关键词: 神经外科, 重症监护病房, 质性研究, 心理护理

Abstract:

Objective To explore the real caring experience of nurses in neurological intensive care unit on long-term coma patients. Methods In the perspective of phenomenological approach,a total of 11 neurological intensive care unit nurses were enrolled for the semi-structured in-depth interviews and Colaizzi method was used to analyze the data. Results 5 themes were extracted,including forming multiple emotional experience（love and hurt coexisted with empathy;disappointment mingled with hope）,understanding the necessity of professionalism（practicing carefully and improving the quality of nursing;regarding patients as the center and reflecting the humanistic nature of nursing）,perceiving the importance of critical thinking（critical thinking is the key to apply professional knowledge;pre-judgement condition prediction provides effective guarantee for successful rescue）,gaining a sense of self-identity,reviewing the relationship between ethics and clinical decision making（persisting because of kinship and family tie,giving up because of the poor quality of life）. Conclusion The caring experience of neurological intensive care unit nurses on patients with long-term coma is multidimensional. Meanwhile,it is pointed out that the nursing supervisors should foster nurses’ professionalism,strengthen nurses’ professional mindset,increase nurses’ self-worth and enhance the ability of clinical decision-making based on the consideration of life and ethics,which could provide better care for the neurological patients with long-term coma.

Key words: Neurosurgery, Intensive Care Units, Qualitative Research, PSYCHOLOGICAL NURSING