针对血液透析护士的麦金泰尔审计工具的可行性
David McIntyre1,2, Amanda McGuire1, Ann Bonner1,3
1School of Nursing and Midwifery & Menzies Health Institute Queensland, Griffith University, Brisbane, QLD, Australia.
Journal of renal care
|July 26, 2023
概括
麦金泰尔审计工具 (MAT) 是一种可行且可接受的方法,用于审计血液透析单位的护理质量. 这种工具可以帮助通过基准测试建立标准并改善患者护理.
科学领域:
- 提高护理质量 提高护理质量
- 医疗保健审计 医疗保健审计
- 脏护理实践中的护理实践
背景情况:
- 护士敏感指标 (NSI) 评估患者护理的质量,包括结构,流程和结果.
- 麦金泰尔审计工具 (MAT) 专门设计用于在血液透析设置中测量NSI.
研究的目的:
- 评估麦金泰尔审计工具 (MAT) 的可行性和实用性,用于在现实临床环境中测量血液透析护士敏感指标.
- 确定使用MAT用于血液透析单元质量评估的可行性和接受性.
主要方法:
- 进行了一项多站点的非随机可行性研究.
- 来自澳大利亚两家血液透析病房的30名护士参加了这次活动.
- 护士每天完成一周的MAT,同时收集可行性和实用性数据. 使用了描述性分析.
主要成果:
- 大多数结构性 (75%) 和过程性 (73%) 指标都得到了满足,但在各站点之间存在一些差异.
- 结果指标显示出更大的变化,从5.9%到94.1%不等.
- 发现MAT是可行的,大多数护士在5分钟内完成它,认为它易于使用和可以在一个班次内实施.
结论:
- 麦金泰尔审计工具 (MAT) 是一个实用且被广泛接受的工具,用于审计血液透析护理的护理质量.
- 实施MAT可以促进建立最低护理标准,提高护理实践的质量.
- 该工具支持对不同血液透析服务的护理质量进行基准评估.
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