新生儿家庭陪护病房护士工作体验的质性研究

A qualitative study on the work experience of nurses in newborn family accompanying wards

目的深入了解新生儿家庭陪护病房护士的工作体验及需求,为护士提供必要的支持,促进提升其护理能力的同时为即将开展家庭陪护病房的同行提供参考。方法采用现象学研究方法,于2022年6—9月在浙江大学医学院附属儿童医院对15名护理过家庭陪护病房患儿的新生儿科护士进行半结构式深入访谈,并使用Colaizzi7步分析法进行数据的收集及整理,分析提炼出主题。结果分析得出4个主题,分别为情感体验较多、护理理念需改变、专业能力需提升、团队合作需加强。结论管理者需重视家庭陪护病房护士的压力与需求,帮助释放消极情绪以促进护士身心健康,努力转变传统护理理念,促进以患者和家庭为中心的护理工作,加强各类相关专业知识和沟通技巧的培训,加强多学科团队合作,提高新生儿科护士在家庭陪护病房的综合护理能力。

Objective To deeply understand the work experience and the needs of nurses in family accompanying ward of neonatology department,provide necessary support for nurses,promote the improvement of their nursing ability,and provide reference for peers who are going to carry out family accompanying ward.Methods Phenomenological research method was used to conduct semi-structured in-depth interviews with 15 neonatology nurses who cared for children in the family accompanying ward in Children's Hospital Affiliated to Zhejiang University School of Medicine from June 2022 to September 2022.Colaizzi 7-step analysis method was used to collect and collate data,and analyze and extract themes.Results Four themes were analyzed,which were as follows:more emotional experience,nursing concept need to be changed,professional ability needs to be improved,and teamwork needs to be strengthened.Conclusions Managers should pay attention to the pressure and needs of nurses in family accompanying wards,help release negative emotions to promote the physical and mental health of nurses,strive to change traditional nursing concepts,promote patient-and family-centered nursing work,strengthen the training of various related professional knowledge and communication skills,strengthen multidisciplinary teamwork,and improve the comprehensive caring ability of neonatology nurses in family accompanying wards.