ICU护士轮班模式的质性研究  

Qualitative research in work shift pattern of ICU nurses

作　　者：朱艳萍[1] 任璐璐[2] 潘红[1] 何静[1] 俞云[1] 张丽[1] 桑薇薇[1] 陈妍[1] 张笑辰[3] 

机构地区：[1]东南大学附属中大医院ICU,南京210009 [2]南京中医药大学护理学院 [3]中国医科大学

出　　处：《中国实用护理杂志（中旬版）》2010年第12期11-13,共3页Chinese Journal of Practical Nursing

基　　金：南京市科协学术交流重点项目[宁科协（2010）30号]

摘　　要：目的 了解ICU护士对不同轮班模式的体验,探讨适合ICU护士的轮班模式.方法 选择5名有多种轮班模式经验的护士,采用质性研究中的现象学研究方法,以深入访谈的方式了解ICU护士对不同轮班模式的体验,并对资料进行阅读、分析、反思,最终提炼主题.结果 12 h轮班制,上班频率低,但疲劳感强烈.传统8 h轮班制,倒班频繁,不利于护息沟通.短期连续APN轮班制,病情管理连续,医护合作改善,生活短期稳定.结论 短期连续APN排班,可以使护士工作和休息的时间相对集中,缓解倒班对护士所致的压力,同时提高患者、家属、医生对护理工作的满意度,提高护士在ICU团队中的作用,保证护理质量,最终保障患者的安全,并受到ICU护士的好评.Objective To explore the psychological experience of ICU nurses who had worked follow different work patterns, and find the most appropriate staffing model. Methods A phenomenological approach of qualitative research was conducted in 5 ICU nurses by intensive interview,then the data collected were read, analyzed, reflected,finally the theme was got. Results In the work pattern of shifted every 12 hours, with low work frequency and strong feeling of fatigue. In the work pattern of shifted every 8 hours, with high work frequency and the disadvantage of nurse- patient relationship. In the short-time continuous APN work pattern, with continuous management of patients＇ condition, promotion of nurse-patient relationship, improvement of doctor-nurse relationship, comparatively stable biological clock. Conclusions The short-time continuous APN work pattern can concentrate nurses＇ work and rest time, relieve the press that caused by the shifted work, at the same time, promote the patients＇,patients＇ family and doctors＇ satisfaction degree with nursing work, increase nurses＇ effect in the ICU team, guarantee the quality of care, eventually ensure the patients＇ safety.

关 键 词：ICU 护士 质性研究 轮班模式 

分 类 号：R192.6[医药卫生—卫生事业管理]