Caring in the Nursing Practice of Mid-Career Generalist Nurses at an Acute Regional Support Hospital
Caring in the Nursing Practice of Mid-Career Generalist Nurses at an Acute Regional Support Hospital
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急症区域支持医院职业中期全科护士护理实践中的护理
DOI：
10.14391/ajhs.22.33
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Naoko Inanobe
中科院分区：
文献类型：
--
作者：
Michiko Kenjo;Naoko Inanobe
目的和目的：本研究旨在阐明在日本的护理实践中护理的现状，由职业生涯中期的全科护士在急性区域支持医院实施社区综合护理系统。背景：随着日本医疗保健功能专业化的推进，急性区域支援医院的平均住院时间正在减少。了解职业生涯中期的全科护士对病人的护理现状（考虑和关注），促进短期住院病人出院或转院的护理实践是很重要的，因为这将有助于确定对日本护理的影响。设计：定性描述性研究方法：我们对6名在日本急症护理医院工作的职业中期全科护士进行了半结构化访谈。对患者的关怀（考虑和关心）的叙述逐字记录，并使用定性归纳方法进行定性分析。结果：我们确定了日本急症医院职业中期全科护士的五类护理（考虑和关注）：尊重患者个体和保护他们的安全，准确观察症状，发挥患者的优势，发挥家庭的优势，以及对急症医院护士角色的良好理解。结论：假设对患者的尊重和对患者安全的保护是急症医院职业中期全科护士的基础，我们发现，在对急症医院的作用有很好的理解的情况下，职业中期全科护士被委托进行家庭干预和出院后的护理。我们还发现，在护理过程中，对每个终末期患者的关注是难以分享的。关怀（考虑和关心）是护理的核心，它是通过情境和关系产生的。在医院转院或从短期住院过渡到家庭护理的情况下，与当地负责人共享信息是一个问题，护理实践中的护理连续性应从患者和护士满意度的角度进行审查。
Aim and Objectives: This study aimed to elucidate the current state of caring in nursing practice in Japan by mid-career generalist nurses following the implementation of a community-based integrated care system at an acute regional support hospital. Background: With the promotion of functional specialization of medical care throughout Japan, the mean length of hospital stay at acute regional support hospitals is decreasing. Understanding the current state of caring (consideration and concern) for patients by mid-career generalist nurses who promote nursing practice to discharge or transfer patients in short-term hospitalizations is important as it will help determine the impact on caring in Japan. Design: Qualitative descriptive study Methods: We conducted semi-structured interviews with six mid-career generalist nurses working at acute care hospitals in Japan. Narratives about caring (consideration and concern) for patients were recorded verbatim and were qualitatively analyzed using a qualitative inductive approach. Results: We determined five categories of caring (consideration and concern) by mid-career generalist nurses in Japanese acute care hospitals: respect for individual patients and protection of their safety, accurate observation of symptoms, working on the strengths of the patient, working on the strengths of the family, and having a good understanding of the role of an acute care hospital nurse. Conclusions: Assuming that respect for patients and the protection of their safety are the basis for mid-career generalist nurses at acute care hospitals, we found that with a good understanding of the role of acute care hospitals, mid-career generalist nurses have been entrusted with intervention for families and nursing care after discharge. We also found that concern for each terminal phase patient arises during the course of care, which is difficult to share. Caring (consideration and concern), which is the core of nursing care, arises through situations and relationships. In the event of hospital transfers or transitions to home care from short-term hospital stays, sharing information with the local individual in charge is an issue, and the continuity of caring in nursing practice should be examined from the perspective of the patients’ and nurses’ satisfaction.
使用本纳护理理论开发糖尿病患者的具体护理
DOI：
10.5630/jans.36.247
发表时间：
2016
期刊：
Journal of Japan Academy of Nursing Science
影响因子：
--
作者：
野並葉子;伊波早苗;米田昭子;馬場敦子;添田百合子;曽根 晶子;魚里明子;鈴木智津子;小江奈美子;上野聡子;河田照絵
通讯作者：
河田照絵