Difficulties peculiar to nurses employed at all-private-room medical complexes and measures against them: Analysis from the physical, human, and cultural environmental perspectives of hospital wards

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  • 全室個室で複数診療科病棟勤務の看護師特有の困難と対処：病棟の物理的・人的・文化的環境の視点からの分析
  • ゼンシツコシツ デ フクスウ シンリョウカ ビョウトウ キンム ノ カンゴシ トクユウ ノ コンナン ト タイショ : ビョウトウ ノ ブツリテキ ・ ジンテキ ・ ブンカテキ カンキョウ ノ シテン カラ ノ ブンセキ

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Abstract

<p>To reveal the difficulties and measures peculiar to nurses employed at fee-charging all-private-room medical complexes (hereinafter “private-room wards”) from the perspective of environmental factors, semi-structured interviews were held with 11 nurses who were employed at private-room wards for more than 1 year. Their narratives about difficulties and measures were then classified, coded, and categorized by physical, human, and cultural environmental frameworks.</p><p>Consequently, the difficulties peculiar to nurses at private-room wards included [difficulty of efficiently providing high-quality nursing services surrounded by structures specific to all-private-room wards] and the measures taken included [preparations/adjustments for efficiently providing high-quality nursing services]. The environmental factors that compounded and complicated nursing practices included a one-floor structure that requires a long time for migration, closed private rooms that make it difficult to notice abnormalities in patients, patients who select fee-charging private rooms, and a framework for responding to multiple medical departments. Finally, the nurses appreciated the structures and patient expectations peculiar to private-room wards, had knowledge/expertise comparable to nurses at various medical departments, and dealt with difficulties to efficiently provide high-quality nursing services.</p>

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