关键词: critical care general wards mindfulness private hospital rapid response system rapid response team self-leadership

Mesh : Hospitals, Private Humans Leadership Mindfulness Patients' Rooms South Africa

来  源:   DOI:10.4102/curationis.v45i1.2298

Abstract:
BACKGROUND:  The increased complexity of the nursing care needs of patients and acuity in general wards present nursing care challenges for nurses. Self-led nurses are attentive, taking responsibility for activating the rapid response service when a patient is starting to deteriorate.
OBJECTIVE:  The purpose of this article is to describe nurses\' experiences practising mindfulness during self-leadership in delivering a rapid response system (RRS) in a private hospital in Gauteng.
METHODS:  A qualitative, exploratory, descriptive and contextual design was followed. Homogenous purposive sampling was used and a total of eight focus groups were conducted. Focus groups durations were between 45 min and 60 min. The data analysis was carried out through open coding on Atlas.ti using the noticing things, collecting things and thinking about things (NCT) approach. An independent coder met with the researcher during a consensus meeting and finalised the analysis.
RESULTS:  The findings indicated an underlying theme of nurses being mindful in their self-leadership through the development of self-motivation and self-direction in the RRS. Three categories with six subcategories emerged from the data analysis, namely self-motivation in an RRS by the team, self-direction through role-modelling to peers and training.
CONCLUSIONS:  Nurses practised mindfulness during self-leadership, utilising behavioural and natural reward approaches and constructive thought patterns. These findings could assist management with developing training programmes for nurses.
摘要:
背景:普通病房中患者护理需求和视力的复杂性增加给护士带来了护理挑战。自我领导的护士很细心,当患者开始恶化时,负责激活快速反应服务。
目的:本文的目的是描述在豪登省一家私立医院中,护士在自我领导期间练习正念以提供快速反应系统(RRS)的经验。
方法:定性,探索性,遵循描述性和上下文设计。使用了同理目的抽样,总共进行了八个焦点组。焦点组持续时间在45分钟至60分钟之间。数据分析是通过Atlas上的开放编码进行的。ti使用注意的东西,收集事物和思考事物(NCT)的方法。一名独立编码者在一次共识会议上与研究人员会面,并完成了分析。
结果:研究结果表明,护士通过发展自我激励和自我指导来保持自我领导的基本主题。从数据分析中出现了三个类别和六个子类别,即团队在RRS中的自我激励,通过对同龄人的角色建模和培训进行自我指导。
结论:护士在自我领导期间练习正念,利用行为和自然奖励方法以及建设性思维模式。这些发现可以帮助管理层制定护士培训计划。
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