临床医生对用于促进ABCDEF捆绑采用的实施策略的看法:一个多中心调查
Audrey Brockman1, Anna Krupp2, Christina Bach3
1The Ohio State University College of Nursing, 1585 Neil Avenue, Columbus, OH. 43210. USA.
临床医生经常使用易于获取的策略,用于ABCDEF捆绑,但可以从基础设施和财务策略中受益. 这可以改善重症监护干预措施的采用和可持续性.
科学领域:
- 关键护理医学 关键护理医学
- 实施科学 实施科学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 重症监护室 (ICU) 的临床医生在实施ICU解放 (ABCDEF) 包时面临着挑战.
- 如果不采用包装,会增加患者的发病率和死亡率.
- 对于包装采用和可持续性的有效实施策略的了解有限.
研究的目的:
- 确定用于ABCDEF捆绑的实施策略.
- 评估临床医生对战略有用性,可接受性,可行性和成本的看法.
主要方法:
- 从68个地点对ICU临床医生的全国横截面调查.
- 调查使用了73个专家推实施变革 (ERIC) 战略.
- 电子调查交付给现场联系人.
主要成果:
- 19个ICU (28%) 完成了调查.
- 73个ERIC策略中有63个被使用,经常使用教育策略.
- 需要组织变革的策略使用率较低.
- 使用的策略适度有用,有点可接受/可行,成本低至中等.
结论:
- 潜在的过度依赖即时可用的实施策略.
- 未使用的ERIC战略,特别是涉及基础设施和财务变化的战略,可能会带来好处.
- 进一步的研究应该探索未充分利用的策略对改善捆绑实施的影响.
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