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Female nursing students’ knowledge, attitudes, beliefs and behaviors toward smoking: A cross-sectional study in Saudi Arabia 女护生对吸烟的知识、态度、信念和行为:沙特阿拉伯的一项横断面研究
IF 1 Q4 NURSING Pub Date : 2022-11-19 DOI: 10.18502/npt.v9i4.11202
A. A. Raddaha, A. A. Al-Sabeely
Background & Aim: Tobacco use is a leading cause or contributor to several chronic health illnesses. Smokers should be encouraged to quit smoking by healthcare providers. Nursing students represent a substantial part of the health delivery workforce in the future. It is crucial to know their knowledge and involvement in tobacco smoking control. We investigate smoking knowledge, attitudes, beliefs, and behaviors toward tobacco smoking among undergraduate nursing program female students. Methods & Materials: A cross-sectional, descriptive correlational design was used to achieve the study aims. The subjects were 134 female undergraduate nursing students who were recruited in 2016 from a school in a governmental university located in Riyadh, Saudi Arabia. A questionnaire that included the Global Health Professional Student Survey along with additional relevant questions was utilized. Results: Throughout their lifetime, 80.6% reported not smoking any type of tobacco product (never called smokers), and 19.4% reported smoking either cigarettes or waterpipes (called smokers ever). Female nursing students were less likely to become smokers if they thought that a smoker who quits smoking would ‘very likely’ or ‘likely’ avoid or decrease serious health problems [OR: 8.08 (95% CI: 2.00, 32.70), p = < 0.01]. Whereas students who were allowed to smoke at home, or were allowed to smoke in the presence of children, were more likely to become smokers. Conclusion: Knowledge about the harmful consequences of smoking alone was not enough to motivate smokers to quit. Nursing students should receive training on smoking cessation techniques.
背景与目的:吸烟是多种慢性健康疾病的主要原因或诱因。医疗保健提供者应该鼓励吸烟者戒烟。护理专业学生在未来的医疗服务队伍中占很大一部分。了解他们在烟草吸烟控制方面的知识和参与情况至关重要。我们调查了护理专业本科生女生对吸烟的知识、态度、信念和行为。方法与材料:采用横断面描述性相关设计来实现研究目的。受试者是134名女性护理本科生,她们于2016年从沙特阿拉伯利雅得一所政府大学的一所学校招募。使用了一份问卷,其中包括全球卫生专业学生调查以及其他相关问题。结果:在他们的一生中,80.6%的人表示不吸任何类型的烟草制品(从未被称为吸烟者),19.4%的人表示吸过烟或水烟管(从未被称作吸烟者)。如果女性护理专业的学生认为戒烟的吸烟者“非常有可能”或“很有可能”避免或减少严重的健康问题,那么她们就不太可能成为吸烟者[or:8.08(95%置信区间:2.00,32.70),p=0.01]。而允许在家吸烟或允许在儿童在场的情况下吸烟的学生更有可能成为吸烟者。结论:仅仅了解吸烟的有害后果不足以激励吸烟者戒烟。护理专业的学生应该接受戒烟技巧的培训。
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引用次数: 0
Promotion of bowel elimination ostomy self-care: A qualitative study based on the nurses' and patients’ perspectives 促进排便消除造口术的自我护理:基于护士和患者观点的定性研究
IF 1 Q4 NURSING Pub Date : 2022-11-19 DOI: 10.18502/npt.v9i4.11205
Igor E Soares-Pinto, Sílvia Maria Moreira Queirós, Paulo Jorge Pereira Alves, Célia Samarina Vilaça de Brito Santos, Maria Alice Correia de Brito
Background & Aim: The construction of an ostomy has a physical, psychological, and social impact, requiring the need to adapt. The way this event is experienced is influenced by several factors, namely ostomy self-care competence, the aspect most referred to in the literature. Nurses' specific and systematic intervention positively influences the person's adaptation to the ostomy. This study aimed to describe the perception of nurses and people with ostomies about promoting ostomy self-care. Methods & Materials: A qualitative descriptive study was conducted. Semi-structured interviews were conducted with ten nurses specializing in stoma therapy and twelve people with bowel elimination ostomy. Content analysis was performed according to Bardin with categorical analysis. Results: Two themes emerged from the interviews: the promotion of awareness, with three categories and four sub-categories, and the promotion of ostomy self-care, with five categories and twenty-four sub-categories. In promoting awareness, the participants mentioned key contents that could be included in the nurse’s approach: assessing awareness, content for promoting awareness, and awareness indicators. Within the scope of promoting self-care, categories emerged, such as the intervention standardization, the contents, the methodologies, and the resources to promote self-care. Conclusion: This study adds to evidence about promoting awareness of bowel elimination ostomy and self-care competence after the procedure. These results can be useful for nurses, allowing them to reflect on clinical practice and helping to improve the planning of their intervention in promoting stoma self-care.
