印度尼西亚医院环境中的护理交接:结构,流程和障碍
Krisna Yetti1, Nani Asna Dewi1, Sri Herni Wigiarti1
1Faculty of Nursing, Universitas Indonesia, Indonesia.
Belitung nursing journal
|July 20, 2023
概括
这项研究探讨了印度尼西亚医院的护理交接流程,发现虽然护士了解情况,背景,评估和建议 (SBAR) 方法,但缺乏具体指导方针阻碍了有效的患者护理过渡.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 护理交接对于安全的患者护理至关重要,涉及基于轮班的责任转移.
- 有限的数据存在于印尼医院的护理移交实施和评估.
研究的目的:
- 描述印尼医院护理交接的结构,过程和障碍.
主要方法:
- 在印度尼西亚一家转诊医院的五个住院病房中使用了一个案例研究设计.
- 数据收集涉及100个移交,76个护士采访 (焦点小组) 和移交过程的观察.
- 用内容和鱼骨分析来分析数据.
主要成果:
- 护理交接涉及前,期间和之后的阶段,障碍分为人力,材料,金钱,方法,环境和机器.
- 根据患者的熟悉程度和复杂性,移交内容有所不同;75%的护士知道情况,背景,评估和建议 (SBAR) 方法.
- 通过了SBAR,但缺乏具体的指导方针或标准操作程序.
结论:
- 调查结果为开发印尼医院护理交接指南和监督策略提供了基础数据.
- 解决已识别的障碍对于优化护理交接和提高患者安全至关重要.
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