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33 NHSBT组织和眼科服务临床支持护士团队:先进的护理实践
Emma Winstanley1, Akila Chandrasekar1, Vicki Carroll1
1NHS Blood and Transplant, Liverpool, UK.
BMJ open ophthalmology
|June 7, 2023
概括
在NHS血液和移植组织和眼睛服务 (TES) 中,临床支持护士团队 (CSNT) 为安全的组织捐献做出自主决定. 他们的先进实践通过批判性评估和遵守指南,确保接受者的安全.
科学领域:
- 护理实践 护理实践
- 移植服务 移植服务
- 临床治理 临床管理
背景情况:
- 国家卫生服务局 (NHS) 血液和移植 (NHSBT) 组织和眼睛服务 (TES) 对于患者护理至关重要.
- 临床支持护士团队 (CSNT) 代表了先进的实践,涉及自主决策.
- CSNT的开发始于2012年的试点研究,并经过临床审计.
研究的目的:
- 描述CSNT在TES中的先进实践和临床责任.
- 突出CSNT使用的批判性思维和复杂推理技能.
- 概述支持CSNT实践的治理和指导方针.
主要方法:
- 护士在先进的水平上工作,做出自主决策.
- 实践是根据英国输血和组织移植服务专业咨询委员会捐赠者选择指南 (2013) 的指导.
- 该团队评估和授权捐赠组织,审查活体捐赠计划,并管理自主/异构血清眼滴计划 (ASE/AlloSE).
主要成果:
- 由7段护士和8段a经理组成的CSNT安全评估和授权捐献组织.
- 复杂的推理,批判性思维,反思和分析为临床判断提供了信息.
- 决策通过排除传染病和损害组织质量来确保接受者安全.
结论:
- 在复杂的临床情况下,CSNT护士应用专业知识和技能.
- 该团队在确保捐献组织的安全性和质量方面发挥着至关重要的作用.
- 有计划扩大团队,并建立一个支持学术框架.
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