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护士在紧急情况下自我控制的生活体验:一项定性研究。

Nurses' lived experiences of self-control in emergency settings: a qualitative study.

作者信息

Shahmari Mehraban, Dashti Seemin, Jafari Mahsa, Belil Fatemeh Ebrahimi

机构信息

Department of Medical-Surgical, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.

Department of Nursing, Ardabil Branch, Islamic Azad University, Ardabil, Iran.

出版信息

BMC Emerg Med. 2025 Mar 24;25(1):46. doi: 10.1186/s12873-025-01205-z.

Abstract

BACKGROUND

Given nurses' vital role in emergencies, it is essential to understand their perceptions and strategies for self-control. This study examines nurses' experiences and insights regarding self-control during high-pressure scenarios. The findings could inform the development of effective stress management strategies and enhance nursing training programs, ultimately improving patients' overall quality of care.

METHODS

This study utilized a qualitative, descriptive design with a content analysis approach. Data was collected through semi-structured interviews with 24 nurses in various wards of five university-affiliated hospitals, including [specific wards, e.g., emergency, intensive care, internal, etc.]. The nurses were selected using a purposive sampling technique, and the data were analyzed through qualitative content analysis.

FINDINGS

Nurses' lived experiences and understanding of self-control in emergencies revealed three main categories, each comprising several sub-categories: Managing Emotional Intelligence in Crisis Situations (Emotion Regulation in Critical Situations, Using Resources and Experiences for Emotion Management, and Control of Individual Emotions), Adherence to Principles in Crisis Situations (Compliance with Ethical Standards, Ethical Decision-Making, Patient-Centered Focus, and Effective Communication), and Self-Control in Managing Stress and Fatigue (Fatigue Management and Interpersonal Interaction and Collaboration).

CONCLUSION

This study highlights the importance of self-control for nurses working in high-stress environments. It emphasizes that enhancing emotional intelligence, adhering to professional standards, and effectively managing stress are crucial for overcoming workplace challenges. These factors not only foster resilience but also support self-control, which is essential for maintaining composure and making informed decisions during emergencies. The findings advocate for creating supportive work environments and implementing evidence-based policies to improve nurses' self-control skills, ultimately leading to better patient outcomes. These insights can guide enhancements in nursing education and overall care quality.

摘要

背景

鉴于护士在紧急情况下的关键作用,了解他们的自我控制观念和策略至关重要。本研究考察护士在高压场景下的自我控制体验和见解。研究结果可为有效的压力管理策略的制定提供参考,并加强护理培训项目,最终提高患者的整体护理质量。

方法

本研究采用定性描述性设计及内容分析法。通过对五所大学附属医院各个病房(包括[具体病房,如急诊科、重症监护室、内科等])的24名护士进行半结构化访谈收集数据。采用目的抽样技术选取护士,并通过定性内容分析法对数据进行分析。

结果

护士在紧急情况下的生活经历和对自我控制的理解揭示了三个主要类别,每个类别又包含几个子类别:危机情境中的情商管理(危急情况下的情绪调节、利用资源和经验进行情绪管理以及个人情绪控制)、危机情境中的原则坚守(遵守道德标准、道德决策、以患者为中心以及有效沟通)以及压力和疲劳管理中的自我控制(疲劳管理以及人际互动与协作)。

结论

本研究强调了自我控制对在高压力环境中工作的护士的重要性。它强调提高情商、坚守专业标准以及有效管理压力对于克服工作场所挑战至关重要。这些因素不仅能培养适应能力,还能支持自我控制,而自我控制对于在紧急情况下保持镇定和做出明智决策至关重要。研究结果主张营造支持性的工作环境并实施循证政策,以提高护士的自我控制技能,最终带来更好的患者结局。这些见解可指导护理教育的改进和整体护理质量的提升。

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