关键词: compassion fatigue ethnography preparedness resuscitation rural nursing training and education

来  源:   DOI:10.1111/jan.16295

Abstract:
OBJECTIVE: The focus of this paper is to provide a detailed ethnographic exploration of rural nurses\' experiences of their resuscitation preparedness and the subsequent post-resuscitation period.
METHODS: An ethnographic study across two small rural hospital sites in New South Wales, Australia.
METHODS: Fieldwork was undertaken between December 2020 and March 2022 and included over 240 h of nonparticipant observation, journalling and interviews. Data were analysed using reflexive thematic analysis.
RESULTS: The first key theme-\'Sense of Preparedness\'-included three subthemes: \'Gaining experience\', \'Issues with training and education\' and \'Lack of warning\'. The second key theme \'Aftermath\' comprised two subthemes: \'Getting on with it\' and \'Making sense of the resus\'.
CONCLUSIONS: This study has highlighted the intricate relationship between resuscitative preparedness and the post-resuscitation period in shaping rural nurse\'s experiences and their well-being. Rural nurses are asking for an authentic and contextually relevant training experience that mirrors the unique rural challenges they experience. In the absence of frequent resuscitation presentations, the post-resuscitation period should be viewed as a crucible moment that can be leveraged as a valuable learning opportunity enhancing rural nurses\' sense of preparedness and the provision of quality resuscitation care.
CONCLUSIONS: Having a greater level of insight into the challenges that rural nurses experience in the pre- and post-resuscitation period is critical. This insight opens the door for fortifying policies and work processes that will better support rural nurses in the resuscitation environment.
UNASSIGNED: Reporting complied with COREQ criteria for qualitative research.
UNASSIGNED: This study explored the experiences of rural nurses. No patient data were collected.
摘要:
目的:本文的重点是对农村护士的复苏准备和随后的复苏期进行详细的人种学探索。
方法:一项针对新南威尔士州两个小型乡村医院的人种学研究,澳大利亚。
方法:实地调查于2020年12月至2022年3月期间进行,包括超过240小时的非参与者观察,采访和采访。使用反身性主题分析对数据进行了分析。
结果:第一个关键主题-“准备感”-包括三个子主题:“获得经验”,\'培训和教育问题\'和\'缺乏警告\'。第二个关键主题“后果”包括两个子主题:“继续做下去”和“理解”。
结论:这项研究强调了复苏准备和复苏后时期之间的复杂关系,以塑造农村护士的经验和他们的福祉。农村护士要求提供真实且与上下文相关的培训经验,以反映他们所经历的独特农村挑战。在没有频繁复苏的情况下,复苏后的时期应该被视为一个艰难的时刻,可以作为一个宝贵的学习机会,提高农村护士的准备意识和提供优质的复苏护理。
结论:对农村护士在复苏前后经历的挑战有更深入的了解是至关重要的。这一见解为加强政策和工作流程打开了大门,这些政策和工作流程将更好地支持农村护士在复苏环境中的工作。
报告符合COREQ定性研究标准。
本研究探讨了农村护士的经验。未收集患者数据。
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