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探索新手护士在紧急复苏事件中的真实心理体验:一项定性访谈研究。

Exploring the genuine psychological experiences of novice nurses at emergency resuscitation events: A qualitative interview study.

作者信息

Wang Yiqing, Liang Yuanyuan, Zheng Xuemei, Zhang Xiaoxia, Feng Liwei

机构信息

Department of Pediatric Surgery, West China Hospital, Sichuan University, China.

Division of Head & Neck Tumor Multimodality Treatment, Cancer Center, West China Hospital, Sichuan University, China.

出版信息

Heliyon. 2024 Jul 24;10(15):e35153. doi: 10.1016/j.heliyon.2024.e35153. eCollection 2024 Aug 15.

DOI:10.1016/j.heliyon.2024.e35153
PMID:39157395
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11328028/
Abstract

PURPOSE

An emergency rescue situation is an inevitable challenge in medical work, requiring collaborative efforts from healthcare professionals. Due to a lack of practical experience, novice nurses may encounter difficulties in successfully managing emergency resuscitation events. This study aimed to analyse the authentic psychological experiences of novice nurses participating in emergency resuscitation events by exploring applicable coping methods and management strategies.

METHODS

This study utilized a hermeneutic phenomenological qualitative research method. We employed purposive sampling to select 27 Novice nurses from West China Hospital of Sichuan University for face-to-face semistructured interviews. Data collection for this study was conducted from November 2023 to January 2024. The interviews were fully audio-recorded and transcribed verbatim. The data were coded, categorized and summarized with the help of Nvivo 20.0 software based on the interpretation of phenomenological research methods. Thematic analysis was performed to deeply analyse and extract corresponding themes. The COREQ criteria were used to guide the reporting of this study.

RESULTS

The authentic psychological experiences of novice nurses participating in emergency rescue events mainly include six aspects: lack of rescue knowledge reserves and related abilities, psychological and emotional changes, psychological stress after the rescue, rational arrangement of manpower, team cooperation, and postevent reflection and learning. Their authentic psychological experiences directly affect whether novice nurses can effectively respond to emergency rescue events.

CONCLUSIONS

This study suggested enhancing novice nurses' knowledge, improving their resuscitation skills, and improving their psychological well-being during resuscitation events. It advocates for organized staffing, effective teamwork, and robust support systems to empower novice nurses and improve their overall capabilities in emergencies. These findings offer valuable insights for future research in this area.

摘要

目的

紧急救援情况是医疗工作中不可避免的挑战,需要医护人员共同努力。由于缺乏实践经验,新手护士在成功管理紧急复苏事件时可能会遇到困难。本研究旨在通过探索适用的应对方法和管理策略,分析新手护士参与紧急复苏事件的真实心理体验。

方法

本研究采用诠释现象学质性研究方法。我们采用目的抽样法,从四川大学华西医院选取27名新手护士进行面对面半结构式访谈。本研究的数据收集于2023年11月至2024年1月进行。访谈进行了全程录音,并逐字转录。在Nvivo 20.0软件的帮助下,基于现象学研究方法的解释对数据进行编码、分类和总结。进行主题分析以深入分析并提取相应主题。COREQ标准用于指导本研究的报告。

结果

新手护士参与紧急救援事件的真实心理体验主要包括六个方面:救援知识储备和相关能力不足、心理和情绪变化、救援后的心理压力、人力的合理安排、团队合作以及事后反思与学习。他们的真实心理体验直接影响新手护士能否有效应对紧急救援事件。

结论

本研究建议加强新手护士的知识储备,提高其复苏技能,并在复苏过程中改善他们的心理健康状况。提倡有组织的人员配置、有效的团队合作和强大的支持系统,以增强新手护士的能力,并提高他们在紧急情况下的整体能力。这些发现为该领域未来的研究提供了有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f43/11328028/96251bdd7645/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f43/11328028/7986b90884a1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f43/11328028/96251bdd7645/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f43/11328028/7986b90884a1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f43/11328028/96251bdd7645/gr2.jpg

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Heliyon. 2024 Mar 25;10(7):e28507. doi: 10.1016/j.heliyon.2024.e28507. eCollection 2024 Apr 15.
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The influence of intensive clinical skills 'bootcamps' on nursing students' perceptions of ability to provide acute care: A mixed methods study.强化临床技能“训练营”对护理学生提供急性护理能力感知的影响:混合方法研究。
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Exploring the nurses' experiences in recognising and managing clinical deterioration in emergency patients: A qualitative study.
探讨护士在识别和处理急诊患者临床恶化方面的经验:一项定性研究。
Aust Crit Care. 2024 Mar;37(2):309-317. doi: 10.1016/j.aucc.2023.06.004. Epub 2023 Jul 15.
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Interprofessional disaster exercises for undergraduate nursing students: a scoping review.本科护生跨专业灾难演练的研究进展:综述
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Development and validation of an instrument for measuring junior nurses' recognition and response abilities to clinical deterioration (RRCD).开发和验证一种用于测量初级护士对临床恶化的识别和反应能力的工具(RRCD)。
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