护理人员对创伤性损伤患者护理缺失的认知及原因分析

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-05-14 DOI:10.1016/j.ienj.2025.101616

Andrea Lundin , Maria Unbeck , Ann- Christine Andersson , Anders Enocson , Lena M. Berg

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引用次数: 0

摘要

创伤每年造成近600万人死亡，是劳动年龄人口死亡的主要原因。系统的、多学科的、以团队为基础的初始护理至关重要。创伤护理解决复杂的生理和心理需求，提高患者的治疗效果和预防并发症。然而，急症护理环境面临着挑战，例如工作量大和病人与护士的比例高。目的探讨护理人员对创伤性损伤患者护理缺失原因的认知。方法采用四组半结构化访谈法，对某一级创伤护理中心22名护理创伤患者的注册护士和助理护士进行访谈。数据分析采用专题分析和归纳方法。结果复杂的组织挑战阻碍了护理的一致性。患者特征和团队组成等因素需要将医疗干预置于护理之上，从而导致护士在无法及时提供护理时产生不足感。结论创伤病房的基本护理往往被忽视，往往让位于医疗干预。这种趋势源于患者特征、团队组成和组织环境的复杂动态。

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Nursing staff’s perceptions of and reasons for missed nursing care in patients with traumatic injuries

Introduction

Trauma causes nearly six million deaths annually and is the leading cause of death in the working-age population. Systematic, multidisciplinary, team-based initial care is vital. Trauma nursing addresses complex physical and psychological needs, enhancing patient outcomes and preventing complications. However, acute care settings have challenges, such as heavy workloads and high patient-to-nurse ratios.

Aim

This study aimed to explore nursing staff́s perceptions of reasons for missed nursing care for patients with traumatic injuries.

Methods

Four semi-structured group interviews were conducted with 22 registered and assistant nurses caring for trauma patients in a level one trauma center. The data were analyzed using thematic analysis and an inductive approach.

Results

The main findings revealed that complex organizational challenges hinder consistent nursing care. Factors such as patient characteristics and team composition necessitate prioritizing medical interventions over nursing care, leading to feelings of inadequacy among nurses when they are unable to provide timely care.

Conclusion

Our findings indicate that essential nursing care is frequently overlooked in the trauma ward, often taking a backseat to medical interventions. This trend arises from the intricate dynamics of patient characteristics, team composition, and the organizational environment.

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.