Experience and feelings of undergraduate nurses in low-value care de-implementation: a qualitative study
10.3760/cma.j.cn115682-20240219-00840
- VernacularTitle:本科学历护士对低价值护理去实施体验和感受的质性研究
- Author:
Hongxiu LIU
1
;
Libai CAI
;
Miaoran CUI
Author Information
1. 郑州大学第一附属医院骨科一病区（2），郑州 450053
- Keywords:
Nurses;
Low-value care;
De-implementation;
Experience;
Feelings;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2024;30(29):4014-4019
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the experience and feelings of undergraduate nurses in low-value care de-implementation, so as to provide reference for formulating specific strategies for low-value care de-implementation.Methods:From July to October 2023, purposive sampling was used to select 14 full-time undergraduate nurses from the First Affiliated Hospital of Zhengzhou University as research subjects. The phenomenological research method was used to conduct semi-structured in-depth interviews, and Colaizzi 7-step analysis method was used to analyze the data.Results:Three themes were extracted in total. Highly recognizing the low-value care de-implementation included reducing nurses' workload, improving patients' medical experience, and promoting harmonious nurse-patient relationships. Cognitive dissonance for low-value care de-implementation involved low efficiency cognition and maintaining a wait-and-see attitude. Low-value care de-implementation was hindered by multiple factors, including a lack of critical thinking, concerns about medical nursing risks, a lack of evidence-based nursing skills, a lack of organizational support, and a lack of medical knowledge among patients.Conclusions:Undergraduate nurses highly recognize the significance of low-value care de-implementation, but still face many challenges in their clinical practice. Multiple measures should be taken to promote the low-value care de-implementation in clinical practice.
