Nurse anesthetists’perceptions and experiences of managing emergence delirium:A qualitative study  

作　　者：Yi Xin Fu-Cai Lin Chen Huang Bin He Ya-Ling Yan Shuo Wang Guang-Ming Zhang Rui Li 

机构地区：[1]Wuxi Medical College,Jiangnan University,Wuxi 214122,Jiangsu Province,China [2]Department of Anesthesiology,Tongren Hospital Shanghai Jiao Tong University School of Medicine,Shanghai 200335,China [3]Department of Nursing,Tongren Hospital Shanghai Jiao Tong University School of Medicine,Shanghai 200335,China

出　　处：《World Journal of Psychiatry》2024年第4期553-562,共10页世界精神病学杂志

摘　　要：BACKGROUND This study employs a descriptive phenomenological approach to investigate the challenges anesthesia nurses face in managing emergence delirium(ED),a common and complex postoperative complication in the post-anesthesia care unit.The role of nurses in managing ED is critical,yet research on their understanding and management strategies for ED is lacking.AIM To investigate anesthetic nurses’cognition and management experiences of ED in hopes of developing a standardized management protocol.METHODS This study employed a descriptive phenomenological approach from qualitative research methodologies.Purposeful sampling was utilized to select 12 anesthetic nurses from a tertiary hospital in Shanghai as research subjects.Semi-structured interviews were conducted,and the data were organized and analyzed using Colaizzi’s seven-step analysis method,from which the final themes were extracted.RESULTS After analyzing the interview content,four main themes and eight subthemes were distilled:Inefficient cognition hinders the identification of ED(conceptual ambiguity,empirical identification),managing diversity and challenges(patientcentered safe care,low level of medical-nursing collaboration),work responsibilities and pressure coexist(heavy work responsibilities,occupational risks and stress),demand for high-quality management(expecting the construction of predictive assessment tools and prevention strategies,and pursuing standardized management processes to enhance management effectiveness).CONCLUSION Nursing managers should prioritize the needs and suggestions of nurses in order to enhance their nursing capabilities and provide guidance for standardized management processes.

关 键 词：Anesthetic nurse Emergence delirium Postoperative complications COGNITION Disease management Qualitative research 

分 类 号：R749[医药卫生—神经病学与精神病学]