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Nurse anesthetists’perceptions and experiences of managing emergence delirium:A qualitative study

作     者:Yi Xin Fu-Cai Lin Chen Huang Bin He Ya-Ling Yan Shuo Wang Guang-Ming Zhang Rui Li 

作者机构:Wuxi Medical CollegeJiangnan UniversityWuxi 214122Jiangsu ProvinceChina Department of AnesthesiologyTongren Hospital Shanghai Jiao Tong University School of MedicineShanghai 200335China Department of NursingTongren Hospital Shanghai Jiao Tong University School of MedicineShanghai 200335China 

出 版 物:《World Journal of Psychiatry》 (世界精神病学杂志)

年 卷 期:2024年第14卷第4期

页      面:553-562页

核心收录:

学科分类:1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学] 

主  题:Anesthetic nurse Emergence delirium Postoperative complications Cognition Disease management Qualitative research 

摘      要:BACKGROUND This study employs a descriptive phenomenological approach to investigate the challenges anesthesia nurses face in managing emergence delirium(ED),a common and complex postoperative complication in the post-anesthesia care *** role of nurses in managing ED is critical,yet research on their understanding and management strategies for ED is *** To investigate anesthetic nurses’cognition and management experiences of ED in hopes of developing a standardized management *** This study employed a descriptive phenomenological approach from qualitative research *** sampling was utilized to select 12 anesthetic nurses from a tertiary hospital in Shanghai as research ***-structured interviews were conducted,and the data were organized and analyzed using Colaizzi’s seven-step analysis method,from which the final themes were *** After analyzing the interview content,four main themes and eight subthemes were distilled:Inefficient cognition hinders the identification of ED(conceptual ambiguity,empirical identification),managing diversity and challenges(patientcentered safe care,low level of medical-nursing collaboration),work responsibilities and pressure coexist(heavy work responsibilities,occupational risks and stress),demand for high-quality management(expecting the construction of predictive assessment tools and prevention strategies,and pursuing standardized management processes to enhance management effectiveness).CONCLUSION Nursing managers should prioritize the needs and suggestions of nurses in order to enhance their nursing capabilities and provide guidance for standardized management processes.

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