Faslname-i mudiriyyat-e parastari

fa اجرای مداخلات مستقل پرستاران در بخش آی سی یو: تحلیل محتوی Implementation of independent nurses' interventions in the ICU: Content analysis تخصصي Special پژوهشي Research  مقدمه : مداخلات مستقل به هر نوع مراقبتی که پرستاربه نمایندگی از بیمار انجام می دهد و برای انجام آنها نیازی به دستور پزشک نمیباشد و موجب ارتقاء ، آسایش و سلامتی بیماران میشود . لذا این مطالعه با هدف  اجرای مداخلات مستقل در بخش ای سی یو انجام شده است.   روش کار:  این  مطالعه با رویکرد کیفی و با بهره گیری از شیوه تحلیل محتوی قرار دادی انجام شده است. مشارکت کنندگان شامل 12 نفر از پرستاران بودند که به روش نمونه گیری هدفمند وارد مطالعه شدند و مورد مصاحبه های چهره به چهره و نیمه ساختار مند قرار گرفتند . بعد از گردآوری داده ها ، تمام مصاحبه ها پیاده سازی شدند و مورد بازنگری قرار گرفتند و طبقات استخراج گردید. در ابتدا شباهتهای معنایی مورد بازنگری قرار گرفت و زیر طبقات مشخص شدند و سپس بازنگری مجدد زیر طبقات مرتبط در یک طبقه قرار گرفتند . یافته ها : یا فته های حاصل از تجارب پرستاران از اجرای مداخلات مستقل 3با طبقه اصلی و 8 زیر طبقه استخراج شد. طبقات  تحت عناوین "ویژگی پرستار" با3  زیرطبقه ( تسلط علمی و عملی ، وجود انگیزه،  توانایی برقراری ارتباط بین فردی) ، طبقه "موانع مداخلات مستقل "با 3 زیرطبقه ( مجری دستورات پزشکان ، حجم کاری بالای پرستاران، بی اعتمادی همراهان به پرستاران )  ، طبقه "تسهیل کننده های مداخلات مستقل" با دو زیر طبقه (حمایت سرپرستاران ،حمایت پزشکان)  استخراج گردید. نتیجه گیری : تحلیل داده ها نشان داد  به منظور ارائه مراقبت بهینه ضمن توجه به ماهیت کاری بخش های مراقبت ویژه باید به نقش  پرستار در ارائه مراقت ایمن و انجام مداخلات مستقل توجه شود و موانع مدیریتی و اجرای شناسایی شده و در جهت رفع موانع، اقدامات حمایتی بعمل آید.  Background : Independent interventions to any kind of care that the nurse performs on behalf of the patient and do not require a doctor's order and promote the comfort, comfort and health of patients. Therefore, this study was conducted with the aim of performing independent interventions in the ICU. Materials and Methods: This study was conducted with a qualitative approach and using conventional content analysis. Participants included 12 nurses who were included in the study by purposive sampling method and were interviewed face to face and semi-structured. After collecting data, all interviews were conducted and reviewed and classes were extracted. First, the semantic similarities were reviewed and sub-categories were identified, and then the sub-categories were re-examined in one category. Results: Or the results of nurses' experiences were extracted from the implementation of independent interventions, 3 with the main class and 8 with the subclass. Categories under the headings "Nurse Characteristics" with 3 subcategories (scientific and practical mastery, motivation, ability to communicate interpersonal), category "Barriers to independent intervention" with 3 subcategories (executing doctors' orders, high workload of nurses, distrust of nurses) The category of "facilitators of independent interventions" was extracted with two subcategories (support of nurses, support of physicians). Discussion and Conclusion: Data analysis showed that in order to provide optimal care while paying attention to the nature of work of intensive care units, the role of the nurse in providing safe care and independent interventions should be considered and management and implementation barriers identified and to remove barriers. , Support measures should be taken.Abstract  Background & Aims: Independent interventions to any kind of care that the nurse performs on behalf of the patient and do not require a doctor's order and promote the comfort, comfort and health of patients. Therefore, this study was conducted with the aim of performing independent interventions in the ICU. Materials and Methods: This study was conducted with a qualitative approach and using conventional content analysis. Participants included 12 nurses who were included in the study by purposive sampling method and were interviewed face to face and semi-structured. After collecting data, all interviews were conducted and reviewed and classes were extracted. First, the semantic similarities were reviewed and sub-categories were identified, and then the sub-categories were re-examined in one category. Results: Or the results of nurses' experiences were extracted from the implementation of independent interventions, 3 with the main class and 8 with the subclass. Categories under the headings "Nurse Characteristics" with 3 subcategories (scientific and practical mastery, motivation, ability to communicate interpersonal), category "Barriers to independent intervention" with 3 subcategories (executing doctors' orders, high workload of nurses, distrust of nurses) The category of "facilitators of independent interventions" was extracted with two subcategories (support of nurses, support of physicians). Discussion and Conclusion: Data analysis showed that in order to provide optimal care while paying attention to the nature of work of intensive care units, the role of the nurse in providing safe care and independent interventions should be considered and management and implementation barriers identified and to remove barriers. , Support measures should be taken. مداخلات مستقل , پرستاری, تحلیل محتوی , مطالعه کیفی Independent interventions, nursing, content analysis, qualitative study 84 93 http://ijnv.ir/browse.php?a_code=A-10-1357-1&slc_lang=fa&sid=1 Maryam Nakhaei مریم نخعی Maryamnakhaee@yahoo.com 100319475328460013446 100319475328460013446 No Department of Nursing, School of Nursing and Midwifery Birjand University of Medical Sciences گروه پرستاری، دانشکده پرستاری و مامایی دانشگاه علوم پزشکی بیرجند bahareh najafi بهاره نجفی baharrhnajafi@yahoo.com 100319475328460013447 100319475328460013447 No دانشجوی دکتری پرستاری دانشکده پرستاری و مامایی دانشگاه علوم پزشکی بیرجند Vagharseyyedin Seyyed Abolfazl سدابوالفضل وقار سیدین wagharse@bums.ac.ir 1111111111 100319475328460013448 Yes Department of Nursing, School of Nursing and Midwifery Birjand University of Medical Sciences گروه پرستاری، دانشکده پرستاری و مامایی دانشگاه علوم پزشکی بیرجند