在场但缺席--护士对只有单人病房的医院设计和技术转变如何影响护理工作的体验。

IF 2.4 Q1 NURSING Nursing Reports Pub Date : 2024-09-26 DOI:10.3390/nursrep14040196
Anne Karine Østbye Roos, Vigdis Abrahamsen Grøndahl, Ann Karin Helgesen
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引用次数: 0

摘要

背景:医院是一个复杂的环境,汇集了技术、社会、医学和建筑等不同方面。本定性研究的目的是探讨原本只有单人卧室的医院设计和技术创新如何影响护理工作:对在挪威一家医院工作的注册护士进行了 12 次访谈。采用传统的内容分析法对数据进行分析:结果表明,单人卧室的布局使护士能够亲临现场,改善对病人的护理,但同时也使病人监护变得复杂,导致不良事件和病人隔离。护士可能很难找到同事,在工作中感到孤独。此外,技术的使用、过长的走廊和位置不佳的临床支持空间也会造成护士的精神和身体缺失:本研究表明,在单人卧室设计的医院环境中工作的护士必须改变工作流程和沟通策略。技术进步是支持护士在场和患者安全的必要条件,系统和临床支持空间必须进行适当调整。只有单人卧室的技术先进医院会让护士在病人护理中感到既在场又不在场。这一认识具有实际意义,为指导未来的医院设计和护理实践提供了启示。
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Present but Absent-Nurses' Experiences of How a Hospital Design with Only Single Bedrooms and the Technological Shift Affect Nursing.

Background: Hospitals are complex environments that bring together diverse aspects of technology, society, medicine, and architecture. The aim of this qualitative study was to examine how a hospital design with originally only single bedrooms and technological innovations affect nursing.

Methods: Twelve interviews were conducted with registered nurses working in a hospital in Norway. Data were analyzed using conventional content analysis.

Results: Results show that a layout with single bedrooms allows nurses to be present and improve patient care, but also complicates patient monitoring, leading to adverse events and patient isolation. Nurses may struggle to find colleagues, experiencing loneliness at work. Additionally, the use of technology, long corridors, and poorly positioned clinical support spaces can contribute to nurses' mental and physical absence.

Conclusions: This study provides knowledge that nurses working in a hospital environment designed with single bedrooms must modify their workflow and communication strategies. Technological advancements are necessary to support nurses' presence and patient safety, and systems and clinical support spaces must be adequately adapted. Technologically advanced hospitals with only single bedrooms can make nurses feel both present and absent in patient care. This understanding holds significance in practical terms, offering insights to guide future hospital design and nursing practices.

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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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