高年资二线值班护士参与夜间抢救体验的质性研究  

Experience of second-line on duty senior nurses participating in rescue on night shift： a qualitativeresearch

作　　者：周红娣[1] 袁媛[2] 盛芝仁[3] 金艳[1] 陈燕[1] 

机构地区：[1]宁波大学医学院附属医院护理部,宁波315020 [2]宁波大学医学院附属医院急诊科,宁波315020 [3]宁波大学医学院附属医院院办,宁波315020

出　　处：《中华现代护理杂志》2018年第3期284-287,共4页Chinese Journal of Modern Nursing

基　　金：2014年宁波市科技局社发项目（2014C50054）

摘　　要：目的深入了解高年资二线值班护士参与夜间抢救的工作体验及应对方法。方法采用现象学研究方法，对11名护士进行深度访谈，收集并分析访谈资料。结果高年资二线值班护士夜间抢救体验分3个阶段8个主题。抢救前：值班环境对睡眠影响较大；专科业务陌生，担心不能胜任相关急救工作；所肩负的责任给自己无形的压力。抢救中：能够快速适应新环境进入抢救状态；及时发现并制止潜在的护理安全隐患；对夜班护士及自身业务知识欠缺的感知。抢救后：从提供应急救助中获取职业自豪感；激发主动学习和求知的欲望。结论护理管理者应对高年资二线值班护士的工作体验予以重视，采取有效的干预措施，更好地发挥高年资护士的作用，同时提高夜班护士的工作能力，保证夜间护理工作质量与安全。Objective To explore the work experience and responding measures of the second-line on duty senior nurses in night shift rescue. Methods In-depth interviews were conducted in 11 nurses and the interview data were collected and analyzed by phenomenological research method. Results The work experience of the second-line on duty senior nurses in night shift rescue was divided into three stages and eight topics. Before rescue： the influence of working environment on sleep; concerns over the incompetence of the emergency work because of the unfamiliarity of the specialty; the invisible pressure from their responsibility. During the rescue： the ability of quick adjustment into new environment and rescue state; timely detection and suppression of potential security risks of nursing; the perception of lack of knowledge in night shift nurses and themselves. After the rescue： occupational pride gained from emergency rescue; and the desire for knowledge. Conclusions Nursing managers should pay attention to the work experience of the senior nurses who are on the duty of second-line and take effective interventions to better play the role of senior nurses, at the same time, improve the working ability of night duty nurses to ensure the quality and safety of night nursing work.

关 键 词：护士 高年资 二线值班 夜间抢救 质性研究 

分 类 号：R47[医药卫生—护理学]