CAJ | 학술논문

目的了解ICU护士对不同轮班模式的体验,探讨适合ICU护士的轮班模式.方法选择5名有多种轮班模式经验的护士,采用质性研究中的现象学研究方法,以深入访谈的方式了解ICU护士对不同轮班模式的体验,并对资料进行阅读、分析、反思,最终提炼主题.结果 12 h轮班制,上班频率低,但疲劳感强烈.传统8 h轮班制,倒班频繁,不利于护息沟通.短期连续APN轮班制,病情管理连续,医护合作改善,生活短期稳定.结论短期连续APN排班,可以使护士工作和休息的时间相对集中,缓解倒班对护士所致的压力,同时提高患者、家属、医生对护理工作的满意度,提高护士在ICU团队中的作用,保证护理质量,最终保障患者的安全,并受到ICU护士的好评.
목적 료해ICU호사대불동륜반모식적체험,탐토괄합ICU호사적륜반모식.방법 선택5명유다충륜반모식경험적호사,채용질성연구중적현상학연구방법,이심입방담적방식료해ICU호사대불동륜반모식적체험,병대자료진행열독、분석、반사,최종제련주제.결과 12 h륜반제,상반빈솔저,단피로감강렬.전통8 h륜반제,도반빈번,불리우호식구통.단기련속APN륜반제,병정관리련속,의호합작개선,생활단기은정.결론 단기련속APN배반,가이사호사공작화휴식적시간상대집중,완해도반대호사소치적압력,동시제고환자、가속、의생대호리공작적만의도,제고호사재ICU단대중적작용,보증호리질량,최종보장환자적안전,병수도ICU호사적호평.
Objective To explore the psychological experience of ICU nurses who had worked follow different work patterns, and find the most appropriate staffing model. Methods A phenomenological approach of qualitative research was conducted in 5 ICU nurses by intensive interview,then the data collected were read, analyzed, reflected,finally the theme was got. Results In the work pattern of shifted every 12 hours, with low work frequency and strong feeling of fatigue. In the work pattern of shifted every 8 hours, with high work frequency and the disadvantage of nurse- patient relationship. In the short-time continuous APN work pattern, with continuous management of patients' condition, promotion of nurse-patient relationship, improvement of doctor-nurse relationship, comparatively stable biological clock. Conclusions The short-time continuous APN work pattern can concentrate nurses' work and rest time, relieve the press that caused by the shifted work, at the same time, promote the patients',patients' family and doctors' satisfaction degree with nursing work, increase nurses' effect in the ICU team, guarantee the quality of care, eventually ensure the patients' safety.