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儿科护士参与用药安全管理困境与应对体验的质性研究

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目的 了解儿科护士参与用药安全管理的困境及应对体验,为提高用药安全管理质量提供参考。方法 该研究为描述性现象学研究。采用目的抽样法,于2024年1月-2月选取南京市某三级甲等医院的21名儿科护士作为研究对象,进行半结构式访谈,采用Colaizzi 7步分析法对访谈资料进行提取编码、聚类筛选、解释验证。结果 儿科护士参与用药安全管理的困境,包括知识与技能、环境与资源、理解与配合3个主题和7个亚主题。儿科护士参与用药安全管理困境的应对体验,包括责任与情感、沟通与协作、制度与监管3个主题和4个亚主题。结论 儿科护士在参与用药安全管理过程中会遭遇多方面的困境,并采取多种应对措施。建议护理管理者加强教育培训、质量管理,不断提升护士的安全责任意识及共情能力,鼓励患儿家长参与用药安全管理,同时积极改善儿科环境、不断强化组织支持、促进沟通协作,以保障用药安全。
A qualitative study on the dilemma and coping experience of pediatric nurses'participation in medication safety management
Objective To understand the dilemma and coping experience of pediatric nurses participating in medication safety management,so as to provide a reference for improving the quality of medication safety management.Methods This study was a descriptive phenomenological study.The puiposive sampling method was used to conduct semi-structured interviews with 21 pediatric nurses from in a tertiary A hospital in Nanjing from January to February 2024.The interview data were extracted,coded,cluster screened,interpreted and verified by the Colaizzi seven-step analysis method.Results In terms of the dilemmas of pediatric nurses involved in medication safety management,there were 3 themes,including knowledge and skills,environment and resources,understanding and cooperation,and 7 sub-themes.In terms of coping experience of pediatric nurses involved in medication safety management dilemma,there were 3 themes,including responsibility and emotion,communication and collaboration,system and supervision,and 4 sub-themes.Conclusion Pediatric nurses will encounter various difficulties and actively adopt various coping strategies when participating in medication safety management.It is recommended that nursing managers strengthen education and training,quality management,continuously improve nurses'safety responsibility awareness and empathy ability,encourage parents of children to participate in medication safety management,and actively improve the pediatric working environment,continuously strengthen organizational support,and promote communication and collaboration to ensure medication safety.

NursesMedication SafetyDilemmaCoping ExperienceQualitative StudyPediatric Nursing

刘皓昕、黄丽丽、王雨璇、陈玉林、崔晓花、周满、傅菁、田莹莹

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210004 南京市 南京医科大学附属妇产医院(南京市妇幼保健院)麻醉科

210004 南京市 南京医科大学附属妇产医院(南京市妇幼保健院)健康体检中心

210004 南京市 南京医科大学附属妇产医院(南京市妇幼保健院)小儿外科

210004 南京市 南京医科大学附属妇产医院(南京市妇幼保健院)急诊医学科

210004 南京市 南京医科大学附属妇产医院(南京市妇幼保健院)药学部

210004 南京市 南京医科大学附属妇产医院(南京市妇幼保健院)综合诊疗部

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护士 用药安全 困境 应对体验 质性研究 儿科护理学

2024

中华护理杂志
中华护理学会

中华护理杂志

CSTPCD北大核心
影响因子:5.365
ISSN:0254-1769
年,卷(期):2024.59(24)