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探讨护士参与灾害应对的后果:一项定性内容分析研究的结果。

Exploring the consequences of nurses' involvement in disaster response: findings from a qualitative content analysis study.

机构信息

Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

BMC Emerg Med. 2024 Apr 29;24(1):74. doi: 10.1186/s12873-024-00994-z.

DOI:10.1186/s12873-024-00994-z
PMID:38679695
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11057086/
Abstract

BACKGROUND

The presence of nurses during disasters can lead to many consequences. Understanding the nurses' experiences of these consequences can provide valuable insights. Therefore, this study was conducted to explore the experiences of Iranian nurses regarding the consequences they faced when being present during disasters.

METHODS

This qualitative descriptive study employed a content analysis approach to examine the topic at hand. 20 nurses working in the emergency units of Kerman hospitals were selected through purposive sampling. In-depth semi-structured interviews were conducted to collect the data. The data were analyzed using qualitative content analysis proposed by Graneheim and Lundman. MAXQDA 10 was used to manage data.

RESULTS

After analysis of the interviews, two main categories were identified: overlapping of job frustrations and acquiring experience in difficult conditions. The main category of acquiring experience in difficult conditions comprised the following subcategories: improved quality of care, experience and dedication in fulfilling the role, reduced stress, occupational motivation and enthusiasm, increased self-confidence, and improved social status. On the other hand, the category of overlapping of job frustrations also consisted of the subcategories of physical strength deterioration, psychological and emotional distress, discontinued from supports, feelings of hopelessness, increased exposure to violence and aggression, and occurrence of family problems.

CONCLUSION

Being present during disasters and obtaining the necessary competencies can have positive consequences that serve as turning points in the personal and professional growth of nurses. Additionally, favorable outcomes can help nurses cope with adverse circumstances. Managers can utilize the findings of this study to develop strategies aimed at reducing negative outcomes and enhancing positive ones among nurses during disasters.

摘要

背景

护士在灾害期间的存在可能会导致许多后果。了解护士对这些后果的体验,可以提供有价值的见解。因此,本研究旨在探讨伊朗护士在灾害期间在场时所面临的后果的体验。

方法

这是一项采用内容分析法的定性描述研究,旨在探讨这一主题。通过目的抽样选择了在克尔曼医院急诊室工作的 20 名护士。采用深入的半结构式访谈收集数据。采用 Graneheim 和 Lundman 提出的定性内容分析法对数据进行分析。使用 MAXQDA 10 管理数据。

结果

对访谈进行分析后,确定了两个主要类别:工作挫折的重叠和在困难条件下获得经验。主要类别“在困难条件下获得经验”包括以下亚类:改善护理质量、在履行角色方面的经验和奉献精神、减轻压力、职业动机和热情、增强自信以及提高社会地位。另一方面,工作挫折的重叠类别还包括身体力量恶化、心理和情绪困扰、停止支持、绝望感、增加遭受暴力和攻击的风险以及家庭问题的出现。

结论

在灾害期间在场并获得必要的能力可以产生积极的后果,成为护士个人和职业成长的转折点。此外,有利的结果可以帮助护士应对不利环境。管理者可以利用本研究的结果,制定策略,旨在减少护士在灾害期间的负面后果,并增强积极后果。