首页|ICU护士照护多重耐药菌感染患者真实体验的质性研究

ICU护士照护多重耐药菌感染患者真实体验的质性研究

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目的 深入了解ICU护士照护多重耐药菌感染患者的真实体验,为临床优化护理策略、完善多重耐药菌感染控制方案提供实证支持.方法 采用现象学研究方法,通过目的抽样法于2023年10-11月选取广西壮族自治区南宁市、柳州市、桂林市、百色市的16名ICU护士进行半结构式深度访谈,运用Colaizzi七步分析法对访谈内容进行分析、归纳并提炼主题.结果 共提炼出4个主题及14个亚主题:复杂的情感体验(自信感与危机感、责任感与愧疚感、同情感与无力感、恐惧感与担忧感、疲惫感与耗竭感、自我价值与职业认同的挑战);存在多方面需求(排班与人力资源管理、学习与培训、沟通与合作、环境与设备);对专业认知的持续深化(职业使命感得到强化、体会到感控工作重在细节);对自我成长的不断反思(保持慎独精神、心理的自我调适).结论 ICU护士在照护多重耐药菌感染患者时,存在着复杂的多维度情感体验和多方面需求,管理者应当采取针对性措施,提高护士的心理资本,满足其专业需求,推动其专业成长和自我提升,提高护理服务质量水平.
Qualitative study on real experience of ICU nurses caring for patients developing in-fections with multi-drug resistant organisms(MDRO)
Objective To deeply understand and explore the real experience of ICU nurses caring for patients developing infections with multi-drug resistant organisms(MDRO)and to provide empirical support for clinical optimization of nursing strategy and im-provement of MDRO infection control program.Methods Sixteen ICU nurses from Nanning,Liuzhou,Guilin and Baise in Guangxi Zhuang Autonomous Region were selected by purposive sampling method from October to November 2023 for semi-structured in-depth interviews.Colaizzi 7-step analysis method was used to analyze,summarize and refine the themes of interview content.Re-sults A total of 4 themes and 14 sub-themes were extracted:complex emotional experience(confidence and crisis,responsibility and guilt,emotion and powerlessness,fear and worry,fatigue and exhaustion,self-worth and professional identity challenges);multi-ple needs(scheduling and human resources management,learning and training,communication and cooperation,environment and equipment);continuous deepening of professional cognition(the sense of professional mission is strengthened,and the sense of sensory control work is focused on details);continuous reflection on self-growth(maintaining self-adjustment of the spirit of pru-dence and psychology).Conclusion ICU nurses have complex multi-dimensional experience and multi-faceted needs when caring for patients with MDRO infection.Managers should take targeted measures to improve nurses'psychological capital,meet their pro-fessional needs,promote their professional growth and self-improvement,and then continuously improve the level of nursing services.

intensive care unitinfections with multi-drug resistant organismsnursenosocomial infection managementqualitative researchreal experiencenursinginfection control

韦姿、黄玲、招春园、常龙

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广西医科大学附属肿瘤医院护理部(广西南宁,530021)

重症监护病房 多重耐药菌感染 护士 医院感染管理 质性研究 真实体验 护理 感染控制

广西壮族自治区肿瘤防治研究所资助项目

Z-A20230754

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(20)