Experiences of registered nurses caring for patients with an open abdomen in an intensive care unit in Gauteng

Abstract

The researcher observed that nurses prefer not to nurse patients with an open abdomen as they fear that the abdominal contents will protrude. The purpose of the study was to explore and describe the experiences of registered nurses taking care of patients with an open abdomen in intensive care in an academic hospital in Gauteng, and to provide recommendations for registered nurses when taking care of patients with an open abdomen.The research design used was a qualitative, exploratory, descriptive and contextual design. Focus group interviews were conducted with each group comprising six participants. The research question was: What are the experiences of registered nurses caring for patients with an open abdomen in an intensive care unit? What recommendations can be made to assist registered nurses in taking care of patients with an open abdomen in an intensive care unit? The data was analysed using Tesch's method. Three themes emerged: Difficulty in nursing care, complications such as fistula and infections, and poor hospital administration. Recommendations for assisting registered nurses in taking care of patients with an open abdomen were then made based on the findings of the four focus group interviews. Ethical principles and measures of trustworthiness were adhered to throughout the research study.

Physical Fatigue Perawat Saat Bekerja di Ruang Intensive Care Unit

“…Dengan demikian, perawat yang bekerja di Unit Perawatan Intensif dapat melakukan beberapa peran yang mungkin tidak ada di ruangan perawatan lain yang dapat menjadi begitu melelahkan secara fisik dan emosional bagi perawat. Pengalaman kelelahan jangka panjang dan minat yang berkurang, biasanya dalam konteks perawat ICU (Bayuo & Agbenorku, 2018;Chipu et al, 2017;Yue et al, 2015).…”

“…Insiden kelelahan di kalangan perawat tampaknya meningkat dari waktu ke waktu , meskipun peningkatan kesadaran dan kemampuan diagnostik perawat mungkin ikut berkembang lebih baik. Namun peningkatan kelelahan perawat dapat berdampak kepada penurunan kepuasan pasien maupun keluarga terhadap layanan asuhan keperawatan, peningkatan morbiditas dan mortalitas, adanya PTSD dan akan menimbulkan turn out atau turn over intention perawat untuk berhenti atau keluar dari ruang perawatan ICU (Bayuo & Agbenorku, 2018;Chipu et al, 2017;Kim & Shim, 2018;Lagerlund et al, 2015;Romare et al, 2018;Wong & Olusanya, 2017a) Intensif Neonatal. Karena ICU ini mungkin memiliki karakteristik sebagai lingkungan kerja yang penuh tekanan, ada alasan untuk percaya bahwa perbedaan mereka dalam hal sifat pasien yang dirawat dapat menyiratkan bahwa pengalaman stresor (Bayuo & Agbenorku, 2018;Chipu et al, 2017;Wong & Olusanya, 2017a).…”