PICU护士谵妄管理行为意向及影响因素的质性研究
Qualitative study on behavioral intention and influencing factors of PICU nurses'management of delirium
宁佩 1陈幸子 2詹鹏程 2王林娟 2肖志田 1李素芳1
作者信息
- 1. 深圳市儿童医院护理部(广东深圳,518026)
- 2. 深圳市儿童医院重症医学科(广东深圳,518026)
- 折叠
摘要
目的 以计划行为理论为框架,深入了解PICU护士谵妄管理行为意向及影响因素,为提高PICU谵妄管理质量提供参考.方法 采用目的抽样法对6所三级甲等医院的16名PICU护士进行半结构式访谈,根据Colaizzi七步分析法对访谈资料进行分析,提取主题.结果 共获得3个主题及8个亚主题,包括行为态度(正性态度,负性态度)、主观规范(自我感知压力增加,团队的影响)及知觉行为控制(谵妄认知及应对技能不足,缺乏相关制度与流程,工作负荷过重,缺乏谵妄管理能力培训).结论 PICU护士对谵妄管理总体持积极态度,但影响因素较多.应提高护理人员对谵妄的认知,加强相关培训力度,建立多学科团队合作机制,以提高PICU谵妄管理质量.
Abstract
Objective To explore the behavior intention and influencing factors of delirium management in PICU nurses based on the theory of planned behavior,so as to provide references for improving the quality of delirium management in PICU.Methods Applying qualitative research methods,16 PICU nursing staff from 6 grade Ⅲ-A hospitals in China were selected for semi-struc-tured interview.Data were analyzed and themes were extracted by Colaizzi's 7-step analysis method.Results A total of 3 themes and 8 sub-themes were identified,including behavioral attitudes(positive attitudes,negative attitudes),subjective norms(increased self-perceived stress,team influence)and perceived behavioral control(insufficient delirium cognition and coping skills,lack of relevant systems and processes,excessive workload,and lack of delirium management ability training).Conclusion PICU nurses have a positive attitude towards delirium management in general,but there are many influencing factors.It is necessary to improve the cognition of nursing staff on delirium,strengthen relevant training,and establish a multidisciplinary team cooperation mecha-nism to improve the oualitv of delirium management in PICU.
关键词
儿童重症监护室/护士/谵妄/计划行为理论/影响因素/行为意向/儿科护理/质性研究Key words
pediatric intensive care unit/nurse/delirium/theory of planned behavior/influencing factors/behavioral inten-tion/pediatric nursing/qualitative study引用本文复制引用
基金项目
广东省高水平医院财政资金支持项目(ynkt2021-zz49)
深圳市科技计划基础研究面上项目(JCYJ20190809175609470)
出版年
2024
NETL
NSTL
万方数据