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综合医院护士以患者为中心护理的体验与认知:一项现象学研究

General Hospital Nurses' Experience and Perception of Person-Centered Care: A Phenomenological Study.

作者信息

Hong Se Jin, Kim Eun Young

机构信息

College of Nursing, Research Institute of AI and Nursing Science, Gachon University, Incheon, Republic of Korea.

Department of Nursing, Soonchunhyang University, Cheonan, Republic of Korea.

出版信息

Nurs Health Sci. 2024 Dec;26(4):e70007. doi: 10.1111/nhs.70007.

Abstract

This study explored the general hospital nurses' experiences and perceptions of providing person-centered care using a Giorgi's phenomenological approach. Through purposive sampling, 10 nurses were selected from five general hospitals in Korea. We identified 83 codes, which were integrated into 17 subconstituents and further into four constituents: "A comprehensive approach based on love for humanity," "Providing customized nursing care through an individual approach," "Building the expertise required as a nurse," and "Challenges to actual nursing practice." These findings are valuable for understanding general hospital nurses' in-depth experiences providing person-centered care and their perceptions. Despite numerous challenges, nurses in general hospitals are attempting to deliver person-centered care comprehensively and tailored based on their expertise. Current challenges can be overcome by raising awareness about providing person-centered care in general hospitals and enhancing systems to minimize workloads. The results of this will be a crucial foundation for developing educational programs to increase nurses' understanding of person-centered care and encourage their practice. Furthermore, it will be useful in suggesting future directions for altering the nursing workforce or scope of work.

摘要

本研究采用 Giorgi 的现象学方法,探讨了综合医院护士提供以患者为中心护理的经历和看法。通过目的抽样,从韩国五家综合医院中选取了 10 名护士。我们识别出 83 个编码,这些编码被整合为 17 个亚成分,进而又整合为四个成分:“基于对人性的爱的全面方法”、“通过个性化方法提供定制化护理”、“培养护士所需的专业技能”以及“实际护理实践中的挑战”。这些发现对于理解综合医院护士提供以患者为中心护理的深入经历及其看法具有重要价值。尽管面临诸多挑战,但综合医院的护士仍在尝试基于自身专业技能全面且量身定制地提供以患者为中心的护理。通过提高综合医院对提供以患者为中心护理的认识并加强系统以尽量减少工作量,可以克服当前的挑战。这一结果将成为开发教育项目的关键基础,以增强护士对以患者为中心护理的理解并鼓励他们付诸实践。此外,这对于为改变护理人员队伍或工作范围指明未来方向也将有所助益。

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