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 0.7 Q4 NURSING Nursing Practice Today Pub Date : 2022-11-19 DOI:10.18502/npt.v9i4.11203
S. Khoshkesht, M. Zakerimoghadam, M. Esmaeili, Mehrzad Rahmanian, S. Ghiyasvandian
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引用次数: 0

摘要

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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Exploring nurses' experience of transitional care in the open-heart surgery intensive care unit and its requirements: A qualitative content analysis study
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.
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来源期刊
Nursing Practice Today
Nursing Practice Today Nursing-Nursing (all)
CiteScore
1.80
自引率
0.00%
发文量
20
审稿时长
12 weeks
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