Published online Jun 26, 2024. doi: 10.12998/wjcc.v12.i18.3453
Revised: May 10, 2024
Accepted: May 15, 2024
Published online: June 26, 2024
Processing time: 85 Days and 23.3 Hours
This study adopts a descriptive phenomenological approach to investigate the facilitators and barriers of community nurses' abilities in managing critical and emergency conditions. With the transition of healthcare systems to the com
To understand the facilitators and barriers of community nurses in managing critical and emergency conditions, exploring the fundamental reasons and driving forces influencing their treatment capabilities.
This study utilized the destination sampling method between May 2023 and July 2023. It employed a descriptive phenomenological approach within qualitative research methodologies. Through objective sampling, 17 community nurses from 7 communities in Changning District, Shanghai, were selected as the study subjects. Semi-structured interviews were conducted to gather data, which were subsequently organized and analyzed using Colaizzi's seven-step analysis method, leading to the extraction of final themes.
The barrier factors identified from the interviews encompassed three topics: resource allocation, professional factors, and personal literacy. The facilitators comprised three themes: professionalism, management attention, and training and continuing education. We identified that the root causes of the barriers included the lack of practical treatment experience among community nurses, insufficient awareness of self-directed learning, and limited knowledge and technical proficiency. The professional quality of community nurses and management attention serve as motivation for them to enhance their treatment abilities.
To enhance the capability of community nurses in treating acute and critical patients, it is recommended to bolster training specifically tailored to acute and critical care, raise awareness of first aid practices, and elevate knowledge and skill levels.
Core Tip: This study used descriptive phenomenology to investigate the facilitating and obstacle factors that affect the ability of community nurses to treat acute and critical diseases. The study may reveal various barriers faced by community nurses in acute and critical treatment, and may include enlightening findings to improve the ability of community nurses in acute and critical treatment. Improving the allocation of community medical resources and personnel management, and strengthening the cultivation of the psychological quality of community nurses are also the key measures. By improving the acute and critical treatment ability of community nurses, the quality of community medical services can be improved and have a positive impact on the health and safety of community residents.