探索临场实践：对自由邦省一家选定省级医院的科室主任的研究。

Exploring presence practices: a study of unit managers in a selected Provincial Hospital in Free State Province.

作者信息

Smith Bernardine, Chukwuere Precious Chibuike, Sehularo Leepile Alfred

机构信息

NuMIQ Research Focus Area, Faculty of Health Sciences, North-West University, Potchefstroom, North West Province, South Africa.

Lifestyle Diseases Research Focus Area, Faculty of Health Sciences, North-West University, Mafikeng, North West Province, South Africa.

出版信息

BMC Nurs. 2024 May 31;23(1):367. doi: 10.1186/s12912-024-02023-7.

DOI:10.1186/s12912-024-02023-7

PMID:38822312

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11140984/

Abstract

BACKGROUND

Nursing presence depends on an individual's belief system, truths, sensory experience, professional skills, and active listening. Thus, one may assume that presence occurs when nurses care for patients in a kind and compassionate way. This study aimed to explore and describe presence practices amongst unit managers in a selected provincial hospital in Free State Province.

METHODS

A qualitative research approach with an exploratory descriptive contextual research design was employed in this study. A purposive nonprobability sampling technique was utilised to select participants. Data were collected through semi-structured interviews and analysed using the six steps of thematic qualitative data analysis. The study's trustworthiness was ensured through ascertaining credibility, dependability, confirmability, transferability, and authenticity. Approval to conduct the study was obtained from the North-West University Health Research Ethics Committee (NWU-HREC), DoH in the Free State Province, and the CEO (the gatekeeper) of the selected hospital.

RESULTS

Four themes were generated, namely, presence practices amongst unit managers in a selected provincial hospital in Free State, the impact of presence practices on hospital dynamics in a selected provincial hospital in Free State, unit managers' practices of relational care and human connectedness in the unit, and the perceptions of unit managers on barriers to presence practices in a selected provincial hospital in Free State. Each of these themes presents categories and sub-categories. Unit managers actively foster supportive work cultures, effective management, human connectedness and relational care, and effective communication to yield team cohesion and positive impacts on patient care. Unit managers also display resilience and highlight the need for ongoing support from colleagues and top management.

CONCLUSION

Unit managers exhibit diverse presence practices which emphasise their commitment through visibility and accessibility despite staff shortages and resource constraints.

摘要

背景

护理陪伴取决于个人的信仰体系、真理、感官体验、专业技能和积极倾听。因此，可以认为当护士以亲切和富有同情心的方式照顾患者时，陪伴就会出现。本研究旨在探索和描述自由邦省一家选定省级医院的科室主任的陪伴实践。

方法

本研究采用探索性描述性情境研究设计的定性研究方法。采用目的非概率抽样技术选择参与者。通过半结构化访谈收集数据，并使用主题定性数据分析的六个步骤进行分析。通过确定可信度、可靠性、可证实性、可转移性和真实性来确保研究的可信度。该研究获得了西北大学健康研究伦理委员会（NWU-HREC）、自由邦省卫生部以及选定医院的首席执行官（把关人）的批准。

结果

产生了四个主题，即自由邦省一家选定省级医院科室主任的陪伴实践、自由邦省一家选定省级医院陪伴实践对医院动态的影响、科室主任在科室中的关系护理和人际联系实践，以及自由邦省一家选定省级医院科室主任对陪伴实践障碍的看法。每个主题都有类别和子类别。科室主任积极营造支持性的工作文化、有效管理、人际联系和关系护理以及有效的沟通，以产生团队凝聚力并对患者护理产生积极影响。科室主任还表现出适应能力，并强调需要同事和高层管理人员的持续支持。