ICU护士对以患者—家庭为中心照护模式认知与体验的质性研究  

Qualitative study on ICU nurses’ perception and experience of patient-family centered care model

作　　者：周纪云 房晓杰[1] 魏玉莲[1] 宋晴[2] 高素芳[3] ZHOU Jiyun;FANG Xiaojie;WEI Yulian;SONG Qing;GAO Sufang

机构地区：[1]淄博市中心医院护理部,山东省255000 [2]淄博市中心医院心血管内科,山东省255000 [3]淄博市中心医院重症医学科,山东省255000

出　　处：《中华急危重症护理杂志》2023年第12期1130-1134,共5页Chinese Journal of Emergency and Critical Care Nursing

基　　金：济宁医学院2022年度实践教学教育研究计划项目(JYSJ2022B39,JYSJ2022B10)

摘　　要：目的 了解ICU护士对以患者-家庭为中心照护模式的认知及其真实工作体验状况,为优化ICU照护模式、更好地满足患者及家属需求提供参考。方法 采用目的抽样法,选取山东省淄博市某三级甲等医院的15名ICU护士进行半结构式深入访谈,采用Colaizzi 7步分析法对访谈资料进行分析。结果 提炼出3个主题:ICU护士对实施以患者-家庭为中心照护模式的态度(赞同;怀疑或反对);以患者-家庭为中心照护模式下ICU护士的工作体验(减轻了一定的工作压力;有利于构建良好的护患关系;造成护士安全意识淡薄;对ICU护士提出了更高要求);现实困境(专业培训欠缺;相关标准与制度流程不完善;多学科合作不足)。结论 ICU护士对以患者-家庭为中心照护模式的实施态度因人而异,表现出多重工作体验,仍需要在临床实践中不断完善改进。建议ICU护士转变保守的照护理念,并加强专业培训,同时加快以患者-家庭为中心照护模式的专业规范和标准出台,促进跨学科合作,重视并推进以患者-家庭为中心照护模式的发展。Objective To investigate the cognition and real work experience of ICU nurses on patient-family centered care mode,and to provide reference for optimizing ICU care mode and better meeting the needs of patients and their families.Methods With the method of objective sampling,15 ICU nurses from a tertiary class A hospital in Zibo City,Shandong Province were selected for semi-structured in-depth interviews.Colaizzi 7-step analysis was used to analyze the interview data.Results Three themes were identified:ICU nurses’attitudes towards the implementation of patient and family centered care(approval;skeptical or negative);work experience of clinical nurses in ICU under patient and family centered care model(reduced work pressure;conducive to the construction of a good nurse-patient relationship;caused weak safety consciousness among nurses;higher requirements for ICU nurses);practical difficulties(lack of professional training;incomplete standards and system processes;insufficient multidisciplinary cooperation).Conclusion The attitude of ICU nurses towards the implementation of the patient-family-centered care model varies from person to person and shows multiple work experiences,which still needs to be improved continuously in clinical practice.It is suggested that ICU nurses should change the conservative concept of care and strengthen professional training.At the same time,more professional norms and standards should be issued for patient-family centered care model,and interdisciplinary cooperation should be promoted to pay attention to and promote the development of patient-family centered care model.

关 键 词：重症监护病房 护士 以患者-家庭为中心照护模式 真实体验 质性研究 

分 类 号：R473[医药卫生—护理学]