Experiences and Countermeasures of a Perinatal Ward Nursing Manager Dealing with Family Members’ Problematic Behaviors
Experiences and Countermeasures of a Perinatal Ward Nursing Manager Dealing with Family Members’ Problematic Behaviors
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DOI：
10.4236/ojn.2021.1111079
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Rie Wakimizu;Yumiko Saito;M. Saito
中科院分区：
文献类型：
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作者：
Rie Wakimizu;Yumiko Saito;M. Saito
背景：当家庭成员和/或患者的行为有问题时，这会阻碍提供安全可靠的医疗服务。在围产期，家庭的关系和功能发生了重大变化，每个家庭成员都容易受到压力。因此，家属与医护人员之间很容易产生矛盾。目的：因此，我们进行了这项研究，以揭示以下现象：1）家庭成员的问题行为; 2）围产期病房护士管理者（以下简称为管理者）和病房护士的关注; 3）管理者，与病房护士，根据管理者的经验，管理者的对策。方法：我们对经理进行了80分钟的半结构化访谈，然后分析了她的叙述内容。结果如下：结果发现：1）家属的问题行为包括辱骂、傲慢、不合理和自私行为以及暴力行为; 2）管理者和病房护士对家属问题行为的恐惧和担忧;对逐渐融入家庭成员的反应;以及在患者出院后拒绝与家属保持联系。此外，我们还考察了3）管理者与病房护士共同采取的对策：对家属的问题行为采取坚决一致的应对措施;对表现出问题行为的家属采取尝试性的强制措施;在努力避免与家属发生冲突的同时进行参与;对问题行为的发生进行预期的准备;与医疗团队的合作;与医院组织的合作;与医院外社会资源的合作;以及患者保护。结论：由于意识到与医疗团队合作对待有问题行为的家庭成员，医务人员试图统一他们的反应，并相互分享他们的艰难感受。
Background: When family members and/or patients behave in a problematic way, this hinders the provision of safe and secure medical care. During the perinatal period, a family’s relationships and functions change significantly, and each family member is prone to experiencing stress. As such, conflict arises easily between family members and medical staff. Aims: Therefore, we conducted this study to shed light on the following phenomena: 1) family members’ problematic behaviors; 2) the concerns of a perinatal ward nurse manager (hereafter referred to as the manager) and ward nurses; and 3) countermeasures carried out by the manager, together with the ward nurses, based on the manager’s experiences. Methods: We conducted an 80-minute, semi-structured interview with the manager, following which we analyzed the content of her narrated accounts. Results: According to the findings, 1) family members’ problematic actions include verbal abuse; arrogance, unreason-ableness, and selfish behaviors; and violent conduct; 2) the manager’s and ward nurses’ fears and worries about family members’ problematic behaviors; responses to gradually becoming involved with family members; and resistance to staying involved with family members following patient discharge. In addition, we examined 3) countermeasures carried out by the manager together with the ward nurses: resolute and consistent responses to family members’ problematic behaviors; attempted enforcement measures taken to deal with family members who exhibit problematic behaviors; engagement while trying to avoid conflict with family members; preparation that anticipates the occurrence of problematic conduct; cooperation with the medical team; cooperation with the hospital organization; cooperation with social resources outside the hospital; and patient protection. Conclusions: With awareness of cooperation with the medical team toward family members who engage in problematic actions, the medical staff members try to unify their response and share their feelings of hardship with each other.