ICU护士经历护理缺失事件真实体验的质性研究

A qualitative study of the experiences of nurses experiencing missed nursing care events in the ICU

目的了解ICU护士经历护理缺失事件后的真实感受,以便有针对性地为其提供积极有效的应对措施。方法运用质性研究中的现象学研究法,对17名烟台市某三级甲等医院经历护理缺失事件的ICU护士进行半结构化访谈,采用内容分析法进行资料分析。结果17名经历护理缺失事件护士的真实体验可归纳为4个主题、15个亚主题。主题1:原因,人力资源、物力资源、患者因素、中断事件和ICU特殊性;主题2:应对,报告意愿低、逃避和反思;主题3:期待,完善制度、团队协作、期待理解和相关培训;主题4:认知,重视不足、认识不足和促进成长。结论临床工作中针对经历护理缺失事件的护士应采取相应措施消除相关影响因素;建议通过加强相关培训及心理干预,提高护士认知水平,促进其积极应对,以期避免护理缺失事件发生。

Objective To understand the real feelings of ICU nurses after experiencing missed nursing care events,in order to provide them with positive and effective countermeasures in a targeted manner.Methods Using the phenomenological research method in qualitative research,we conducted semi-structured interviews with 17 ICU nursing staff experiencing missed nursing care events in a tertiary class A hospital in Yantai City,content analysis was used for data analysis.Results The experiences of 17 nurses experiencing missed nursing care events could be categorized into 4 themes and 15 sub-themes.Theme 1:Causes,human resources,physical resources,patient factors,disruptive events,and the specificity of the ICU;Theme 2:Coping,low willingness to report,avoidance,and reflection;Theme 3:Expectations,improving the system,teamwork,and expectation of understanding and relevant training;Theme 4:Cognition,valuing deficiencies,lack of recognition and promoting growth.Conclusion Measures should be taken in clinical work to eliminate relevant influencing factors for nurses experiencing missed nursing care events.It is recommended to improve the cognitive level of nurses and promote their positive coping by strengthening relevant training and psychological interventions with a view to avoid the occurrence of missed nursing care events.