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Provision of emergency nursing services - an attempt to use action research methods -

提供紧急护理服务——行动研究方法的尝试——

基本信息

批准号：
15390675
负责人：
SAKAGUCHI Momoko
金额：
$ 3.71万
依托单位：
Shiga University of Medical Science (2004-2005)Yamaguchi University (2003)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2005
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-15390675/
关键词：
emergency nursing nursing service system competency action research

项目摘要

The present study aimed to acquire basic data for constructing an emergency nursing service system allows the development of pioneering nursing activities. An emergency nursing service system in 1 medical facility was examined using action research methods with the cooperation of individuals actually involved in nursing for conducting interventions on various problems and situations in emergency nursing. Results of a preliminary survey and process analysis of small-group activities revealed various characteristics of emergency nursing and competencies required for the nurses involved.Nursing care for emergency patients comprised ""dentifying and solving causes of threats" and "supporting reactions to threats". These were considered to represent the main concepts of nursing care for emergency patients. Nurses utilized a peculiar nursing service style to provide nursing care efficiently and effectively in a short period of time. For nursing service style, 4 patterns were observed : "role sharing and collaboration type" ; "simultaneous progression type" ; "encountering type" ; and "support upon detection type". Furthermore, nursing care for emergency patients was provided by cooperation among nurses, so a function of mutual complementation was achieved in nursing care.Various competencies were required for nurses involved in emergency care. Competency clusters were classified into : "achievement-driven group" ; "cooperative human relationship group" ; "leadership group" ; and "self-educating group". Among these, "cooperative human relationship group" was identified as the key competency for nurses involved in emergency nursing, and this was found to comprise competency dictionaries including "empathy", "sincerity", "communication ability", "relationship-building ability" and "conflict management ability". Verification of the competency model is needed in future.

本研究旨在为急诊护理服务体系的构建提供基础数据，为开展护理创新活动提供依据。采用行动研究方法，对1所医疗机构的急诊护理服务系统进行了研究，并与实际参与护理的个人合作，对急诊护理中的各种问题和情况进行干预。初步调查和小组活动过程分析的结果显示，急诊护理的各种特点和所需的护士参与能力。急诊病人的护理包括“识别和解决威胁的原因”和“支持的威胁反应”。这些被认为代表了急诊病人护理的主要概念。护士运用独特的护理服务方式，在短时间内高效地提供护理服务。在护理服务型态方面，有四种型态：“角色分享与合作型”、“同步进行型”、“相遇型”、“发现后支援型”。急诊护理是护士之间的合作，在急诊护理中起到了互补的作用，对急诊护理护士的素质要求也是多种多样的。能力群被分为：“成就驱动群”、“合作人际群”、“领导群”和“自我教育群”。其中，“合作人际关系群体”被确定为参与急诊护理的护士的关键能力，并发现这包括能力词典包括“同情心”，“真诚”，“沟通能力”，“关系建立能力”和“冲突管理能力”。今后需要对能力模型进行验证。