护理专业学生的手术室经历：定性元综合。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing Pub Date : 2024-10-01 DOI:10.1016/j.jopan.2023.12.029

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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，使护生体验到职业失望。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。研究数据通过研究人员准备的半结构化访谈表收集，访谈时间约为 50 分钟。数据分析采用了范马宁的主题分析法。研究报告采用了定性研究报告标准（SRQR）清单：本研究旨在探讨对围术期遗漏护理（PMNC）的认识，共有 12 名学生参加，其中包括 5 名男生和 7 名女生。在临床实践中注意到围术期护理遗漏（PMNC）的护理专业学生对这一问题产生了内心冲突，对护理形象感到担忧，并经历了角色和职业身份的困惑。本研究的主题就是根据护生的这些经历形成的。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：本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，并由于这种意识经历了内部冲突、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 行为辩护，另一些学生则认为自己有能力改变 PMNC 行为。

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Nursing Students' Operating Room Experiences: A Qualitative Metasynthesis

Purpose

This study was conducted to analyze the findings of qualitative studies about nursing students’ experiences with operating room (OR) practices. There is a need to conduct metasynthesis studies to highlight the overarching dimensions of nursing students' experiences in the OR learning environment, identify and summarize key elements, draw attention to the professional implications of the experience, and then help define the future research agenda. This original study is the first metasynthesis of qualitative studies focusing on nursing students' OR practice experiences.

Design

A qualitative metasynthesis.

Methods

This metasynthesis study was based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement and registered with PROSPERO (International prospective register of systematic reviews) (CRD42021252129). This metasynthesis consists of qualitative studies that included themes, were conducted with nursing students with OR experience, and were published in English between December 2000 and June 2022. Data were analyzed using the two-step metasynthesis procedures proposed by Sandelowski and Barroso.

Findings

This metasynthesis study was carried out by analyzing 12 qualitative studies that met the inclusion criteria, reflected the results of a total of 244 nursing students, and were conducted in 7 different countries. As a result of the analysis of the studies, two main themes and seven subthemes were determined about the OR experiences of nursing students. The main themes of the study included (1) the OR environment and (2) professionalism and career choices.

Conclusions

The synthesis of studies in this research revealed nursing students' OR experiences and provided evidence about the association between these experiences and their professionalism and career goals. The research drew attention to the limitations and facilitators of the OR learning environment for nursing students and provided guidance for a positive interactive learning environment.

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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.