Ethnography of the critical care nursing administered in ICUs

ICU 重症监护护理的民族志

• 批准号: 22592441
• 负责人: OBATA MITSUKO
• 金额: $ 1.91万
• 依托单位: Kameda College of Health Sciences (2012-2013)Mie University (2010-2011)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2010
• 资助国家: 日本
• 起止时间: 2010-04-01 至 2013-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-22592441/
• 关键词: ICU; クリティカルケア; エスノグラフィー

Purpose: Using ethnography, studied the phenomena of nursing practice peculiar to critical care that cannot be explained by specialty alone. Method: Participatory observation of the culture of two general hospital ICU's and a semi-structured interviews of ICU teams including nurses. Results: Based on 160 days of fieldwork and 61 stories,finding included, the struggles of nurses to practice for excellence in spite of complex daily duties, ethical dilemmas experienced due to gaps of values between nurses and those of physicians, and difficulty with receiving continuing education and with retention of nurses. Discussions: The finding of this study suggests that the nursing's feeling of not being able to practice nursing to their satisfaction was probably because of the gaps between the level of care they desire and the reality due to strict demand for safety.

目的：运用民族志学，研究不能用专业来解释的重症护理实践中的特殊现象。方法：对两家综合性医院ICU文化进行前瞻性观察，并对ICU团队包括护士进行半结构式访谈。结果如下：基于160天的实地工作和61个故事，调查结果包括，尽管日常职责复杂，但护士仍努力追求卓越，由于护士和医生之间的价值观差距而经历的道德困境，以及接受继续教育的困难和保留护士。讨论内容：本研究的结果表明，护理的感觉，不能实践护理，他们的满意度可能是因为他们的愿望和现实之间的差距，由于严格的安全要求的护理水平。