ISSN 2097-6054(网络) ISSN 1672-9234(印刷) CN 11-5289/R
主管:中国科学技术协会 主办:中华护理学会
出版:中华护理杂志社
收录:中国科学引文数据库(CSCD)来源期刊
   中国期刊全文数据库
   中国核心期刊(遴选)数据库
   Scopus
临床实践

病人参与护理床旁交接班真实体验及期待的质性研究

  • 朱梦琦 ,
  • 楼艳 ,
  • 练正梅 ,
  • 吕雅飞
展开
  • 312300 浙江省绍兴市 上虞中医医院(朱梦琦);323000 浙江省丽水市 丽水学院医学与健康学院(楼艳,练正梅);丽水市人民医院(吕雅飞)
朱梦琦:女,本科,护士,E-mail: 834756174@qq.com

收稿日期: 2020-07-14

  网络出版日期: 2021-06-24

Patients’ experience of participating in nursing bedside handover and their expectations:a qualitative study

  • Meng-qi ZHU ,
  • Yan LOU ,
  • Zheng-mei LIAN ,
  • Ya-fei Lü
Expand

Received date: 2020-07-14

  Online published: 2021-06-24

摘要

目的 深入了解病人参与护理床旁交接班的真实体验及其对参与护理床旁交接班的期待。方法 采用目的抽样法,选取某院甲乳外科、胃肠外科、内科综合病区的16例住院病人进行半结构访谈,访谈内容主要围绕病人参与床旁交接班的真实体验及对参与床旁交接班的期待,应用内容分析法进行资料分析。结果 得出3个主题:积极体验(有利于获取自身疾病信息、有利于增进与护士的关系、有利于获得安全的照护)、消极体验(难以融入“护理床旁交接班”、担心隐私和敏感信息的暴露)、病人对护理床旁交接班的期待(希望护士持有积极热情的职业态度、使用通俗易懂的语言、了解病人的偏好)。 结论 病人参与床旁交接班存在消极和积极的体验,需重视病人的消极体验,采取针对性的措施,制订个体化的护理床旁交接班方案。

本文引用格式

朱梦琦 , 楼艳 , 练正梅 , 吕雅飞 . 病人参与护理床旁交接班真实体验及期待的质性研究[J]. 中华护理教育, 2021 , 18(6) : 551 -555 . DOI: 10.3761/j.issn.1672-9234.2021.06.015

Abstract

Objective To understand patients’ real experience of participating in nursing bedside handover and their expectations of participating in nursing bedside handover. Methods A purposive sampling methods was used to recruit 16 patients from thyroid and breast surgery department,gastrointestinal surgery department,and general internal medicine department. The semi-structured interview regarding their experience of participating in nursing bedside handover and their expectations of participating in nursing bedside handover was conducted. Content analysis was used to analyze the data. Results Three themes emerged:positive experiences(it is conducive to obtain information about one’s own diseases,is conducive to improving the relationship with nurses,and is conducive to obtaining safe care);negative experience(it is difficult to integrate into the“nursing bedside handover” and worry about the exposure of privacy and sensitive information);patient’s expectation of bedside handover(hope nurses have a positive and enthusiastic professional attitude, use easy-to-understand language, and understand patients’ preferences). Conclusion Patients have negative and positive experience of participating in bedside shift handover. It is necessary to pay attention to patients’ negative experience,and develop an individualized nursing bedside handover plan.

参考文献

[1] 郭娟, 马玉霞, 李琳杰, 等. SBAR标准化沟通模式在护理交接班中应用效果的Meta分析[J]. 护理管理杂志, 2018,18(12):865-869.
[1] Guo J, Ma YX, Li LJ, et al. Effects of SBAR standardized com-munication model on nursing handover:a Meta-analysis[J]. J Nurs Adm, 2018,18(12):865-869.
[2] Tobiano G, Marshall A, Bucknall T, et al. Patient participation in nursing care on medical wards:an integrative review[J]. Int J Nurs Stud, 2015,52(6):1107-1120.
[3] Graneheim UH, Lundman B. Qualitative content analysis in nurs-ing research:concepts,procedures and measures to achieve trustworthiness[J]. Nurse Educ Today, 2004,24(2):105-112.
[4] Bruton J, Norton C, Smyth N, et al. Nurse handover:patient and staff experiences[J]. Br J Nurs, 2016,25(7):386-390, 392-393.
[5] Shalini, Castelino F, Latha T . Effectiveness of protocol on situation,background,assessment,recommendation(SBAR) technique of communication among nurses during patients’ handoff in a tertiary care hospital[J]. Inter J Nurs Educ, 2015,7(1):123-127.
[6] 蔡香莲, 史欢, 李艳伟, 等. I-PASS I-care交接班模式在NICU护士床旁交接班中的应用效果[J]. 当代护士(中旬刊), 2020,27(5):162-165.
[6] Cai XL, Shi H, Li YW, et al. The application effect of I-PASS I-care shift mode in NICU nurses’ bedside shift[J]. Today Nurse, 2020,27(5):162-165.
[7] 张薛晴, 翁艳翎, 宋玉磊, 等. 我国护理人力资源结构配置研究进展[J]. 中国医院管理, 2020,40(8):88-90.
[7] Zhang XQ, Weng YL, Song YL, et al. Research progress on the structure allocation of nursing human resources in China[J]. Chin Hosp Manag, 2020,40(8):88-90.
[8] Kullberg A, Sharp L, Dahl O, et al. Nurse perceptions of person-centered handovers in the oncological inpatient setting:a qualitative study[J]. Int J Nurs Stud, 2018,86:44-51.
[9] Tobiano G, Bucknall T, Sladdin I, et al. Patient participation in nursing bedside handover:a systematic mixed-methods review[J]. Int J Nurs Stud, 2018,77:243-258.
[10] Drach-Zahavy A, Shilman O. Patients’ participation during a nursing handover:the role of handover characteristics and patients’ personal traits[J]. J Adv Nurs, 2015,71(1):136-147.
[11] Wiklund I, Sahar Z, Papadopolou M, et al. Parental experience of bedside handover during childbirth:a qualitative interview study[J]. Sex Reprod Healthc, 2020,24:100496.
文章导航

/