Newly trained operating room nurses' experiences of nursing care in the operating room
Newly trained operating room nurses' experiences of nursing care in the operating room
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DOI：
10.1111/scs.12817
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发表时间：
2020-01-15
影响因子：
1.9
通讯作者：
Lindahl, Elisabeth
中科院分区：
文献类型：
--
作者：
Eriksson, Johan;Lindgren, Britt-Marie;Lindahl, Elisabeth
对手术室护士护理经验的研究较少。手术室护士的责任是确保术前、术中、术后的良好护理。在日益科技化的卫生保健环境中，总是存在将焦点从护理转向技术和医学的风险。将过去的经验整合到手术室护士的角色中，对那些最近担任普通护士的人来说是一个挑战。本研究旨在探讨新培训的手术室护士在手术室的护理经验。对10名具有最多3年手术室工作经验的手术室护士进行半结构化访谈。对访谈进行定性内容分析。调查结果揭示了手术室护士寻找新角色的三个主题。他们经历了理论与实践的脱节，感到孤独和渺小，必须找到自己的位置。手术室护士在缺乏时间照顾病人和自身康复的情况下，经历了对安全护理的威胁，并且缺乏反馈以改善护理。他们通过建立一对一的联系，保护病人的健康和为病人的最佳利益而在团队中工作来确保病人的安全，参与者也专注于手头的任务，而不是把病人当作一个人。在手术室组织工作的新方法和运作良好的团队是成功整合病房护士到手术室护士经验的关键，并提供支持，使他们在新的职业中感到更显眼、更自在和更安全。
There is limited research on nurses' experiences of nursing care in the operating room. The operating room nurses' responsibility is to ensure good nursing care before, during and after surgery. In an increasingly technological health care environment, there is always a risk of turning the focus away from nursing care towards technology and medicine. Integration of past experiences into the role as an operating room nurse becomes a challenge for those who recently worked as general nurses. The present study aimed to explore newly trained operating room nurses' experiences of nursing care in an operating room. Semi-structured interviews were performed with ten operating room nurses with a maximum three years' work experience from an operating room. The interviews were subjected to qualitative content analysis. The findings revealed three themes describing operating room nurses' searching for their new role. They experienced a gap between theory and practice, felt alone and insignificant and had to find their own place. The operating room nurses' experienced threats to safe nursing when they lacked time for the patients as well as for their own recovery, and they lacked feedback in order to improve care. They ensured security for patients by establishing one-to-one contact, protecting patients' well-being and working in teams for the patients' best interest, participants also focused on the task at hand instead of the patient as a person. New ways of organising work in operating units, and well-functioning teams can be a key to a successful integration of experiences from ward nurse to an operating room nurse, and provide support so that they feel more visible, at ease and safe in their new profession.