背景与目的:造口术的建设会对身体、心理和社会产生影响,需要适应。这一事件的经历方式受到几个因素的影响,即造口术自我护理能力,这是文献中提及最多的方面。护士的具体和系统的干预会积极影响患者对造口术的适应。本研究旨在描述护士和造口术患者对促进造口术自我护理的看法。方法与材料:采用定性描述性研究。对10名专门从事造口治疗的护士和12名肠清除造口术患者进行了半结构化访谈。内容分析根据Bardin进行分类分析。结果:访谈中出现了两个主题:提高意识,分为三类和四个子类;促进造口术自我护理,分为五类和二十四个子类。在提高意识方面,参与者提到了护士方法中可以包括的关键内容:评估意识、提高意识的内容和意识指标。在促进自我保健的范围内,出现了促进自我保健干预的标准化、内容、方法和资源等类别。结论:本研究为提高术后排便消除造口术的意识和自我护理能力提供了证据。这些结果对护士来说是有用的,使他们能够反思临床实践,并有助于改进他们在促进造口自我护理方面的干预计划。
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引用次数: 1
Exploring the needs of the family caregiver of persons with spinal cord injury: An integrative review 探讨脊髓损伤患者家庭护理者的需求:一项综合综述
IF 1 Q4 NURSING Pub Date : 2022-11-19 DOI: 10.18502/npt.v9i4.11200
C. Fernandes, Cheila Pessoa, P. Nogueira
Background & Aim: A spinal cord injury is a critical event that results in significant life changes for the injured person and the family and caregiver. This study aimed to identify and describe the primary needs of family members that are caregivers of patients with spinal cord injuries. Methods & Materials: An integrative review study was conducted. The studies were collected from five databases, with no time limit until December 2021: MEDLINE® (Medical Literature Analysis and Retrieval System Online), CINAHL® (Cumulative Index to Nursing and Allied Health Literature), Psychology and Behavioural Sciences Collection, SCOPUS, SciELO (Scientific Electronic Library Online). The inclusion criteria for the accessed literature were: adults over 18 years of age who are caregivers of individuals with spinal cord injury; encompassing all the existing needs experienced by caregivers; including care recipients over 18 years old and who spinal cord injury patients are; and primary studies published without time limit. We performed a synthesis of the contents with an a priori categorization. Results: The search resulted in 1018 bibliographic records. A total of 17 articles published between 1981 and 2020 that met the inclusion criteria were selected. The priority categorization process resulted from the study by Fernandes and Angelo in the following five thematic areas: the transition to care, being responsible for everything, the importance of support, access to formal support, communication, and information processes. Conclusion: Family caregivers are important to support people with spinal cord injury, and they present numerous needs that should be the target of intervention by nurses at all stages of rehabilitation.
