Original Research: The Lived Experiences of Nurses as Patients: A Qualitative Study.

IF 2.5 4区 医学 Q1 NURSING American Journal of Nursing Pub Date : 2024-08-01 Epub Date: 2024-07-25 DOI:10.1097/01.NAJ.0001027120.47979.e4
Judith Kimchi-Woods, Robin Pugh, Molly Wiley
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Abstract

Background: An ED admission and hospitalization are scary experiences for anyone, and potentially more so for nurses. Yet there is scant information about nurses as patients in the nursing research literature. This likely reflects a general tendency among researchers to study the needs of patients but not those of nurses.

Objective: This qualitative phenomenological study sought to explore the lived experiences of nurses who were admitted as patients to a hospital directly from an ED.

Methods: A sample of nurse patients 21 years of age and older and including various genders, nursing specialties, and diagnoses were recruited using maximum variation purposive sampling. A semistructured interview guide was created, and data were collected through individual interviews conducted either face-to-face or via telephone. Data were coded manually, and thematic analysis was conducted using Dedoose software.

Results: The analysis revealed that many participants had experienced tremendous undue stress during their hospitalization. Four themes were identified: to tell or not to tell, pulling the nurse card, taking one's care into one's own hands, and having to make medical decisions while sick.

Conclusions: The study findings indicate that nurses who are hospitalized have different needs than do hospitalized individuals in the lay population. The findings inform our recommendations, which health care organizations, nurse educators, and nurse leaders can use to promote smoother, more compassionate care for nurse patients. Staff nurses can use them to better prepare themselves for caring for a nurse patient-or becoming one. The study findings can also serve to guide future research.

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原创研究:护士作为病人的生活经历:定性研究。
背景:急诊室入院和住院对任何人来说都是可怕的经历,对护士来说更是如此。然而,在护理研究文献中,有关护士作为病人的信息却很少。这可能反映了研究人员普遍倾向于研究病人的需求,而不是护士的需求:本定性现象学研究旨在探讨作为病人从急诊室直接入院的护士的生活经历:方法: 采用最大变异目的性抽样法,对 21 岁及以上的护士病人进行抽样调查,其中包括不同性别、护理专业和诊断的病人。编制了一份半结构化访谈指南,并通过面对面或电话访谈的方式收集数据。对数据进行人工编码,并使用 Dedoose 软件进行主题分析:分析结果显示,许多参与者在住院期间经历了巨大的过度压力。研究确定了四个主题:告诉或不告诉、拉护士卡、自己照顾自己、生病期间必须做出医疗决定:研究结果表明,住院护士的需求与普通住院病人不同。这些研究结果为我们的建议提供了参考,医疗机构、护士教育者和护士领导者可以利用这些建议来促进对护士病人更顺畅、更体贴的护理。护士员工可以利用这些建议为护理护士病人或成为护士病人做好更充分的准备。研究结果还可用于指导未来的研究。
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来源期刊
CiteScore
1.10
自引率
3.70%
发文量
604
审稿时长
6-12 weeks
期刊介绍: The American Journal of Nursing is the oldest and most honored broad-based nursing journal in the world. Peer reviewed and evidence-based, it is considered the profession’s premier journal. AJN adheres to journalistic standards that require transparency of real and potential conflicts of interests that authors,editors and reviewers may have. It follows publishing standards set by the International Committee of Medical Journal Editors (ICMJE; www.icmje.org), the World Association of Medical Editors (WAME; www.wame.org), and the Committee on Publication Ethics (COPE; http://publicationethics.org/). AJN welcomes submissions of evidence-based clinical application papers and descriptions of best clinical practices, original research and QI reports, case studies, narratives, commentaries, and other manuscripts on a variety of clinical and professional topics. The journal also welcomes submissions for its various departments and columns, including artwork and poetry that is relevant to nursing or health care. Guidelines on writing for specific departments—Art of Nursing, Viewpoint, Policy and Politics, and Reflections—are available at http://AJN.edmgr.com. AJN''s mission is to promote excellence in nursing and health care through the dissemination of evidence-based, peer-reviewed clinical information and original research, discussion of relevant and controversial professional issues, adherence to the standards of journalistic integrity and excellence, and promotion of nursing perspectives to the health care community and the public.
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