关键护理:一个概念分析分析
Martin Christensen1,2, Mining Liang1,2
1School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
International journal of nursing sciences
|August 7, 2023
概括
临床护理,经常与重症监护室 (ICU) 混,由特定的属性来定义. 这项分析阐明了关键护理,以改善对这种专业医疗环境的研究和理解.
科学领域:
- 医疗信息学 医疗信息学
- 护理科学 护理科学
- 医疗保健管理的管理
背景情况:
- 术语重症监护和重症监护室 (ICU) 经常互换使用,导致定义含糊不清.
- 需要对重症监护有明确的操作定义,以区分其与一般的重症监护.
- 概念分析是一个有价值的方法,用于在复杂的医疗环境中开发精确的定义.
研究的目的:
- 区分使用术语重症监护与重症监护病房 (ICU) 设置.
- 通过概念分析,制定关键护理的操作定义.
- 澄清重症监护服务的范围和性质.
主要方法:
- 使用了沃克和阿凡特的八步概念分析方法.
- 在五个主要数据库 (CINAHL,Scopus,PubMed,ProQuest,Medline) 进行了全面的文献搜索.
- 纳入标准侧重于1990年至2022年间发表的英语定性和定量研究.
主要成果:
- 在439篇获取的论文中,有47篇符合纳入标准.
- 关键护理的定义属性包括:对疾病/伤害的不适应反应,特定的入院标准,先进的医疗技术和专业的医疗保健专业人员.
- 前例涉及危急疾病的进展,影响身体和心理功能;后果包括死亡或潜在的ICU后综合征的生存.
结论:
- 该研究提供了关键护理的概念理解和操作定义.
- 这一定义将有助于未来的研究来确定重症监护的范围.
- 它将促进开发工具,以更好地评估重症监护环境中的护理.
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