家庭成员在重症监护室的经验 护理:从一个家庭参与工具实施试验的见解
Janet Alexanian1, Ian Fraser2, Orla Smith3
1Department of Innovation in Medical Education, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Qualitative health research
|February 10, 2024
概括
在重症监护室 (ICU) 的家庭参与正在转向以患者为中心的护理. 然而,这项研究发现,扩大家庭角色挑战护士-病人动态,成功实施取决于特定的ICU环境.
科学领域:
- 医疗保健管理的管理
- 患者护理 患者护理
- 卫生社会学 卫生社会学
背景情况:
- 越来越多的家庭参与被认为是重症监护病房 (ICU) 中的关键.
- 文化转变促进了家庭的存在,作为以患者为中心的护理的一部分.
- 家庭参与ICU的确切影响和意义尚不清楚.
研究的目的:
- 探索家庭参与ICU的实际实施和看法.
- 了解医疗保健专业人员,家庭成员和患者护理之间的动态.
- 确定影响家庭参与干预在ICU的成功因素.
主要方法:
- 在两年内使用了民族学方法.
- 在两个ICU研究了家庭参与工具的实施试验.
- 收集了医疗保健专业人员和家庭成员的观点.
主要成果:
- 家庭作为ICU的护理人员的扩大,自我定义的角色改变了护士-病人/家庭关系.
- 家庭成员认识到这些关系动态.
- 实施成功受到ICU内部的流程,组织和上下文因素的重大影响.
结论:
- 家庭参与ICU的干预措施必须考虑并解决每个单位的特定背景因素.
- 这些发现突出了对将家庭纳入重症监护的细微方法的需要.
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