在儿科重症监护病房实施 Delirium Rate Scale 的挑战:一种定性方法
Paula Balsalobre-Martínez1, Raquel Montosa-García2, Ana Marín-Yago2
1Hospital Universitario Virgen de la Arrixaca, Public Murcian Health System, 30120 Murcia, Spain.
Healthcare (Basel, Switzerland)
|January 11, 2024
概括
儿科护士报告说,在识别和管理儿童痴呆症方面存在挑战,理由是工具缺陷和专业间沟通问题. 解决这些差距对于改善护理和计划成功至关重要.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 妄想管理 妄想管理
- 护理经验 护理经验
背景情况:
- 儿科重症监护室 (PICU) 的儿童 Delirium 存在重大挑战,包括并发症和增加的成本.
- 这项研究调查了护理人员在15个月实施后在PICU中实施妄预防计划的经验.
研究的目的:
- 探讨在PICU的护理人员对抗儿童狂妄症计划的看法和经验.
- 从护理的角度来看,识别出妄管理的障碍和促进者.
主要方法:
- 一项定性研究,采用与PICU护士的半结构面试.
- 使用解释性描述和定性内容分析分析采访成绩单的分析.
- 遵守SRQR和COREQ报告质量指南.
主要成果:
- 护士们表现出缺乏承认妄想症是他们单位的一个重要问题.
- 在妄想识别方面发现了缺陷,儿童虐待潜在诊断 (CAPD) 工具被认为是不可靠的.
- 护理人员和医务人员在治疗目标上存在差异,这些差异与妄想管理有关.
结论:
- 护理人员表现出对妄的负面态度,原因是培训缺口,临床管理问题和工具不满.
- 对变革的抵抗和专业间的沟通冲突阻碍了妄计划的成功.
- 对于有效的妄想管理和儿童福祉,培训,态度和专业间关系的紧急变化是必要的.
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