护士在重症监护室进行术后疼痛管理:一个最佳实践实施项目的项目
Érica Brandão de Moraes1,2, Juliane de Macedo Antunes3, Maria Fernanda Muniz Ferrari1,3
1Nursing School, Federal Fluminense University, Niteroi, Rio de Janeiro, Brazil.
JBI evidence implementation
|January 9, 2024
概括
该项目改善了护理人员在重症监护室中对手术后疼痛管理的最佳实践的遵守. 对于记录的疼痛计划,多式联络止痛疗法和专家随访,合规性增加.
科学领域:
- 护理 护理 护理
- 疼痛管理 疼痛管理
- 基于证据的实践.
背景情况:
- 手术后疼痛是一种常见的急性疼痛类型.
- 护士在疼痛评估和管理中发挥着至关重要的作用.
- 最佳实践对于改善患者的治疗结果和护理质量至关重要.
研究的目的:
- 实施手术后疼痛管理的最佳实践.
- 专注于重症监护病房 (ICU) 的设置.
主要方法:
- 在骨科医院的证据实施项目.
- 使用了JBI证据实施框架,JBI PACES软件和GRiP工具.
- 开发和审计了基线和后续行动的八个标准.
主要成果:
- 记录的疼痛计划 (标准3) 和多模式止痛 (标准6) 的低基线合规性.
- 对阿片类药物使用的适度基线合规性 (标准7) 和疼痛专家的随访 (标准8).
- 在干预后,在所有经过审计的标准中观察到显著的改善.
结论:
- 该项目成功提高了对手术后疼痛管理最佳实践的遵守.
- 建议进行进一步的研究,以确保这些改进的长期可持续性.
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