体外膜肺氧合与黎巴嫩重症护理护士的认知：一项质性现象学研究
Extracorporeal Membrane Oxygenation and Lebanese Critical Care Nurses' Perceptions: A Qualitative Phenomenological Study.
作者信息
Salloum Ali, Fawaz Mirna, Rayan Ahmad, Hamaideh Shaher H, Hani Salam Bani, ALBashtawy Mohammed, Al-Bashaireh Ahmad M, Khraisat Omar M, Khatatbeh Haitham, Alkhawaldeh Abdullah, Abdalrahim Asem, ALBashtawy Sa'd
机构信息
Faculty of Health Sciences, Beirut Arab University, Beirut, Lebanon.
Faculty of Nursing, Zarqa University, Zarqa, Jordan.
出版信息
SAGE Open Nurs. 2023 Dec 6;9:23779608231216797. doi: 10.1177/23779608231216797. eCollection 2023 Jan-Dec.
INTRODUCTION
The training of nursing staff to deliver extracorporeal membrane oxygenation in Lebanon has recently attracted attention. It is important to comprehend the background of nurses who take on this new duty.
OBJECTIVES
The main objectives of this study were to (1) explore the experiences of intensive care unit nursing staff who work with extracorporeal membrane oxygenation, (2) identify the psychological and physiological challenges experienced by intensive care unit nurses while managing patients with extracorporeal membrane oxygenation, and (3) determine the roles assumed by intensive care unit nurses while managing patients utilizing extracorporeal membrane oxygenation.
METHODS
A qualitative phenomenological design utilizing semistructured interviews utilizing a purposive sampling of 15 intensive care unit nurses using extracorporeal membrane oxygenation devices. Interviews were audio recorded, verbatim transcribed, and thematically analyzed.
RESULTS
Three themes emerged, namely (1) nurses' role in extracorporeal membrane oxygenation, (2) skills and training, and (3) challenges faced by extracorporeal membrane oxygenation nurses.
CONCLUSION
This study demonstrates that nurses play a crucial role in providing extracorporeal membrane oxygenation patient care, placing them under significant occupational stress due to the intensive care unit's routine workload and the demands of extracorporeal membrane oxygenation. Additionally, role confusion brought on by a lack of professional practice norms and emotional exhaustion made occupational pressure worse.
引言
黎巴嫩护理人员开展体外膜肺氧合治疗的培训近来受到关注。了解承担这项新职责的护士背景很重要。
目的
本研究的主要目的是：（1）探究使用体外膜肺氧合治疗的重症监护病房护理人员的经历；（2）确定重症监护病房护士在管理体外膜肺氧合治疗患者时所经历的心理和生理挑战；（3）确定重症监护病房护士在管理使用体外膜肺氧合治疗的患者时所承担的角色。
方法
采用定性现象学设计，利用半结构化访谈，通过目的抽样选取15名使用体外膜肺氧合设备的重症监护病房护士。访谈进行录音、逐字转录并进行主题分析。
结果
出现了三个主题，即（1）护士在体外膜肺氧合治疗中的角色；（2）技能与培训；（3）体外膜肺氧合治疗护士面临的挑战。
结论
本研究表明，护士在提供体外膜肺氧合治疗患者护理方面发挥着关键作用，由于重症监护病房的日常工作量以及体外膜肺氧合治疗的需求，他们承受着巨大的职业压力。此外，缺乏专业实践规范导致的角色混乱和情感耗竭使职业压力加剧。
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