背景与目的:脊髓损伤是一种关键事件,会导致伤者、家人和护理人员的生活发生重大变化。本研究旨在确定和描述作为脊髓损伤患者护理者的家庭成员的主要需求。方法与材料:进行综合回顾性研究。这些研究是从五个数据库中收集的,在2021年12月之前没有时间限制:MEDLINE®(在线医学文献分析和检索系统)、CINAHL®(护理和相关健康文献累积索引)、心理学和行为科学收藏、SCOPUS、SciELO(在线科学电子图书馆)。查阅文献的纳入标准为:照顾脊髓损伤患者的18岁以上成年人;涵盖照顾者所经历的所有现有需求;包括18岁以上的护理接受者和脊髓损伤患者;以及无时间限制发表的初步研究。我们使用先验分类对内容进行了合成。结果:检索到1018个书目记录。共选择了1981年至2020年间发表的17篇符合入选标准的文章。费尔南德斯和安吉洛在以下五个主题领域的研究得出了优先分类过程:向护理的过渡、对一切负责、支持的重要性、获得正式支持、沟通和信息过程。结论:家庭护理人员对支持脊髓损伤患者很重要,他们提出了许多需求,应成为护士在康复各个阶段干预的目标。
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引用次数: 1
Factors affecting job satisfaction of advanced practice registered nurses in Korea 影响韩国高级执业注册护士工作满意度的因素
IF 1 Q4 NURSING Pub Date : 2022-11-19 DOI: 10.18502/npt.v9i4.11204
Hyerim Seo, O. Cho
Background & Aim: The activities of advanced practice registered nurses in Korea have expanded, but studies on their job satisfaction are lacking. This study aimed to determine the factors influencing job satisfaction among Korean advanced practice registered nurses. Methods & Materials: A cross-sectional correlational study was conducted with 142 APRNs selected from three tertiary hospitals in Korea from December 2020 to January 2021. Job satisfaction and the factors influencing it were investigated using structured questionnaires; factors affecting job satisfaction were identified by multiple regression analysis. Data analysis was processed using the SPSS/WIN 25.0 program. Results: Advanced practice registered nurses’ sex (β=.15, p=0.004), satisfaction with workload (β=.24, p<0.001), professional visibility (β=. 21, p=0.004) and APRN-physician relations in the work environment (β=.38, p<0.001), and clinical decision-making ability (β=.17, p=0.004) were identified as the factors influencing job satisfaction, which together explained 67% of the variance in job satisfaction. Conclusion: To increase advanced practice registered nurses' job satisfaction, nurse managers must consider strategies for providing administrative and educational support for workload control, recognition of professional identity and autonomy, and improving the work environment to encourage efficient interaction with physicians and improved clinical decision-making ability.
背景与目的:韩国高级执业注册护士的活动有所扩大,但对其工作满意度的研究较少。本研究旨在确定影响韩国高级执业注册护士工作满意度的因素。方法与材料:2020年12月至2021年1月,对韩国三家三级医院的142名APRN进行了横断面相关性研究。采用结构化问卷对工作满意度及其影响因素进行调查;通过多元回归分析确定影响工作满意度的因素。数据分析采用SPSS/WIN 25.0软件进行。结果:高级执业注册护士的性别(β=.15,p=0.004)、工作量满意度(β=.24,p=0.001)、专业能见度(β=.21,p=0.004,它们共同解释了67%的工作满意度差异。结论:为了提高高级执业注册护士的工作满意度,护士管理者必须考虑为工作量控制、职业身份和自主权的认可以及改善工作环境提供行政和教育支持的策略,以鼓励与医生的有效互动,提高临床决策能力。
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引用次数: 1
Success and failure of non-invasive mechanical ventilation in the management of patients with COVID-19 无创机械通气在新冠肺炎患者管理中的成功与失败
IF 1 Q4 NURSING Pub Date : 2022-11-19 DOI: 10.18502/npt.v9i4.11197
M. Esmaeili
The Article Abstract is not available.  
文章摘要不可用。
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引用次数: 0
Effectiveness of auditory sensory stimulation on level of consciousness and cognitive function in traumatic brain injury patients: A randomized controlled clinical trial 听觉刺激对颅脑损伤患者意识水平和认知功能的影响:一项随机对照临床试验
IF 1 Q4 NURSING Pub Date : 2022-11-19 DOI: 10.18502/npt.v9i4.11206
S. H. Hoseini, M. Eghbali, R. Froutan, S. Mazloom, M. Yekaninejad, R. Boostani
Background & Aim: Coma is one of the severe complications of traumatic brain injury. The study aimed to determine the effect of auditory sensory stimulation on the level of consciousness and cognitive function of patients with traumatic brain injury. Methods & Materials: This study is a triple-blind randomized controlled clinical trial on 60 patients with traumatic brain injury selected using consecutive sampling. They were then randomly assigned to control and intervention groups. The patients in the intervention group received auditory sensory stimulation (twice a day for 15 minutes), while those in the control group only received the routine sounds of the ward (through headphones) for six days. The data were measured daily using the Glasgow Coma Scale and the Rancho Los Amigos Scale. SPSS software version 22 and descriptive and inferential statistics were used for data analysis. Results: According to the independent samples t-test, there was a significant increase in the level of consciousness on the third, fifth, and sixth days after the intervention among the patients in the intervention group compared to the control group (P=0.001). The findings of two-way repeated measures ANOVA revealed that auditory sensory stimulation could lead to a statistically significant improvement in the cognitive function of patients in the intervention group compared to the control group (P= 0.003). Conclusion: Because of the improvement of the level of consciousness and cognitive function resulting from auditory sensory stimulation, this method is recommended to improve consciousness and cognitive function in patients with traumatic brain injury.
