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[新冠疫情期间临床护士非接触式护理体验的探索性研究]

[An Exploratory Study on Non-Contact Nursing Experiences of Clinical Nurses during the COVID-19 Pandemic].

作者信息

Byun Hye Min, Yun Eun Kyoung

机构信息

College of Nursing Science, Kyung Hee University, Seoul, Korea.

College of Nursing Science · East-West Nursing Research Institute, Kyung Hee University, Seoul, Korea.

出版信息

J Korean Acad Nurs. 2024 Aug;54(3):446-458. doi: 10.4040/jkan.24045.

Abstract

PURPOSE

This study aimed to understand the non-contact nursing experiences of clinical nurses during the COVID-19 pandemic.

METHODS

A qualitative research design applying thematic analysis was used. The participants were purposive sampled from three institutes: a tertiary hospital, a general hospital, and a residential treatment center in Seoul. Data were collected between December 2021 and January 2022 through individual in-depth interviews with 12 clinical nurses. The data were analyzed using Braun and Clarke's method to identify the meaning of the participants' experiences.

RESULTS

During the COVID-19 pandemic, the fields where the participants performed non-contact nursing included intensive care units and isolation wards of hospitals, a residential treatment center, and home cares. Their tasks in non-contact nursing commonly involved remote monitoring using digital devices or equipment, consultation and education. From their experiences performing tasks in these fields, the four theme clusters and nine themes were derived. The four theme clusters are as follows: (1) Confusion of nursing role; (2) Conflict due to insufficient support system; (3) Concern about the quality of nursing; (4) Reflection on the establishment of nursing professionalism.

CONCLUSION

This study highlights the necessity for institutionalizing professional nursing areas, nursing education, and practical support by clarifying the purpose and goals of non-contact nursing and developing nursing knowledge through frameworks.

摘要

目的

本研究旨在了解临床护士在新冠疫情期间的非接触式护理体验。

方法

采用运用主题分析的定性研究设计。参与者是从首尔的一家三级医院、一家综合医院和一家住院治疗中心这三个机构中通过目的抽样选取的。2021年12月至2022年1月期间,通过对12名临床护士进行个人深度访谈收集数据。使用布劳恩和克拉克的方法对数据进行分析,以确定参与者体验的意义。

结果

在新冠疫情期间,参与者进行非接触式护理的领域包括医院的重症监护病房和隔离病房、住院治疗中心以及家庭护理。他们在非接触式护理中的任务通常包括使用数字设备或仪器进行远程监测、咨询和教育。从他们在这些领域执行任务的经历中,得出了四个主题类别和九个主题。四个主题类别如下:(1)护理角色的困惑;(2)支持系统不足导致的冲突;(3)对护理质量的担忧;(4)对护理专业精神确立的反思。

结论

本研究强调了通过明确非接触式护理的目的和目标并通过框架发展护理知识,将专业护理领域、护理教育和实际支持制度化的必要性。

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