护理专业学生对围术期护理遗漏的感知：诠释现象学。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing Pub Date : 2024-10-01 DOI:10.1016/j.jopan.2023.12.013

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引用次数: 0

摘要

目的：护理遗漏是外科护理过程中可能经常遇到的一种情况，一般与患者的教育和情感需求有关。感知和目睹护理遗漏会影响护理形象、期望和体验，使护生产生职业失望感。本研究旨在根据 "角色理论 "和 Benner 的 "从新手到专家 "理论，探讨护生对围术期护理遗漏（PMNC）的感知：研究采用了基于海德格尔解释学现象学方法的定性设计：研究数据采用研究人员准备的半结构化访谈表，通过约 50 分钟的面对面访谈收集。数据分析采用 van Manen 主题分析法。研究报告采用了定性研究报告标准清单：本研究旨在探讨对 PMNC 的认识，共有 12 名学生参加，包括 5 名男生和 7 名女生。据了解，护理专业学生在临床实践中注意到了 PMNC，在这个问题上经历了内部冲突，对护理形象感到担忧，并经历了角色和职业身份的困惑。根据护生的这些经历形成了本研究的主题。研究中出现了三个主题和 11 个次主题。研究主题为：（1）感知到的PMNC应用--行为模式；（2）PMNC的内部反思--其对专业身份发展的影响；（3）对围手术期护理专业性的感知：这项研究提供了重要数据，说明土耳其护理专业学生在外科临床实践中对 PMNC 的认识，以及这种认识对专业角色和专业认同过程的影响。学生们意识到了 PMNC 的行为模式，并且由于这种意识，他们经历了内部冲突、对护理形象的焦虑、角色混乱和职业身份混乱。一些学生为护士的 PMNC 行为辩解，另一些学生认为自己有能力改变 PMNC 行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Nursing Students' Perception of Missed Perioperative Nursing Care: Hermeneutic Phenomenology

Purpose

Missed nursing care is a condition that is likely to be encountered frequently in the surgical care process and is generally related to the educational and emotional needs of the patients. Perception of and witnessing missed care can affect nursing images, expectations, and experiences by causing nursing students to experience professional disappointment. The purpose of the study was to explore nursing students' perception of perioperative missed nursing care (PMNC) according to "role theory" and Benner's "novice to expert" theories.

Design

The study used a qualitative design based on Heidegger's hermeneutical phenomenological approach.

Methods

Study data were collected using a semistructured interview form prepared by the researchers through face-to-face interviews lasting approximately 50 minutes. The analysis of the data was conducted using van Manen's thematic analysis. The Standards for Reporting Qualitative Research checklist was used in reporting the study.

Findings

This study, which was conducted to explore awareness of PMNC, consisted of 12 students, including five males and seven females. It was understood that nursing students noticed PMNC in clinical practice, experienced internal conflict about the issue, were concerned about the image of nursing, and experienced role and professional identity confusion. The themes of the study were formed in light of these experiences of nursing students. Three themes and 11 subthemes emerged in the study. The themes of the study were (1) perceived PMNC application-behavior patterns, (2) internal reflections of PMNC—its impact on professional identity development, and (3) perceptions of professionalism in perioperative nursing.

Conclusions

This study provided important data about the awareness of PMNC in the surgical clinical practice of nursing students in Turkey and the effects of this awareness on the professional roles and professional identity process. Students were aware of the behavioral patterns of PMNC and that they experienced internal conflict, anxiety about the nursing image, role confusion, and professional identity confusion due to this awareness. Some students justified the PMNC behaviors of the nurses and others saw themselves as the power to change the PMNC behaviors.

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来源期刊

Journal of Perianesthesia Nursing NURSING-

CiteScore

2.20

自引率

17.60%

发文量

279

审稿时长

90 days

期刊介绍： The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.