背景与目的:昏迷是颅脑损伤的严重并发症之一。本研究旨在确定听觉感觉刺激对创伤性脑损伤患者意识水平和认知功能的影响。方法与材料:本研究是一项三盲随机对照临床试验,采用连续抽样的方法选择60例创伤性脑损伤患者。然后,他们被随机分配到对照组和干预组。干预组的患者接受了听觉感觉刺激(每天两次,持续15分钟),而对照组的患者只接受了病房的常规声音(通过耳机),持续了6天。数据每天使用格拉斯哥昏迷量表和兰乔-洛斯阿米戈斯量表进行测量。数据分析采用SPSS软件版本22和描述性和推断统计学。结果:根据独立样本t检验,和干预后第6天,干预组患者与对照组相比(P=0.001)。双向重复测量方差分析结果显示,与对照组比较,听觉感觉刺激可导致干预组患者认知功能的统计学显著改善(P=0.003)听觉感觉刺激引起的意识水平和认知功能的改善,该方法被推荐用于改善创伤性脑损伤患者的意识和认知功能。
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引用次数: 1
Soft skills the matchless traits and skills in nursing practice: An integrative review 软技能:护理实践中无与伦比的特质和技能:综合综述
IF 1 Q4 NURSING Pub Date : 2022-11-19 DOI: 10.18502/npt.v9i4.11199
Luke Laari, O. Anim-Boamah, Christian Makafui Boso
Background & Aim: While hard skills refer to the technical ability and factual knowledge needed to do a job, soft skills allow you to use your technical abilities and knowledge more effectively. These two skills are complementary, but soft skills are prerequisites in every profession where human interaction and teamwork are needed to succeed. This integrative review examined the research on soft skills in nursing and made recommendations based on its findings. Methods & Materials: Whittemore and Knafl’s five-step integrative review framework was carried out using four electronic databases. These databases are the Cumulative Index to Nursing & Allied Health Literature (CINAHL), PubMed, Medline on EBSCOhost, and Scopus. Searches were conducted using keywords: soft skills, non-technical skills, nursing skills, nursing art, and aesthetics. The literature search explored no date ranges, and only the English language was considered. Full texts of relevant studies in both qualitative and quantitative research were retrieved. Critical appraisal was undertaken, and the findings of the relevant studies were analyzed using thematic analysis. Results: Seventeen studies were included, and the findings suggest an urgent need for soft skills in the nursing domain. Five themes emerged: the meaning of soft skills in nursing, the benefits of soft skills in nursing; the need for soft skills in nursing; the incorporation of soft skills into nursing practice; and the relationship between hard and soft skills. Findings show soft skills are the cognitive and social capabilities that complete the technical skills of the nurse. Conclusion: Incorporating soft skills into the nursing curriculum should be a resuscitative call that requires immediate attention.
