The challenges of caring in a technological environment: critical care nurses' experiences
The challenges of caring in a technological environment: critical care nurses' experiences
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DOI：
10.1111/j.1365-2702.2007.02050.x
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发表时间：
2008-04-01
影响因子：
4.2
通讯作者：
McGrath, Mary
中科院分区：
文献类型：
--
作者：
McGrath, Mary
本文介绍和讨论了一项现象学研究的结果，该研究阐明了在技术环境中护理经验丰富的重症护理护士的生活经历。虽然护理实践与技术交织在一起，但这一领域的许多文献都是推测的。此外，还有一场关于“高科技”和“高触觉”是否以及如何协调的辩论；这种取向被称为乐观主义与悲观主义的辩论。在个人层面上，这项研究的动机来自作者在重症监护领域13年的经验。遵循伦理认可，来自爱尔兰两个心胸重症监护病房的10名经验丰富的护士参与了这项研究。研究采用了海德格尔现象学方法论。数据收集包括非结构化访谈。使用沃尔特斯描述的数据分析方法。研究结果提供了基于研究的证据，进一步阐明了关于护理技术的乐观/悲观的争论。虽然这项研究表明这场争论远未解决，但它揭示了一个新的发现：支持危重患者生命的救命技术可以让经验丰富的护士非常接近他们的患者/家人。这三个主题是：“异域环境”、“同心协力”和“共享旅程”。这三个主题通过一条共同的主线联系在一起。经验丰富的重症监护护士能够超越技术的突出性质，为他们的病人提供专家护理。然而，熟练掌握技术的过程要求很高，新手护士很难关心技术。建议更多地重视对危重护理领域缺乏经验的护士的支持、帮助和教育，并认真考虑在护理中使用技术。
This paper presents and discusses the findings from a phenomenological study which illuminated the lived experiences of experienced critical care nurses caring within a technological environment.While nursing practice is interwoven with technology, much of the literature in this area is speculative. Moreover, there is a debate as to whether and how 'high tech' and 'high touch' are reconcilable; this orientation is referred to as the optimism vs. pessimism debate. On a personal level, the motivation for this study came from the author's 13 years' experience in the critical care area.Following ethical approval, 10 experienced nurses from two cardiothoracic critical care units in Ireland participated in the study. A Heideggerian phenomenological methodology was used. Data collection consisted of unstructured interviews. A method of data analysis described by Walters was used.The findings provide research-based evidence to illuminate further the optimistic/pessimistic debate on technology in nursing. While the study demonstrates that the debate is far from resolved, it reveals a new finding: life-saving technology that supports the lives of critically ill patients can bring experienced nurses very close to their patients/families. The three main themes that emerged: 'alien environment', 'pulling together' and 'sharing the journey' were linked by a common thread of caring.Experienced critical care nurses are able to transcend the obtrusive nature of technology to deliver expert caring to their patients. However, the journey to proficiency in technology is very demanding and novice nurses have difficulty in caring with technology.It is recommended that more emphasis be placed on supporting, assisting and educating inexperienced nurses in the critical care area and that the use of technology in nursing be given serious consideration.