急诊护士直面患者死亡的创伤后成长体验
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摘要
目的了解急诊护士直面患者死亡创伤后成长的心路历程。方法采用现象学研究法,选取6名面对患者死亡致创伤后应激障碍的急诊护士,对其进行半结构式深入访谈,以诠释现象学分析法分析资料,提炼主题。结果提炼出5个主题:加强个人业务能力,创伤事件体验后的自我调适,对于生命的哲学思考,积极应对自己的心理障碍,对于创伤后成长的感知。结论急诊护士能正视创伤后应激障碍,有意识地进行自我调适,从而提高急诊护士的心理健康水平和护理工作质量。
Objective To study the mental course of post-traumatic growth for emergency nurses facing patients' death.Method Choose 6 emergency nurses with post-traumatic stress disorder after facing patients' death by phenomenological method.Make semi-structured in-depth interview on nurses,analyze the information by hermeneutic phenomenological method and epurate the themes.Result 5 themes of enhancing personal professional ability,post-traumatic selfadjustment,philosophical thinking on life,facing the psychological obstacle actively and perception on post-traumatic growth are epurated.Conclusion Emergency nurses can envisage post-traumatic stress disorder,adjust themselves and improve their mental health level and nursing quality.
Objective To study the mental course of post-traumatic growth for emergency nurses facing patients' death.Method Choose 6 emergency nurses with post-traumatic stress disorder after facing patients' death by phenomenological method.Make semi-structured in-depth interview on nurses,analyze the information by hermeneutic phenomenological method and epurate the themes.Result 5 themes of enhancing personal professional ability,post-traumatic selfadjustment,philosophical thinking on life,facing the psychological obstacle actively and perception on post-traumatic growth are epurated.Conclusion Emergency nurses can envisage post-traumatic stress disorder,adjust themselves and improve their mental health level and nursing quality.
引文
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[3]Han KA,Yoo EK.Experience of the nurses in emergency room to the truamatic accident and posttraumatic stress[J].Advanced Science and Technology Letters,2016,128(49):247-250.
[4]解海霞,王艳波.脊髓损伤后患者成长历程的质性研究[J].中国康复理论与实践,2015,21(12):1451-1456.
[5]Tang KH,Santos LMD.A brief discussion and application of interpretative phenomenological analysis in the field of health science and public health[J].International Journal of Learning and Development,2017,7(3):123.
[6]Adriaenssens J,Gucht VD,Maes S.The impact of traumatic events on emergency room nurses:Findings from a questionnaire survey[J].International Journal of Nursing Studies,2012,49(11):1411-1422.
[7]Drewitz-Chesney C.Posttraumatic stress disorder among paramedics:exploring a new solution with occupational health nurses using the Ottawa Charter as a framework[J].Workplace Health Saf,2012,60(6):257-263.
[8]Duhoux A,Menear M,Charron M,et al.Interventions to promote or improve the mental health of primary care nurses:a systematic review[J].Journal of Nursing Management,2017,25(8):597-607.
[9]Pich JV,Kable A,Hazelton M.Antecedents and precipitants of patient-related violence in the emergency department:Results from the Australian VENT Study(Violence in Emergency Nursing and Triage)[J].Australas Emerg Nurs J,2017,20(3):107-113.
[10]Yuwanich N,Sandmarka H,Akhavan S.Emergency department nurses'experiences of occupational stress:A qualitative study from a public hospital in Bangkok,Thailand[J].Work,2015,53(4):885-897.
[11]朱小莉,王红萍,邹敏.急诊护士创伤后应激障碍干预措施的研究进展[J].护理研究,2016,30(9):1040-1043.
[2]周守志,林征,金学勤,等.急诊科护士创伤后应激障碍与职业韧性及社会支持的相关性[J].护理学杂志,2016,31(22):48-51.
[3]Han KA,Yoo EK.Experience of the nurses in emergency room to the truamatic accident and posttraumatic stress[J].Advanced Science and Technology Letters,2016,128(49):247-250.
[4]解海霞,王艳波.脊髓损伤后患者成长历程的质性研究[J].中国康复理论与实践,2015,21(12):1451-1456.
[5]Tang KH,Santos LMD.A brief discussion and application of interpretative phenomenological analysis in the field of health science and public health[J].International Journal of Learning and Development,2017,7(3):123.
[6]Adriaenssens J,Gucht VD,Maes S.The impact of traumatic events on emergency room nurses:Findings from a questionnaire survey[J].International Journal of Nursing Studies,2012,49(11):1411-1422.
[7]Drewitz-Chesney C.Posttraumatic stress disorder among paramedics:exploring a new solution with occupational health nurses using the Ottawa Charter as a framework[J].Workplace Health Saf,2012,60(6):257-263.
[8]Duhoux A,Menear M,Charron M,et al.Interventions to promote or improve the mental health of primary care nurses:a systematic review[J].Journal of Nursing Management,2017,25(8):597-607.
[9]Pich JV,Kable A,Hazelton M.Antecedents and precipitants of patient-related violence in the emergency department:Results from the Australian VENT Study(Violence in Emergency Nursing and Triage)[J].Australas Emerg Nurs J,2017,20(3):107-113.
[10]Yuwanich N,Sandmarka H,Akhavan S.Emergency department nurses'experiences of occupational stress:A qualitative study from a public hospital in Bangkok,Thailand[J].Work,2015,53(4):885-897.
[11]朱小莉,王红萍,邹敏.急诊护士创伤后应激障碍干预措施的研究进展[J].护理研究,2016,30(9):1040-1043.