背景与目的:硬技能是指完成一项工作所需的技术能力和实际知识,而软技能是指你更有效地运用你的技术能力和知识。这两种技能是互补的,但是软技能是每一个需要人际互动和团队合作才能成功的职业的先决条件。本综合综述检查了护理软技能的研究,并根据其发现提出了建议。方法与材料:采用Whittemore和Knafl的五步综合评价框架,使用四个电子数据库。这些数据库是护理与相关健康文献累积索引(CINAHL)、PubMed、Medline on EBSCOhost和Scopus。搜索使用关键词:软技能、非技术技能、护理技能、护理艺术和美学。文献检索没有探索日期范围,只考虑了英语。检索了相关定性和定量研究的全文。进行了批判性评价,并利用专题分析分析了有关研究的结果。结果:纳入17项研究,结果表明护理领域迫切需要软技能。五个主题出现了:软技能在护理中的意义,软技能在护理中的好处;护理对软技能的需求软技能在护理实践中的应用硬技能和软技能之间的关系。研究结果表明,软技能是完成护士技术技能的认知和社会能力。结论:将软技能纳入护理课程应该是一个需要立即关注的复苏呼吁。
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引用次数: 2
Mitigating low-value care: Reflections on love and respect for patient 缓解低价值护理:对爱和尊重患者的思考
IF 1 Q4 NURSING Pub Date : 2022-11-19 DOI: 10.18502/npt.v9i4.11198
Yahaya Jafaru
Background & Aim: Low-value care is care that has little or no benefit to the patient, with the potential to cause harm and incur unnecessary spending to patients and society or waste limited resources. This paper's aim is to reflect on how love and respect for patients are valuable in mitigating the occurrence of low-value care.  Methods & Materials: A descriptive theoretical and empirical literature analysis was employed to reflect on the impacts of love and respect for a patient on mitigating low-value care. Results: The feelings of uncomfortable atmosphere, dissatisfaction, and distrust by the patient due to a deficit of love and respect for the patient could lead to a high rate of patronizing low-value care from unprofessional health workers, which could lead to the occurrence of complications. However, when care is based on optimal love and respect, it eventually brings about patients' satisfaction and continued utilization of high-value care choices from experienced health professionals. Conclusion: It is imperative to apply love and respect for patients in healthcare practices; otherwise, a surge in the occurrence of low-value care caused by patients' requests and expectations is possible. There is a need for a deep understanding of low-value care in nursing through research studies.
背景与目的:低价值护理是指对患者几乎没有或根本没有好处的护理,有可能对患者和社会造成伤害和不必要的支出,或浪费有限的资源。本文的目的是反思对患者的爱和尊重在减少低价值护理的发生方面是多么有价值。方法与材料:采用描述性理论和实证文献分析,反思对患者的爱和尊重对减轻低价值护理的影响。结果:由于缺乏对患者的爱和尊重,患者感到不舒服的气氛、不满和不信任,可能导致不专业的卫生工作者对低价值护理的光顾率很高,从而导致并发症的发生。然而,当护理建立在最佳的爱和尊重的基础上时,它最终会带来患者的满意度,并继续利用经验丰富的卫生专业人员的高价值护理选择。结论:在医疗实践中应用对患者的爱和尊重是当务之急;否则,由于患者的要求和期望,低价值护理的发生率可能会激增。有必要通过研究深入了解护理中的低价值护理。
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引用次数: 0
Discharge planning practice for patients with colorectal cancer in Thailand 泰国结直肠癌患者出院计划实践
IF 1 Q4 NURSING Pub Date : 2022-11-19 DOI: 10.18502/npt.v9i4.11201
Cherdsak Duangchan, Alana D. Steffen, A. Matthews
Background & Aim: Nurses play a vital role in discharge planning, especially for patients with colorectal cancer who require complex post-treatment care. However, there is a limited understanding of nurses' discharge planning practice in oncology settings. This study aimed to examine current discharge planning practices for patients with colorectal cancer among oncology nurses in Thailand and associated factors. Methods & Materials: A cross-sectional survey study was conducted between October and November 2020. Oncology nurses involved in colorectal cancer care were recruited across Thailand via Facebook and the Line application. A convenience and snowball sample of 206 nurses completed the online survey. Descriptive statistics, t-test, and one-way ANOVA were used for data analysis. Results: The discharge planning activity with the lowest mean score was related to sharing discharge planning summaries and/or care plans with other healthcare facilities (M = 3.00, SD= 1.32), followed by providing information about returning to work (M= 3.06, SD= 1.28), financial resources (M= 3.12, SD= 1.26), and disease (M= 3.13, SD= 1.25). Factors significantly associated with discharge planning practice included nursing education levels, specialty training in cancer care, and experience in colorectal cancer care. Conclusion: Despite the availability of discharge planning guidelines, Thai oncology nurses did not perform the full scope of discharge planning activities required for patients with colorectal cancer. Additional strategies, resources, and support systems should be established to facilitate nurses' performance of the full scope of their discharge planning practice in oncology settings. Moreover, our results suggest the need for additional education and training in the form of enhanced curriculums and continuing education seminars addressing cancer care to advance nurses' discharge planning for patients with colorectal cancer.
