subthemes emerged in the study. The themes of the study were (1) perceived PMNC application-behavior patterns, (2) internal reflections of PMNC-its impact on professional identity development, and (3) perceptions of professionalism in perioperative nursing.
This study provided important data about the awareness of PMNC in the surgical clinical practice of nursing students in Turkey and the effects of this awareness on the professional roles and professional identity process. Students were aware of the behavioral patterns of PMNC and that they experienced internal conflict, anxiety about the nursing image, role confusion, and professional identity confusion due to this awareness. Some students justified the PMNC behaviors of the nurses and others saw themselves as the power to change the PMNC behaviors.
护理缺失是外科护理过程中可能经常遇到的一种情况，通常与患者的教育和情感需求有关。对护理缺失的感知和目睹会导致护理专业学生经历职业失望，从而影响护理形象、期望和体验。本研究的目的是根据“角色理论”和本纳的“新手到专家”理论，探讨护理专业学生对围手术期护理缺失（PMNC）的认知。
本研究采用基于海德格尔诠释现象学方法的质性设计。
研究数据通过研究人员编制的半结构化访谈表格收集，采用面对面访谈，时长约50分钟。数据采用范曼恩的主题分析法进行分析。报告研究时使用了定性研究报告标准清单。
本研究旨在探索对PMNC的认知，由12名学生组成，其中包括5名男性和7名女性。据了解，护理专业学生在临床实践中注意到了PMNC，对该问题经历了内心冲突，担心护理形象，并经历了角色和职业身份困惑。本研究的主题是根据护理专业学生的这些经历形成的。研究中出现了三个主题和11个子主题。研究主题为：（1）感知到的PMNC应用行为模式；（2）PMNC的内心反思——其对职业身份发展的影响；（3）围手术期护理中的专业认知。
本研究提供了有关土耳其护理专业学生外科临床实践中对PMNC的认知以及这种认知对职业角色和职业身份形成过程影响的重要数据。学生们意识到了PMNC的行为模式，并且由于这种认知，他们经历了内心冲突、对护理形象的焦虑、角色困惑和职业身份困惑。一些学生为护士的PMNC行为辩解，而另一些学生则认为自己有能力改变PMNC行为。
