Yi Xin, Fu-Cai Lin, Chen Huang, Bin He, Ya-Ling Yan, Shuo Wang, Guang-Ming Zhang, Rui Li
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Semi-structured interviews were conducted, and the data were organized and analyzed using Colaizzi’s seven-step analysis method, from which the final themes were extracted. RESULTS After analyzing the interview content, four main themes and eight subthemes were distilled: Inefficient cognition hinders the identification of ED (conceptual ambiguity, empirical identification), managing diversity and challenges (patient-centered safe care, low level of medical-nursing collaboration), work responsibilities and pressure coexist (heavy work responsibilities, occupational risks and stress), demand for high-quality management (expecting the construction of predictive assessment tools and prevention strategies, and pursuing standardized management processes to enhance management effectiveness). 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引用次数: 0
摘要
背景 本研究采用描述性现象学方法,调查麻醉护士在管理谵妄(ED)时所面临的挑战,谵妄是麻醉后护理病房常见且复杂的术后并发症。护士在管理 ED 方面扮演着至关重要的角色,但有关她们对 ED 的理解和管理策略的研究却十分缺乏。目的 调查麻醉护士对 ED 的认知和管理经验,以制定标准化的管理方案。方法 本研究采用了定性研究方法中的描述性现象学方法。通过有目的的抽样,从上海某三级甲等医院选取了 12 名麻醉护士作为研究对象。研究人员进行了半结构式访谈,并采用 Colaizzi 的七步分析法对数据进行整理和分析,从中提取出最终主题。结果 对访谈内容进行分析后,提炼出四个主主题和八个次主题:认知效率低阻碍了对 ED 的识别(概念模糊、经验识别)、管理多样性与挑战(以患者为中心的安全护理、医护合作水平低)、工作责任与压力并存(工作责任重、职业风险与压力)、对高质量管理的需求(期望构建预测性评估工具和预防策略、追求标准化管理流程以提高管理成效)。结论 护理管理者应优先考虑护士的需求和建议,以提升护士的护理能力,为规范化管理流程提供指导。
Nurse anesthetists’ perceptions and experiences of managing emergence delirium: A qualitative study
BACKGROUND This study employs a descriptive phenomenological approach to investigate the challenges anesthesia nurses face in managing emergence delirium (ED), a common and complex postoperative complication in the post-anesthesia care unit. The role of nurses in managing ED is critical, yet research on their understanding and management strategies for ED is lacking. AIM To investigate anesthetic nurses’ cognition and management experiences of ED in hopes of developing a standardized management protocol. METHODS This study employed a descriptive phenomenological approach from qualitative research methodologies. Purposeful sampling was utilized to select 12 anesthetic nurses from a tertiary hospital in Shanghai as research subjects. Semi-structured interviews were conducted, and the data were organized and analyzed using Colaizzi’s seven-step analysis method, from which the final themes were extracted. RESULTS After analyzing the interview content, four main themes and eight subthemes were distilled: Inefficient cognition hinders the identification of ED (conceptual ambiguity, empirical identification), managing diversity and challenges (patient-centered safe care, low level of medical-nursing collaboration), work responsibilities and pressure coexist (heavy work responsibilities, occupational risks and stress), demand for high-quality management (expecting the construction of predictive assessment tools and prevention strategies, and pursuing standardized management processes to enhance management effectiveness). CONCLUSION Nursing managers should prioritize the needs and suggestions of nurses in order to enhance their nursing capabilities and provide guidance for standardized management processes.
期刊介绍:
The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.