病人参与护理床旁交接班真实体验及期待的质性研究

Patients’ experience of participating in nursing bedside handover and their expectations:a qualitative study

目的深入了解病人参与护理床旁交接班的真实体验及其对参与护理床旁交接班的期待。方法采用目的抽样法,选取某院甲乳外科、胃肠外科、内科综合病区的16例住院病人进行半结构访谈,访谈内容主要围绕病人参与床旁交接班的真实体验及对参与床旁交接班的期待,应用内容分析法进行资料分析。结果得出3个主题:积极体验(有利于获取自身疾病信息、有利于增进与护士的关系、有利于获得安全的照护)、消极体验(难以融入"护理床旁交接班"、担心隐私和敏感信息的暴露)、病人对护理床旁交接班的期待(希望护士持有积极热情的职业态度、使用通俗易懂的语言、了解病人的偏好)。结论病人参与床旁交接班存在消极和积极的体验,需重视病人的消极体验,采取针对性的措施,制订个体化的护理床旁交接班方案。

Objective To understand patients’real experience of participating in nursing bedside handover and their expectations of participating in nursing bedside handover.Methods A purposive sampling methods was used to recruit 16 patients from thyroid and breast surgery department,gastrointestinal surgery department,and general internal medicine department.The semi-structured interview regarding their experience of participating in nursing bedside handover and their expectations of participating in nursing bedside handover was conducted.Content analysis was used to analyze the data.Results Three themes emerged:positive experiences(it is conducive to obtain information about one’s own diseases,is conducive to improving the relationship with nurses,and is conducive to obtaining safe care);negative experience(it is difficult to integrate into the"nursing bedside handover"and worry about the exposure of privacy and sensitive information);patient’s expectation of bedside handover(hope nurses have a positive and enthusiastic professional attitude,use easy-to-understand language,and understand patients’preferences).Conclusion Patients have negative and positive experience of participating in bedside shift handover.It is necessary to pay attention to patients’negative experience,and develop an individualized nursing bedside handover plan.