[护士对未完成护理及其后果的感知:一项描述性定性研究]。

Igiene e sanita pubblica Pub Date : 2021-07-01
S Chiappinotto, A Coppe, A Palese
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引用次数: 0

摘要

未完成护理(Unfinished Nursing Care)是指有计划但未交付或延迟交付的护理,是近年来日益受到关注的一种现象,导致了几个概念框架,每个框架都定义了该现象的后果。然而,迄今为止确定的结果并没有随着时间的推移和从不同的角度重新评估,包括护士管理人员和主任。本研究的目的是描述临床护士、护士管理人员和主管在日常实践中所感知到的未完成护理的后果。2021年进行了一项基于访谈的描述性定性研究;通过内容分析对数据进行了分析,并根据报告定性研究的综合标准(COREQ)指南在这里进行了报告。未完成护理的后果分为三个层次:护士的结果(增加沮丧,焦虑,无助,加班),患者的结果(与护理实践相关的感染风险增加,卧床休息综合征;丧失独立性和生活质量,迷失方向;不明确的护理途径、对工作人员的攻击、依从性下降和住院时间延长的情况增加,以及影响与家庭照顾者关系的结果(关系困难、失望、投诉风险增加)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Unfinished Nursing Care and their consequences as perceived by nurses: a descriptive qualitative study].

Unfinished Nursing Care, which expresses the nursing care planned but not delivered or delivered late, is a phenomenon of growing interest in recent years resulting in several conceptual frameworks, each of which has defined what are the consequences of the phenomenon. However, outcomes established to date have not been re-assessed over time and from different perspectives, including also the nurse managers and directors. The aim of the study was to describe the consequences of Unfinished Nursing Care in daily practice as perceived by clinical nurses, nurse managers and directors. A descriptive qualitative study based on interviews was conducted in 2021; data has been analyzed through content analysis, and reported here in accordance with the Consolidated criteria for reporting qualitative research (COREQ) guidelines. The consequences of Unfinished Nursing Care have been set at three levels: outcomes for the nurse (increased frustration, anxiety, helplessness, work overtime), outcomes for the patient (increased risk of infections related to care practices, bed rest syndrome; loss of independence and quality of life, disorientation; increase episodes of in undefined care pathways, aggression towards staff, decrease in compliance and increased the length of in-hospital stay) and outcomes affecting the relationship with family caregivers (difficulties in the relationship, disappointment, increased risk of complaints).

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