Qualitative research on the identification and nursing experience of vascular crisis of microsurgery nurses in nursing patients with flap vascular crisis
Objective To gain insight into the real-life experiences of microsurgical nurses in identifying vascular crises in patients undergoing flap graft surgery versus caring for patients who have developed vascular crises,so as to improve nurses'ability of specialized nursing for patients undergoing skin flap transplantation.Methods A phenome-nological research method was used to select 15 microsurgical nurses from a tertiary hospital in Hunan Province for semi-structured in-depth interviews using purposive sampling from January to May 2022,and the Colaizzi 7-step a-nalysis method was used to analyze the interview data and refine the themes.Results Microsurgical nurses'experi-ences of vascular crisis recognition and care for patients undergoing flap grafting can be summarized into 4 themes and 15 sub-themes:Multiple emotional experiences(feelings of nervousness,helplessness,self-blame,professional identity,and sense of achievement),core competencies(responsibility and observation,theoretical knowledge and practical skills,use of tools and creative thinking,rapport and communication),resistance to recognition and care(increased work difficulty,insufficient internal support system,lack of understanding),seeking organisational sup-port(receiving relevant education and training,improving the existing flap vascular crisis handling process and re-cording tools,developing flap situation handover specifications,and enhancing technical support for the early identi-fication of flap vascular crises).Conclusion In the process of identifying and caring for patients with flap vascular cri-sis,it is necessary to pay attention to the psychological health of microsurgical nurses,strengthen the nurses'ability to provide specialised care for patients with flap vascular crisis,intensify the collaboration between doctors and nur-ses as well as the participation of patients,and develop the technique of monitoring the flap's blood circulation and continue to improve the quality of the technique in order to optimise the management of flap transplantation during the perioperative period.
microsurgeryflap transplantationvascular crisisqualitative research
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