探讨护士在心理健康环境中的护理存在感。

IF 1.5 4区 医学 Q3 NURSING
Joy Scharfman
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引用次数: 0

摘要

背景:护理在场是护理中一个核心的关系现象。这是一个专注于与他人相处和联系的过程,是提供优质、全面、以人为本的护理所必需的。作为一种干预措施,存在已被纳入新修订的护理范围和标准。关于护士在精神卫生机构实践的经验缺乏研究,他们利用在场来提供独特的关系护理。目的:本研究的目的是了解护士在心理健康环境中提供护理和参与在场的生活经验。方法:采用海德格尔和伽达默尔提出的解释学现象学原则来指导这一研究。采用半结构化访谈指南对12名从事心理健康工作的护士进行Zoom访谈,访谈时间从45分钟到1小时不等。使用Smith等人概述的解释性现象学分析(IPA)过程对数据进行了分析。结果:确定了四个主题:促进愈合的有力干预、建立桥梁、超越障碍和保护井。结论:护理存在是必不可少的,以提高整体卫生保健的质量,积极影响患者和护士。这些发现可能会影响护理领导、教育工作者和管理者将护理存在纳入护理课程,制定尊重存在的政策,并改变卫生保健环境的文化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring Nurses' Perceptions of Nursing Presence in the Mental Health Setting.

Background: Nursing presence is a core relational phenomenon in nursing. It is the process of devoting attention to being with and connecting with another, requisite to providing quality, holistic, person-centered care. Presence has been incorporated in the newly revised scope and standards of nursing, as an intervention. There is a paucity of research on the experience of nurses practicing in mental health settings who employ presence to provide unique, relational care.

Aims: The aim of this research is to understand the lived experience of nurses providing nursing care and engaging with presence in the mental health setting.

Methods: The tenets of hermeneutic phenomenology proposed by Heidegger and Gadamer were used to guide this inquiry. Twelve nurses practicing mental health were interviewed on Zoom using a semistructured interview guide and the interview time ranged from 45 min to 1 hr. Data were analyzed using the interpretative phenomenological analysis (IPA) process outlined by Smith et al.

Results: Four themes are identified: A powerful intervention which fuels healing, Building the bridge, Transcending barriers, and Preserving the well.

Conclusions: Nursing presence is implicated as essential to improving the quality of holistic health care, positively impacting patients and nurses. These findings may influence nursing leaders, educators, and administrators to incorporate nursing presence in nursing curricula, develop policies respecting presence, and alter the culture of the health care environment.

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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
65
期刊介绍: The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).
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