临界疾病幸存者的息护理:对后重症监护单位计划临床医生的定性研究
Tammy L Eaton1,2,3, Taylor E Lincoln4,5, Anna Lewis6,7
1National Clinician Scholars Program (NCSP), VA HSR&D Center for the Study of Healthcare Innovation, Implementation, and Policy, University of Michigan, Ann Arbor, Michigan, USA.
息治疗对重症幸存者至关重要,但临床医生面临知识和系统障碍. 提高临床医生的知识和自我有效性是将息治疗纳入重症监护室 (ICU) 后生存计划的关键.
科学领域:
- 关键护理医学 关键护理医学
- 抚慰性护理是一项非常重要的护理.
- 医疗服务研究 医疗服务研究
背景情况:
- 经过严重疾病的幸存者经常面临与健康相关的重大痛苦.
- 将息治疗整合到幸存者护理中可能会减轻患者和家人的负担.
研究的目的:
- 探索后重症监护室 (ICU) 临床医生对息治疗的看法.
- 确定在重症生存中实施息护理的障碍和促进者.
主要方法:
- 使用半结构面试对29名国际临床医生进行定性研究.
- 分析采用框架分析,使用实施研究综合框架绘制地图.
主要成果:
- 临床医生认为息护理组件对于ICU后护理至关重要.
- 促进者包括临床医生的经验和积极的态度;障碍包括知识差距,自我效能,时间和系统限制.
结论:
- 息治疗是后ICU幸存者护理的关键组成部分.
- 提高临床医生的知识和自我效能对于成功实施至关重要.
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