AimTo explore the meaning of ‘safety’ as it applies to critical care nurses during daily care practice in the intensive care setting.DesignA qualitative study design was employed.MethodsThe study enlisted 18 critical care nurses and nurse leaders from three hospitals in Sweden. Interview data were collected in 2017 and in 2024. The data were examined using reflexive thematic content analysis.ResultsThe meaning of safety within critical care settings was illustrated by the themes ‘Sustaining a safety mindset’, ‘Fostering commitment to patient safety’, ‘Showing individual accountability and continuous learning’ and ‘Managing complexity while prioritising safety standards’. Safe care practice in daily practice also involved adaptability and resilience in response to changing circumstances or unexpected events, ensuring thoroughness and allowing for a return to regular routines when conditions permitted, thereby preventing incomplete care. Core competencies in safety encompassed both technical and non‐technical skills, such as the ability to assess and use technology, remain vigilant and thorough, plan ahead, prioritise and identify, and follow through on nursing interventions, all while working in a team and allocating sufficient time for patients.ConclusionSustaining a safe mindset over time is both challenging and essential. Further research should focus on how to foster a sustained safety mindset. A more proactive approach to learning may be achieved by reflecting on and discussing things that have worked well even in challenging circumstances.Implications for the Profession and/or Patient CareThis study enriches our understanding of practising safe care in intensive care. It furnishes the nursing profession with a deeper theoretical grasp of proactive safety efforts, encompassing various factors that can mitigate risks in a technologically advanced environment.

中文翻译：

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在重症监护中实施安全护理：反身主题分析


目的探讨“安全”的含义，因为它适用于重症监护护士在重症监护环境中的日常护理实践。设计采用定性研究设计。方法该研究招募了来自瑞典三家医院的 18 名重症监护护士和护士长。采访数据是在 2017 年和 2024 年收集的。使用反射性主题内容分析对数据进行检查。结果重症监护环境中安全的含义由主题“维持安全心态”、“培养对患者安全的承诺”、“展示个人责任感和持续学习”和“在优先考虑安全标准的同时管理复杂性”来说明。日常实践中的安全护理实践还涉及对不断变化的环境或意外事件的适应性和弹性，确保彻底性，并允许在条件允许的情况下恢复正常的日常生活，从而防止不完整的护理。安全的核心能力包括技术和非技术技能，例如评估和使用技术的能力、保持警惕和彻底、提前计划、确定优先级和识别以及跟进护理干预的能力，同时在团队中工作并为患者分配足够的时间。结论随着时间的推移保持安全的心态既具有挑战性又必不可少。进一步的研究应侧重于如何培养持续的安全心态。通过反思和讨论即使在充满挑战的环境中也行之有效的事情，可以实现更积极主动的学习方法。对专业和/或患者护理的影响本研究丰富了我们对在重症监护中实施安全护理的理解。 它为护理专业提供了对主动安全工作的更深入的理论理解，包括可以在技术先进的环境中减轻风险的各种因素。