背景与目的:护士在出院计划中发挥着至关重要的作用,尤其是对于需要复杂的术后护理的癌症患者。然而,对肿瘤学环境中护士出院计划实践的了解有限。本研究旨在检查泰国肿瘤科护士中大肠癌癌症患者出院计划的现行做法及其相关因素。方法与材料:在2020年10月至11月期间进行了一项横断面调查研究。参与癌症护理的肿瘤科护士通过Facebook和Line应用程序在泰国各地招募。一个由206名护士组成的方便和雪球式的样本完成了这项在线调查。数据分析采用描述性统计、t检验和单因素方差分析。结果:平均得分最低的出院计划活动与与其他医疗机构共享出院计划摘要和/或护理计划有关(M=3.00,SD=1.32),其次是提供有关重返工作岗位的信息(M=3.06,SD=1.28)、财务资源(M=3.12,SD=1.26),与出院计划实践显著相关的因素包括护理教育水平、癌症护理专业培训和癌症护理经验。结论:尽管有出院计划指南,但泰国肿瘤科护士没有完成癌症患者所需的全部出院计划活动。应建立额外的策略、资源和支持系统,以促进护士在肿瘤学环境中全面执行出院计划实践。此外,我们的研究结果表明,有必要以加强癌症护理课程和继续教育研讨会的形式进行额外的教育和培训,以推动护士为癌症结直肠癌患者制定出院计划。
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引用次数: 0
Exploring nurses' experience of transitional care in the open-heart surgery intensive care unit and its requirements: A qualitative content analysis study 探讨心内直视手术重症监护室护士过渡期护理经验及需求:质性内容分析研究
IF 1 Q4 NURSING Pub Date : 2022-11-19 DOI: 10.18502/npt.v9i4.11203
S. Khoshkesht, M. Zakerimoghadam, M. Esmaeili, Mehrzad Rahmanian, S. Ghiyasvandian
Background & Aim: Transitional care is considered an effective strategy to ensure continuity of care. The comprehensive investigation of this concept and its requirements during patient transfer has been neglected. The aim of this study is to explore nurses' experience of transitional care in the open-heart surgery intensive care unit and its requirements. Methods & Materials: This qualitative study was conducted using the conventional content analysis approach. A purposeful sampling method with maximum variation was performed among the nurses involved in the transfer process. Data were collected using 8 in-depth semi-structured interviews and analyzed using the Granheim and Lundman method.‎ Results: The main categories included the process of patient transfer and transitional care requirements. The sub-categories of the patient transfer process included pre-transfer, handover, and care measures after settlement in the general ward. The sub-categories of transitional care requirements included psychological preparation of the patient, the necessity of consolidating communication, maintaining continuity of care, patient education, and support, and considering the family's position in transitional care. Conclusion: The study concluded that transitional care is an interactive and dynamic process that extends from the physician's decision to transfer the patient from the ICU to the discharge phase in the general ward. Paying attention to the requirements of transitional care can provide solutions to strengthen and organize this process. Therefore, it is suggested to apply the findings of this study in planning the strategies related to transitional care.
背景与目的:过渡性护理被认为是确保护理连续性的有效策略。对这一概念及其在患者转移过程中的要求的全面调查一直被忽视。本研究旨在探讨心内直视手术加护病房护士过渡期护理的经验及需求。方法与材料:采用常规的含量分析法进行定性研究。对参与转院过程的护士进行了有目的的抽样调查。通过8次深度半结构化访谈收集数据,并使用Granheim和Lundman方法进行分析。结果:主要分类包括患者转院过程和过渡性护理需求。患者转移过程的子类别包括转移前、移交和在普通病房安置后的护理措施。过渡性护理需求的子类别包括患者的心理准备、加强沟通的必要性、维持护理的连续性、患者的教育和支持,以及考虑家庭在过渡性护理中的地位。结论:该研究得出结论,过渡护理是一个互动和动态的过程,从医生决定将患者从ICU转移到普通病房的出院阶段。关注过渡性护理的要求可以为加强和组织这一过程提供解决方案。因此,建议将本研究结果应用于规划与过渡护理相关的策略。
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引用次数: 0
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