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与实施手术安全检查清单相关的障碍和促进因素:定性系统审查
Catherine Paterson1,2,3,4, A Mckie1, M Turner1
1Faculty of Health, University of Canberra, Bruce ACT, Australia.
Journal of advanced nursing
|September 7, 2023
概括
这些障碍阻碍了遵守世界卫生组织的患者安全清单,影响了患者的安全. 解决领导力和文化等因素是改善外科手术检查清单实施和采用的关键.
科学领域:
- 患者安全 患者安全
- 手术护理 手术护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 遵守世界卫生组织的患者安全检查清单对于患者安全至关重要.
- 尽管有好处,但在外科外科环境中,一致的实施和遵守仍然具有挑战性.
研究的目的:
- 探索影响遵守和实施手术安全检查清单的因素.
- 识别在外科外科设置中使用检查列表的障碍和推动因素.
主要方法:
- 使用乔安娜·布里格斯研究所 (JBI) 方法进行定性系统审查.
- 来自34项综合定性研究的数据的元聚合.
- 在CINAHL,Medline和Scopus数据库中进行的搜索 (2022年8月,重复于2023年6月).
主要成果:
- 多个相互关联的障碍严重影响了清单的遵守和实施.
- 推动因素包括强有力的领导力,教育,审计/反,当地冠军和适应能力.
- 确定了诸如外科医生参与,层次文化和过程重复等障碍.
结论:
- 这次审查确定了影响在手术室采用和有效使用手术安全检查清单的关键因素.
- 进一步的研究应集中在制定有针对性的干预措施,以加强对照清单的遵守,并优化患者安全结果.
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