Atasayar Belgin Şen, Emirza Elif Güzide, Uzun Sevda
Faculty of Health Sciences, Department of Nursing/Surgical Diseases Nursing, Ondokuz Mayıs University, Samsun, Turkey.
Faculty of Health Sciences, Department of Nursing/Psychiatric Nursing, Ondokuz Mayıs University, Samsun, Turkey.
Nurs Crit Care. 2025 Jul;30(4):e13218. doi: 10.1111/nicc.13218. Epub 2025 Jan 2.
Nurses working in intensive care units experience insomnia and accompanying psychosocial problems due to working conditions.
This study explores with a phenomenological approach the psychosocial problems experienced by intensive care nurses regarding sleep patterns within the scope of working conditions.
In this phenomenological study, semi-structured in-depth interviews were conducted with 16 nurses working in the surgical intensive care unit of a state hospital in Türkiye. Criterion sampling method, one of the purposive sampling methods, was used to reach the sample group. Researchers' interviews continued until they reached data saturation. All interviews were recorded on a voice recorder after obtaining the necessary permissions from the nurses and then transcribed. The study data were evaluated using thematic analysis. The current manuscript was reported following the COREQ checklist.
Data analysis revealed three main themes (how working as an intensive care nurse changes sleep patterns, the relationship between shift work, work performance, patient care and how working as an intensive care nurse changes individual life and coping strategies) and nine subthemes (mental, physical, social, work performance, patient care, nutrition, family life, social life and coping).
The study's findings revealed that nurses working in intensive care experienced psychosocial difficulties related to sleep patterns and had trouble coping. In particular, it was determined that sleep problems of intensive care nurses cause difficulties in family life, nutrition and social life. It is recommended that the number of personnel in workplaces be increased, overtime hours should be limited, and professional development and training on the importance of sleep for all nurses should be provided.
Nurses working in intensive care units may experience psychosocial problems due to working conditions, which may negatively change their coping skills. Therefore, organizing the working conditions of nurses positively changes their coping skills.
重症监护病房的护士由于工作条件而经历失眠及伴随的心理社会问题。
本研究采用现象学方法，探讨重症监护护士在工作条件范围内关于睡眠模式所经历的心理社会问题。
在这项现象学研究中，对土耳其一家国立医院外科重症监护病房的16名护士进行了半结构化深度访谈。采用目的抽样方法之一的标准抽样方法来确定样本组。研究人员的访谈持续进行，直至达到数据饱和。在获得护士的必要许可后，所有访谈均用录音机记录，然后进行转录。研究数据采用主题分析法进行评估。本手稿按照COREQ清单进行报告。
数据分析揭示了三个主要主题（作为重症监护护士的工作如何改变睡眠模式、轮班工作、工作表现、患者护理之间的关系以及作为重症监护护士的工作如何改变个人生活和应对策略）和九个子主题（心理、身体、社交、工作表现、患者护理、营养、家庭生活、社交生活和应对）。
该研究结果表明，重症监护病房的护士在睡眠模式方面经历了心理社会困难，且难以应对。特别是，已确定重症监护护士的睡眠问题在家庭生活、营养和社交生活方面造成困难。建议增加工作场所的人员数量，限制加班时间，并为所有护士提供关于睡眠重要性的专业发展和培训。
重症监护病房的护士可能因工作条件而经历心理社会问题，这可能会对其应对技能产生负面影响。因此，合理安排护士的工作条件会积极改变他们的应对技能。
