护士在亚急性护理中使用摔倒报警器的经验:一种定性研究
Julie Considine1,2,3, Debra Berry1,2,3, Maureen Mullen3
1School of Nursing and Midwifery and Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.
PloS one
|June 22, 2023
概括
护士报告说,他们对床和椅子报警的经验主要是负面的,因为它们对患者安全和风险的影响有限. 他们希望更好地支持决策和替代方法来管理跌倒风险.
科学领域:
- 老年护理老年护理
- 患者安全技术技术
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 床和椅子报警器在防摔干预中很常见.
- 随机试验显示了警报,因为单独的干预措施对跌倒或受伤没有显著的影响.
- 报警器并不能改善患者对跌倒的恐惧,住院时间或生活质量.
研究的目的:
- 为了探索护士使用床和椅子报警器的经验.
- 了解临床实践中警报使用的感知影响和挑战.
- 找出需要改进的防摔策略领域.
主要方法:
- 使用半结构面试进行的定性描述性研究.
- 来自老年评估和管理病房的12名护士的有目的样本.
- 对转录的采访数据进行感应性主题分析.
主要成果:
- 护士报告说,他们对报警的经历主要是负面的.
- 确定的主题包括杂和不完美的技术,安全风险冲突以及决策和过度使用的问题.
- 在患者安全影响有限和警报相关风险之间存在紧张关系.
结论:
- 护士的经验强调了需要改善关于落报警的决策支持.
- 需要对政策和实践进行改变,以赋予护士与其他倒风险管理策略的权力.
- 当前的报警系统面临的挑战可能会超过其在患者护理中的好处.
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