Ethnography of the critical care nursing administered in ICUs

ICU 重症监护护理的民族志

• 批准号: 22592441
• 负责人: OBATA MITSUKO
• 金额: $ 1.91万
• 依托单位: Kameda College of Health Sciences (2012-2013)Mie University (2010-2011)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2010
• 资助国家: 日本
• 起止时间: 2010-04-01 至 2013-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-22592441/
• 关键词: ICU; クリティカルケア; エスノグラフィー

Purpose: Using ethnography, studied the phenomena of nursing practice peculiar to critical care that cannot be explained by specialty alone. Method: Participatory observation of the culture of two general hospital ICU's and a semi-structured interviews of ICU teams including nurses. Results: Based on 160 days of fieldwork and 61 stories,finding included, the struggles of nurses to practice for excellence in spite of complex daily duties, ethical dilemmas experienced due to gaps of values between nurses and those of physicians, and difficulty with receiving continuing education and with retention of nurses. Discussions: The finding of this study suggests that the nursing's feeling of not being able to practice nursing to their satisfaction was probably because of the gaps between the level of care they desire and the reality due to strict demand for safety.

目的：使用民族志研究，研究了重症监护特殊的护理实践现象，而专业无法解释。方法：参与性观察ICU的两家综合医院的文化以及包括护士在内的ICU团队的半结构化访谈。结果：基于160天的野外工作和61个故事，包括调查结果，护士的斗争以卓越的日常工作，由于护士与医生之间的价值观而遇到的道德困境以及受到继续教育的困难以及保留护士的困难。讨论：这项研究的发现表明，护理无法练习护理以满足其满足感的感觉可能是因为由于严格的安全需求，他们想要的护理水平与现实之间的差距之间存在差距。