伊朗肿瘤护士在公共卫生危机期间错过护理的生活经历:原因和情感后果。

IF 2.3 4区 医学 Q1 NURSING
Mahsa Pourshaban , Hadi Hasankhani , Atefeh Allahbakhshian , Sarieh Poortaghi
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引用次数: 0

摘要

2019冠状病毒病大流行给全球卫生保健系统带来了前所未有的挑战,特别是对伊朗的肿瘤科护士来说,她们面临着与错过护理相关的重大问题。这些挑战引起了人们对他们的职业角色和情感健康的严重关注。本研究旨在调查伊朗肿瘤科护士的生活经历,强调在大流行期间错过护理的情感后果和导致这种现象的潜在因素。方法:本研究采用以海德格尔的解释学现象学为基础的定性方法。这项研究涉及德黑兰和大不里士五家公立医院不同部门的12名肿瘤科护士。数据收集时间跨度为2023年2月至2024年12月,利用深入的半结构化访谈获得丰富的定性见解。访谈一直进行到数据饱和,以确保对参与者经历的全面理解。数据的同步分析遵循Diekelmann et al.(1989)建立的方法框架。结果:通过对访谈的详细现象学分析,出现了四个主要主题,伴随着16个次要主题:“存在疲劳”,“困难情绪”,“护士假设”和“角色矛盾”。前两个主题阐明了护士作为错过护理所带来的挑战的直接结果所经历的情绪困扰。相反,后一个主题揭示了在大流行面临独特挑战的情况下,导致这些错过护理的因素。结论:肿瘤护士在努力满足其护理角色的要求时,经常与强烈的情感挑战作斗争。这种情绪紧张会阻碍他们与患者充分沟通的能力,导致错过护理机会,从而形成一个有害的循环,影响护士的福祉和患者的结果。这一情景突出了情绪健康与护理实践质量之间的深刻联系。此外,对某些干预措施的偏见和徒劳感使他们的经历复杂化,特别是在危机期间,而他们角色的二元性引入了相互冲突的期望。这种相互作用强调了护理固有的复杂性,特别是在苛刻的情况下。对护理实践的启示:这些发现强调了对肿瘤护士进行全面的情绪健康支持和定期的情绪评估以增强其复原力的迫切必要性。创造一个支持性和养育性的工作环境,加上有针对性的培训,以解决常见的护士假设和明确角色期望,是至关重要的。这些措施对于提高护士保留率和确保高质量的病人护理至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lived Experiences of Iranian Oncology Nurses on Missed Nursing Care During a Public Health Crisis: Causes and Emotional Consequences

Objectives

The COVID-19 pandemic posed unprecedented challenges for health care systems worldwide, particularly for oncology nurses in Iran, who grappled with significant issues related to missed nursing care. These challenges have raised critical concerns regarding their professional roles and emotional health. This study aims to investigate the lived experiences of Iranian oncology nurses, emphasizing the emotional ramifications of missed nursing care and the underlying factors that contributed to this phenomenon during the pandemic.

Methods

This research adopted a qualitative approach grounded in Heidegger’s hermeneutic phenomenology. The study involved 12 oncology nurses employed in various departments across five public hospitals in Tehran and Tabriz. Data collection spans from February 2023 to December 2024, utilizing in-depth, semi-structured interviews to garner rich, qualitative insights. Interviews were conducted until data saturation was reached, ensuring a comprehensive understanding of the participants’ experiences. The simultaneous analysis of the data follows the methodological framework established by Diekelmann et al. (1989).

Results

Through a detailed phenomenological analysis of the interviews, four primary themes emerged, accompanied by sixteen subthemes: “Existential Fatigue,” “Difficult Emotions,” “Nurse Assumptions,” and “Role Ambivalence.” The first two themes illuminate the emotional distress experienced by nurses as a direct outcome of the challenges posed by missed nursing care. Conversely, the latter themes shed light on the factors contributing to these instances of missed care amid the pandemic’s unique challenges.

Conclusion

Oncology nurses often grapple with intense emotional challenges as they strive to meet the demanding nature of their caregiving roles. This emotional strain can hinder their ability to fully connect with patients, leading to missed nursing opportunities that create a harmful cycle affecting both the well-being of the nurses and the outcomes for patients. This scenario highlights the deep link between emotional health and the quality of nursing practice. Additionally, biases and a sense of futility regarding certain interventions complicate their experiences, especially during crises, while the duality of their roles introduces conflicting expectations. This interplay underscores the complexities inherent in nursing, particularly in demanding situations.

Implications for Nursing Practice

These findings underscore the urgent necessity for comprehensive emotional health support and regular emotional assessments for oncology nurses to enhance their resilience. Creating a supportive and nurturing work environment, coupled with targeted training to address common nurse assumptions and clarify role expectations, is essential. Such measures are vital to improving nurse retention rates and ensuring high-quality patient care.
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来源期刊
Seminars in Oncology Nursing
Seminars in Oncology Nursing Nursing-Oncology (nursing)
CiteScore
3.40
自引率
0.00%
发文量
68
审稿时长
45 days
期刊介绍: Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.
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