Interactions between nurses during handovers in elderly care.
Interactions between nurses during handovers in elderly care.
复制标题
老年护理交接期间护士之间的互动。
DOI：
10.1046/j.1365-2648.2000.01474.x
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发表时间：
2000
影响因子：
3.8
通讯作者：
P. Coleman
中科院分区：
文献类型：
--
作者：
S. Payne;M. Hardey;P. Coleman
本文探讨了护理互动在交接背景下的作用，并试图识别急症老年护理病房的注册护士、实习护士和护理助理所使用的临床话语，以确定它们对患者护理服务的影响。研究设计采用人种学方法收集数据，其中包括：观察正式的护理结束报告（23 次交接）和护士之间的非正式互动（146 小时）；与注册护士、实习护士和护理助理的访谈（n = 34）；以及书面护理记录的分析。进行了扎根理论分析。数据收集自英格兰南部一家地区综合医院的五个急症老年护理病房。这项实证研究的结果表明，交接是公式化的、部分的、神秘的、快速的、使用缩写和行话、需要社会化知识来解释、优先考虑生物医学账户并强调护理的物理方面。患者的复苏状况对于所有级别的护士来说都非常重要。与病人护理相比，做“文书工作”的地位和优先级较低，而且被认为过于耗时。尽管如此，护理文件中仍有重复的证据。此外，临床护理的提供似乎是由个人记录而不是正式记录指导的。
This paper explores the role of nursing interaction within the context of handovers and seeks to identify the clinical discourses used by registered nurses, student nurses and care assistants in acute elderly care wards, to determine their influence on the delivery of patient care. The study design involved an ethnographic approach to data collection which involved: observations of formal nursing end of shift reports (23 handovers) and informal interactions between nurses (146 hours); interviews (n = 34) with registered nurses, student nurses and care assistants; and analysis of written nursing records. A grounded theory analysis was undertaken. Data were collected from five acute elderly care wards at a district general hospital in the south of England. Results from this empirical study indicate that handovers were formulaic, partial, cryptic, given at high speed, used abbreviations and jargon, required socialized knowledge to interpret, prioritized biomedical accounts and emphasized physical aspects of care. Patients' resuscitation status was highly salient to all grades of nurse. Doing 'paperwork' was accorded less status and priority than patient care, and was regarded as excessively time consuming. Despite this, there was evidence of repetition in nursing documents. Moreover, the delivery of clinical nursing appeared to be guided by personal records rather than formal records.