低价值伤口护理:护士和医生是否做出了明智的选择? 一个混合方法的研究研究
Eva W Verkerk1, Getty Huisman-de Waal1, Lydia C Overtoom1
1Radboud Institute for Health Sciences, Department of IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.
International journal of nursing practice
|June 5, 2023
概括
护士和医生知道选择明智的伤口护理指南,但并不总是遵循它们. 提高坚持要求解决知识差距和工作环境障碍,而不仅仅是意识.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 在伤口护理中的基于证据的实践.
背景情况:
- 选择明智促进减少不必要的医疗护理.
- 一个关键的建议是,减少伤口护理可以更好.
研究的目的:
- 评估荷兰护士和医生遵守选择明智的急性伤口护理建议.
- 确定影响遵守这些准则的障碍和促进因素.
主要方法:
- 混合方法研究结合了调查和采访.
- 调查数据来自171名护士和71名医生 (2017年11月至2018年2月).
- 与17名护士和6名医生进行了采访.
主要成果:
- 对建议的认识有所不同 (62%-89%的护士,46%-85%的医生).
- 报告说,高达15%的护士和28%的医生没有遵守规定.
- 障碍包括缺乏知识,工作环境和患者偏好的看法;促进者是注意力,成本意识和开放文化.
结论:
- 意识到选择明智的建议并不保证遵守.
- 成功实施需要量身定制的战略,而不仅仅是提高认识.
- 解决知识缺陷和修改工作环境对于提高执法能力至关重要.
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