[Using nursing knowledge in the acute phase of stroke: An exploratory qualitative descriptive study]
- PMID: 38182541
- DOI: 10.3917/rsi.154.0055
[Using nursing knowledge in the acute phase of stroke: An exploratory qualitative descriptive study]
Abstract
Introduction: Strokes represent a major public health issue in which nurses are involved, both in care and in research. The literature reveals a description of their activities in treating the disease and the altered functions in which it results, as well as in managing the experience of the sufferer. The aim of this work was to describe the knowledge upon which nurses draw when caring for patients in the acute phase of stroke.
Methods: This exploratory qualitative descriptive multicentric survey was carried out via non-directive interviews with nurses working in neurovascular units. Thematic qualitative analysis was used to describe their activities and to highlight the knowledge and skills used.
Results: The results show that the nurses express themselves with ease when discussing their medical knowledge, and with more difficulty concerning knowledge from the human, social, and nursing sciences. However, they often combine this knowledge in a nursing perspective.
Discussion: This work opens up prospects with regard to supporting the nursing knowledge already leveraged and developing the nursing knowledge (concepts and theory of care) relevant to the particular context of strokes. The results also encourage a reflective analysis of nurses’ experience.
L’accident vasculaire cérébral (AVC) est un problème de santé publique majeur dans lequel les infirmières s’investissent, dans le domaine des soins et de la recherche. La littérature met en évidence une description de leurs activités de soins sur la maladie et les fonctions altérées, ainsi que sur l’expérience de la personne victime d’un AVC. L’objectif de ce travail est de décrire les connaissances mobilisées par les infirmières quand elles prennent soin de la personne en phase aigüe de l’AVC. Cette enquête exploratoire qualitative descriptive multicentrique a été conduite auprès d’infirmières exerçant en unité neurovasculaire au moyen d’entretiens non directifs. L’analyse qualitative thématique a permis de décrire leurs activités, puis de mettre en évidence les connaissances et savoirs mobilisés. Les résultats montrent que les infirmières s’expriment aisément sur les savoirs issus de la médecine, et plus difficilement sur les savoirs issus des sciences humaines et sociales, et des sciences infirmières. Pourtant, elles combinent souvent ces savoirs dans une perspective de soins infirmiers. Ce travail ouvre des pistes pour soutenir les connaissances infirmières déjà mobilisées et pour développer les savoirs infirmiers (concepts et théories de soins) pertinents dans le contexte de l’AVC. Les résultats encouragent aussi une analyse réflexive sur leur expérience.
Keywords: stroke; nursing care; knowledge; clinical skills; nursing science.
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