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Mechanical Ventilation Boot Camp Curriculum
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在尼泊尔重症监护室实施呼吸机捆绑的障碍和促进因素的识别:描述性的定性研究
Dejina Thapa1, Ting Liu2, Chen Yang2
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, PR China.
概括
在低收入国家,实施呼吸机捆绑来预防肺炎是具有挑战性的. 这项研究确定了尼泊尔医疗保健专业人员的关键障碍和促进因素,以改善VAP预防策略.
科学领域:
- 医疗保健 实施 科学 科学
- 预防传染病 预防传染病
- 临界护理医学 临界护理医学
背景情况:
- 呼吸机捆绑对于预防呼吸机相关肺炎 (VAP) 至关重要.
- 虚弱的通风器套装实施是一个全球性的挑战,特别是在低收入和中等收入国家.
- 了解障碍是制定有效VAP预防策略的关键.
研究的目的:
- 探索阻碍和促进尼泊尔ICU中的通风器捆绑实施的障碍和促进者.
- 优先考虑针对性干预开发所发现的障碍.
- 为减少VAP负担的战略提供信息.
主要方法:
- 使用半结构面试对尼泊尔21名医疗保健专业人员 (HCP) 进行定性研究.
- 对转录的采访进行主题分析,以识别障碍和促进者.
- 使用障碍物识别和缓解工具对障碍物进行优先排序,共有9名参与者.
主要成果:
- 出现了五个主要主题:与提供者相关的,组织,工作绩效,环境和患者相关的因素.
- 常见的障碍包括工作不安全,知识不足,设备不足和患者严重性.
- 促进者包括培训,功能设备,足够的人员,领导和组织支持.
- 八个关键障碍被优先考虑进行干预.
结论:
- 在ICU中实施呼吸机捆绑的识别障碍对于改善患者护理至关重要.
- 解决优先考虑的障碍可以提高患者的安全性并减少VAP.
- 结果可以指导医疗保健人员制定有效的VAP减少策略.
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