#护理SCI文献解读# 新护士处理儿科死亡的经验、挑战和应对策略:一项定性研究
小班长的观点是:质性研究在某种程度上更会让我们了解事情或现状的本质。(虽然客观的数据比较重要,但是定性的资料我们也是不可以忽略的。定性研究在某个意义上代表了事情或现象最初的样子)
今天继续给大家分享一篇定性研究的SCI文献:Chew Y J M, Ang S L L, Shorey S. Experiences of new nurses dealing with death in a paediatric setting: A descriptive qualitative study[J]. Journal of Advanced Nursing, 2021,77(1):343-354.
新护士处理儿科死亡的经验、挑战和应对策略:一项定性研究
研究背景
①新护士是指入职3年内的注册护士。从护生到新护士的过渡会经历一系列的压力,这与新护士工作内容有关,亦与角色转变和适应有关系。
②临床上,死亡是不可避免的。对于儿科来说,死亡事件会造成新护士压力的发生和情绪耗竭。照护濒死患儿通常被描述为一种痛苦和压力经历。这可能由于在新护士提供照护的过程中,与患者家属及患者建立了一种融洽的亲密关系,因此,患者的死亡容易使得新护士与患者家属产生共同悲痛。
③研究指出,新护士在过渡期间获得经验会对他们的职业产生长久的影响,因此,定期述职和反思有助于新护士发现工作中的意义,并尽快恢复。此外,同事间支持是新护士社会支持重要的来源。
④目前,尚未有研究探讨新护士在处理儿科死亡的经验等。本研究目的是探讨新护士在处理儿科死亡时的经验、应对方式和策略等,这些结果会为后续建立新护士支持系统提供证据支持。
随附·摘要
Abstract 摘要
Aims To explore and describe the experiences, challenges and coping strategies of new nurses dealing with paediatric death in a clinical setting.
研究目的:探讨和描述新护士在临床环境中处理儿科死亡的经验、挑战和应对策略
Design: A descriptive qualitative study design was used.
研究设计:定性研究
Methods Semi-structured interviews were conducted to explore the experiences of 12 new paediatric nurses from a tertiary public hospital in Singapore. Data were collected from September 2019-December 2019. A thematic analysis was performed for data analysis.
研究方法:选取2019年9月-2019年12月新加坡一家三级公立医院的12名新儿科护士为研究对象,采用半结构化访谈。对数据分析进行了主题分析。
Results Four themes were generated: (a) a spectrum of emotions; (b) the ‘blame’ game; (c) getting through the grief; and (d) new nurses' wish list. The new nurses tended to be emotionally affected by their first death experience. They felt anxious and personally responsible for the death but eventually controlled their emotions. Colleagues, religion and self-actualization were key in overcoming grief.
研究结果:共提炼4个主题:①一系列情绪;②自责与愧疚、质疑;③应对与支持;④期望
新护士往往受到他们第一次处理死亡经历时情感的影响,开始他们会产生焦虑等复杂情绪,并质疑其提供的医疗服务等,但最终他们反思和总结了经验,最终控制了情绪等问题;在这过程中,同事、文化及自我实现是客服情绪的关键。
Conclusion The experiences nurses go through at the early stages of their profession shape future workplace attitudes. Additional training and support should be provided to new nurses to build their confidence in managing end-of-life care. Training should include cultural awareness and communication skills to equip nurses with the necessary skills.
研究结论:新护士在职业的早期阶段所经历的经验塑造了未来的工作态度。应向新护士提供额外的培训和支持,以建立他们对管理临终护理的信心。培训应包括文化意识和沟通技巧等必要技能。
Impact This research will have an impact on institutions, which develop culturally congruent training and support platforms that prepare new nurses for nursing practice. This research will drive future investigations on the long-term effects of paediatric death on new nurses.
研究意义:本研究将对机构产生影响,比如构建培训和支持平台,以期为新护士的护理实践做好准备。这项研究将推动未来对儿科死亡对新护士的长期影响的研究。
KEYWORDS 关键词
death, experiences, novice nurse, nurses, paediatric
死亡,经验,新护士,儿科
希望能给老师们一点启发和提示!