护士照顾因临床合并症住院的精神健康问题患者的经历。
Nurses' experiences in caring for people with mental health problems hospitalized due to clinical comorbidities.
作者信息
Piton Gabriella Paulão Previato, Weber Aldair, Garcia Ana Paula Rigon Francischetti, Toledo Vanessa Pellegrino
机构信息
Universidade Estadual de Campinas. Campinas, São Paulo, Brazil.
出版信息
Rev Bras Enferm. 2024 Dec 13;77(5):e20230136. doi: 10.1590/0034-7167-2023-0136. eCollection 2024.
OBJECTIVES
to understand nurses' experiences in caring for people with mental health problems hospitalized due to clinical comorbidities in non-psychiatric Inpatient Units.
METHODS
qualitative study, guided by Alfred Schutz's social phenomenology. Sixteen phenomenological interviews were conducted. The content was analyzed and discussed based on the literature, through the composition of three categories of analysis.
RESULTS
three categories emerged in the study: Challenges in care faced by nurses; Fragmented care action; and Ideal care. The disarticulation of the clinic was revealed, as described by nurses, showing care as an action far removed from the comprehensiveness of a person. Nurses' performance is guided predominantly by biomedical reference, disregarding appreciation of subjectivity.
FINAL CONSIDERATIONS
it was observed that nurses attribute the responsibility for patient care to factors external to their life-world, when, in fact, these aspects should be components that help them in comprehensive care construction.
目的
了解护士在非精神科住院单元护理因临床合并症住院的精神健康问题患者的经历。
方法
以阿尔弗雷德·舒茨的社会现象学为指导的定性研究。进行了16次现象学访谈。通过三类分析的构建，基于文献对内容进行了分析和讨论。
结果
研究中出现了三类情况：护士面临的护理挑战；分散的护理行动；以及理想护理。如护士所述，揭示了临床的脱节，表明护理是一种远离人的全面性的行动。护士的表现主要以生物医学参考为指导，而忽视了对主观性的重视。
最终思考
观察到护士将患者护理责任归因于其生活世界之外的因素，而实际上，这些方面应该是有助于他们构建全面护理的组成部分。
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