主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2019, Vol. 19 ›› Issue (3): 340-344.doi: 10.3969/j.issn.1672-1756.2019.03.005

• 论 著 • 上一篇    下一篇

涉及死亡患者医疗纠纷护士压力体验的研究

张青云 孙丹丹 魏瑞瑞 胡同秀 薛靖 王文青 薛利龙   

  1. 济宁医学院附属医院心内一科,272000 山东省济宁市
  • 出版日期:2019-03-15 发布日期:2019-03-15
  • 通讯作者: 孙丹丹,硕士,护士,E-mail:sunmonica502@126.com
  • 作者简介:张青云,本科,副主任护师,护士长

A qualitative study of nurses' stress experience in medical disputes involving dead patients

ZHANG Qingyun, SUN Dandan, WEI Ruirui, HU Tongxiu, XUE Jing, WANG Wenqing, XUE Lilong   

  1. Affiliated Hospital of Jining Medical University, Jining, Shandong province, 272000, China
  • Online:2019-03-15 Published:2019-03-15
  • Contact: SUN Dandan,E-mail:sunmonica502@126.com

摘要: 目的:通过现象学还原,分析涉及死亡患者医疗纠纷护士真实的压力体验,明确其压力来源、内心的压力体验过程以及处理方式。方法:采用目的抽样法,选取8名护士进行半结构式访谈,应用现象学研究的Giorgi分析方法进行资料分析。结果:提炼出4个主题,主题1:涉及死亡患者医疗纠纷护士的主要压力来源,其包含的次主题为家属的不理解、医院的责备、同事的不尊重;主题2:涉及死亡患者医疗纠纷护士的压力表现形式,次主题为倒霉与委屈、恐惧与不知所措、对护理职业的看法迥异;主题3:涉及死亡患者医疗纠纷护士压力的处理方式为倾诉但避开家人;主题4:涉及死亡患者医疗纠纷护士给医院及管理者的建议,次主题为莫让当事人去直接面对患者家属、医院应为当事护士提供调整情绪的时间、受到心理创伤的护士需要得到医院的心理支持与温暖。结论:建议医院职能部门及护理管理者在面临类似事件时,应尽量隔离当事人与患者家属,为护士提供时间、心理等方面的支持与理解;护理人员需要做好自身调整,增加职业认同感。

关键词: 死亡患者;医疗纠纷;护士压力;心理体验

Abstract: Objective: To explore the pressure source, the inner experience process and coping styles of the nurses experienced medical disputes involving dead patients through phenomenological research. Methods: Objective sampling method was performed. Eight nurses were selected for semi-structured interview. The data were analyzed by Giorgi analysis method of phenomenological study. Results: Four themes were extracted. Theme 1: the main source of pressure for nurses involved in medical disputes of patients with death. The sub-themes included family incomprehension, hospital blame and colleagues' disrespect. Theme 2: the forms of stress of nurses involved in the dispute of patients with death. The sub-themes are misfortune and grievance, fear and confusion, and different views on nursing careers. Theme 3: dealing with the pressure of nurses in the dispute of patients with death. Theme 4: nurses' suggestions to hospitals and managers. Nurses should not be allowed to directly face patients' family members. The hospitals should provide the nurses with psychological support, and time for emotional adjustment. Conclusion: The administration department of the hospital and the nursing managers should provide psychological and emotional supports to the nurses involving in medical disputes. Nursing staff should adjust themselves and increase professional identity as well.

Key words: dead patients; medical disputes; stress of nurses; psychological experiences

中图分类号: 

  • R47