克服患者安全问题,并将早期流动性纳入儿科重症监护病房护理实践
Chelsea E Noone1, Linda S Franck2, Sandra L Staveski2
1University of California at San Francisco School of Nursing, Lucile Packard Children's Hospital at Stanford, USA.
Journal of pediatric nursing
|August 6, 2023
概括
儿科重症监护室 (PICU) 的护士克服了患者安全方面的担忧,实施了早期动员 (EM). 经验,安全检查和合作有助于护士平衡安全与EM益处,以改善患者的治疗结果.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 儿科重症监护室 (PICU) 的早期动员 (EM) 被认为是安全的,对患者的结果有益.
- 然而,护士对患者安全的持续担忧阻碍了EM的广泛采用.
研究的目的:
- 探索护士如何将EM整合到他们的实践中.
- 了解护士如何平衡患者安全问题与EM的好处.
主要方法:
- 专注的民族学研究利用15次深入访谈与10名PICU护士.
- 用专题分析来分析收集的数据.
主要成果:
- 分析了护士对EM的临床判断和决策.
- 关键的安全问题包括血液动力学稳定性,附着设备,患者的力量和跌倒风险.
- 通过经验,安全检查,跨学科合作,从不良事件中学习和理解EM证据,护士们克服了安全问题.
结论:
- 护士表现出强烈的承诺,以保持患者的安全,同时促进EM.
- 尽管存在安全问题,但制定了流程和行为,以增加护士对EM的舒适度.
- 促进护士参与EM可以提高他们克服安全障碍的意愿.
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