实施基于证据的推以预防手术内意外低温的障碍和解决方案:一种定性研究
Ozlem Sahin Akboga1, Yesım Dikmen Aydin2
1Department of Nursing, Faculty of Health Sciences, University of Yozgat Bozok, Yozgat, Turkey.
Therapeutic hypothermia and temperature management
|November 17, 2023
概括
在手术室预防手术期间意外低温的障碍源于人员和机构问题. 教育是克服这些挑战和改善手术期间患者安全的关键.
科学领域:
- 护理 护理 护理
- 麻醉学 麻醉学
- 患者安全 患者安全
背景情况:
- 术内无意中低温 (IIH) 是手术期间常见的并发症.
- 有效的预防策略对于患者的治疗结果至关重要.
- 实施基于证据的IIH预防建议面临着各种挑战.
研究的目的:
- 探索手术室 (OR) 护士和麻醉师在预防手术期间意外低温 (IIH) 时遇到的障碍.
- 确定潜在的解决方案,以加强OR环境中的IIH预防实践.
主要方法:
- 采用了定性,诱导和描述性的研究设计.
- 与19名手术室护士和麻醉师进行了面对面的采访.
- 使用定性内容分析来分析采访数据,遵守COREQ的指导方针.
主要成果:
- 从分析中出现了两个主要主题和五个子主题.
- 确定的障碍包括个人效率低下,组织缺陷和OR工作人员的个人意见.
- 参与者强调教育是改善IIH预防的主要解决方案.
结论:
- OR工作人员的个体特征对IIH预防工作产生重大影响.
- 机构因素,包括工作人员的意见和行为,对于阻碍或促进IIH预防至关重要.
- 有针对性的教育计划对于解决障碍和促进基于证据的IIH预防至关重要.
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