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重症监护室护士的共情关怀文化:一项聚焦民族志研究。

Empathic Care Culture in Intensive Care Unit Nurses: A Focused Ethnographic Study.

机构信息

Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences Islamic Azad University, Tehran, Iran.

Nursing and Midwifery Care Research Center/School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Qual Health Res. 2024 Dec;34(14):1486-1504. doi: 10.1177/10497323241240902. Epub 2024 Jun 14.

DOI:10.1177/10497323241240902
PMID:38876482
Abstract

Empathy is one of the important components in the patient-nurse relationship. The aim of the study was to explain the culture of empathic care in intensive care unit (ICU) nurses. The present focused ethnographic study was conducted in the cardiac surgery ICU in Tehran. Three methods of observation, interview, and review of existing documents were used to collect data. From data analysis, three cultural models, "Predominance of task-based care over emotion-based care," "Empathy and lack of empathy, two ends of the spectrum of the nurse-patient relationship," and "Empathy, an interactive and reciprocal process," were extracted. The results showed that empathy creates a caring environment where nurses not only understand their patients but also relate to them, and both are affected by it. Policymakers should consider removing barriers as a means of empowering nurses to provide empathic care.

摘要

同理心是医患关系中的重要组成部分之一。本研究旨在解释重症监护病房(ICU)护士同理心关怀的文化。本聚焦民族志研究在德黑兰的心脏外科 ICU 进行。采用观察、访谈和现有文件回顾三种方法收集数据。通过数据分析,提取出三个文化模型,即“任务型护理对情感型护理的主导地位”、“同理心和缺乏同理心,护士-患者关系的两个极端”和“同理心,一种互动和互惠的过程”。研究结果表明,同理心创造了一个关怀的环境,护士不仅理解他们的病人,而且与他们建立联系,两者都受到它的影响。政策制定者应考虑消除障碍,以此增强护士提供同理心关怀的能力。

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