"我什么都不懂,但我逐渐学会了":重症监护室护士获得自主权的过程。

Nestor Naranjo, Inna Florez, Edna Gómez
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引用次数: 0

摘要

目的了解卡塔赫纳市(哥伦比亚)成人重症监护病房的护理专业人员所经历的社会过程以及自主权的基本含义:采用基础理论方法进行定性研究。对护理专业人员进行了 15 次半结构化访谈,并根据斯特劳斯和科尔宾提出的编码技术进行了分析:受访者中有 14 名女性和 1 名男性,年龄从 23 岁到 57 岁不等。在重症监护室的工作经验从 1 年到 28 年不等,没有人读过研究生。经过主题分析,从适应过程、自主权行使的适用性、自主能力的培养和自主权行使的局限性四个类别中得出了中心类别:护理专业人员在面对科室环境时,在不同学习阶段的基础上,通过社会过程实现自主。其基础是决策和自由行动的权力。然而,一些障碍仍然阻碍着专业人员行使自主权,其中包括机构施加的限制、基于协议的干预措施、社会地位以及专业人员之间的个体差异。
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"I didn't know anything, but I learned over time": The process of nurses attaining autonomy in Intensive Care Units.

Objective: Understand the social processes experienced by nursing professionals and the meanings underlying autonomy in adult Intensive Care Units in the city of Cartagena (Colombia).

Methods: A qualitative study with a grounded theory approach was conducted. Fifteen semi-structured interviews were carried out with nursing professionals, and the analysis was based on the coding technique proposed by Strauss & Corbin.

Results: Of the respondents, fourteen were female and one was male, with ages ranging from 23 to 57 years. Experience in intensive care units ranged from 1 to 28 years, and none had postgraduate studies. After thematic analysis, the central category was obtained from four categories: adaptation process, applicability of autonomy exercise, building autonomous competence, and limitations to the exercise of autonomy.

Conclusion: Nursing professionals achieve their autonomy through a social process, based on different stages of learning when facing the environment of the units. It is grounded in decision-making and the power to act freely. However, barriers continue to hinder it, including limitations imposed by institutions, protocol-based interventions, social status, and individual differences among professionals.

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来源期刊
Investigacion y Educacion en Enfermeria
Investigacion y Educacion en Enfermeria Nursing-Maternity and Midwifery
CiteScore
2.60
自引率
5.00%
发文量
34
审稿时长
14 weeks
期刊介绍: The mission of the journal of Nursing and Education is to present scientific and technical information about health, illnesses and related topics. The journal serves as the conduit [medium] through which the experiences of our own nursing and social science departments can be shared within Columbia and internationally. It is written primarily for nurses, general health practitioners and other related disciplines but can also be used by students and researchers.
期刊最新文献
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