Instructive messages from Chinese nurses' stories of caring for SARS patients

Instructive messages from Chinese nurses' stories of caring for SARS patients
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DOI:
10.1111/j.1365-2702.2009.02857.x
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发表时间:
2009-10-01
影响因子:
4.2
通讯作者:
Liehr, Patricia
Liehr, Patricia
中科院分区:
医学2区
文献类型:
--
作者:
Liu, Huaping;Liehr, Patricia

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目的:通过研究护理严重急性呼吸综合征 (SARS) 患者的中国护士的故事,找出指导未来流行病中护理实践的指导性信息。背景:2002 年 11 月至 2004 年 5 月期间,中国大陆爆发了 3 次 SARS,对全球发病率和死亡率影响最大。大多数有关SARS的护理相关文献都是来自其他国家的报道。研究人员预计,像SARS一样的全球感染未来将持续存在并升级。重要的是要获得在中国照顾 SARS 患者的护士的指导,并发现指导性信息,这些信息在未来面对全球感染时可能有用。设计。对六名中国护士进行描述性探索性定性研究。方法。数据收集于 2003 年,即护士因照顾 SARS 患者而被隔离后的三个月内。传统的内容分析采用网络空间的数据分析方法,地理上遥远的研究人员通过电子邮件通信进行大部分分析。结果。中国护士在照顾SARS患者的同时面临个人挑战,专注于护理的本质,经历了自我成长。他们指出,结构化的支持、有意义的疾病相关信息以及对协作精神重要性的敏感度是他们开展护理实践的因素。结论。这些指导性信息来自中国,SARS 疫情对中国的健康造成了前所未有的影响。这些信息反映了中国的护理经验,并与其他国际护士的报告相结合,为增强准备充分的护理人员队伍的潜力和在未来流行病中提高患者护理质量提供了具体方向。与临床实践的相关性。准备一支知识渊博、受到照顾的护理人员队伍有望在下一次全球感染出现时带来最佳结果。
Aim.To identify instructive messages to guide nursing practice in future epidemics by examining the stories of Chinese nurses who cared for severe acute respiratory syndrome (SARS) patients.Background.Mainland China had three outbreaks of SARS between November 2002-May 2004 and suffered the greatest impact on morbidity and mortality worldwide. Most of the nursing-related literature about SARS has been reported from other countries. Researchers expect that global infections, like SARS, will persist and escalate in the future. It is important to access the guidance from nurses who cared for SARS patients in China and to uncover instructive messages which can be useful when facing global infections in the future.Design.Descriptive exploratory qualitative study of six Chinese nurses.Methods.Data were collected in 2003, within the three months following the nurses' quarantine necessitated by caring for SARS patients. Conventional content analysis was done using a cyberspace method of data analysis, where the geographically distant researchers conducted most phases of analysis through email communication.Results.Chinese nurses faced personal challenge, focused on the essence of care and experienced self-growth while caring for SARS patients. They cited structured support, meaningful disease-related information and sensitivity to the importance of a collaborative spirit as factors which enabled their caring nursing practice.Conclusions.These instructive messages come from China, where the SARS epidemic inflicted an unparalleled health impact. The messages give voice to the Chinese nursing experience and when synthesised with reports from other international nurses, they enable specific direction to enhance potential for a well-prepared nursing workforce and quality patient care in future epidemics.Relevance to clinical practice.The preparation of a knowledgeable, cared-for nursing workforce promises optimal outcomes with the emergence of the next global infection.