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An interpretive phenomenological investigation of pediatric burn intensive care nurses' practices that facilitate the healing of injured patients.

机译:对儿科烧伤重症监护护士促进受伤患者康复的做法的解释性现象学研究。

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摘要

This interpretive study examined the everyday lived experiences of 16 pediatric burn intensive care unit (BICU) nurses for the purpose of uncovering and articulating practices that help critically injured children to heal. The following questions guided the study: “What is the nature of clinical practices that pediatric BICU nurses engage in to facilitate the healing of injured children?” and “What are the common meanings of healing that can be articulated from the lived experiences of BICU nurses who care for injured children?”; This study posited that the nature of healing could be best understood from an inside-out perspective of nurses caring for critically burned children. Data was obtained from two sources. First, multiple semistructured interviews were conducted privately with each nurse to obtain narratives of clinical situations that represented the nurse's understanding of and practices that facilitated healing. Second, multiple observations of each pediatric BICU nurse engaged in clinical activities were carried out to gain insight into his/her practices. Interpretation of data involved three strategies: identification of paradigm cases, determination of exemplar cases, and thematic analysis.; Analysis of the data resulted in the identification of four themes: healing the child within; healing the child through caring for the family; participating in God's healing; and, unseen healing connections. While the themes and supporting practices are presented separately, they are interdependent and interrelated. The nurses' practices revealed the implicit wholeness of their being in the world: they sought ways to comfort others and self, establish meaningful relationships with self, others, and God, and help others and self experience higher levels of well-being. Implications for nursing education, practices, and research are discussed.
机译:这项解释性研究检查了16名小儿烧伤重症监护室(BICU)护士的日常生活,以发现和阐明有助于重伤儿童康复的做法。以下问题指导了这项研究:“小儿BICU护士为促进受伤儿童的康复而从事的临床实践的本质是什么?”和“从照顾受伤儿童的BICU护士的生活经验中可以看出治愈的一般含义是什么?”;这项研究认为,从护士照料严重烧伤儿童的内而外的角度可以最好地理解康复的本质。数据来自两个来源。首先,与每位护士私下进行多次半结构式访谈,以获取有关临床情况的叙述,以代表护士对康复的理解和实践。其次,对每位从事临床活动的儿科BICU护士进行了多次观察,以了解其行为。数据的解释涉及三种策略:范式案例的确定,示例案例的确定以及主题分析。对数据的分析导致确定了四个主题:使孩子内在康复;通过照顾家庭使孩子康复;参与上帝的医治;还有看不见的治愈联系。虽然主题和支持实践是分别介绍的,但它们是相互依存和相互关联的。护士的做法揭示了他们在世界上的内在隐性:他们寻求各种方式来安慰他人和自我,与自我,他人和上帝建立有意义的关系,并帮助他人和自我体验更高水平的幸福感。讨论了对护理教育,实践和研究的意义。

著录项

  • 作者

    Zengerle-Levy, Karla Jane.;

  • 作者单位

    The University of Texas Graduate School of Biomedical Sciences at Galveston.;

  • 授予单位 The University of Texas Graduate School of Biomedical Sciences at Galveston.;
  • 学科 Health Sciences Nursing.
  • 学位 Ph.D.
  • 年度 2003
  • 页码 318 p.
  • 总页数 318
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 预防医学、卫生学;
  • 关键词

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