临床护士执行医疗命令的有根据的理论
Monireh Asadi1, Fazlollah Ahmadi2, Easa Mohammadi1
1Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, P.O. Box. 14155-4838, Tehran, Iran.
BMC nursing
|February 12, 2024
概括
临床护士选择性地执行医疗命令,以避免法律影响和保护职业声望,采用不准确的记录和隐事件等策略. 处理工作量和改善医生护士沟通是安全执行订单的关键.
科学领域:
- 护理实践 护理实践
- 医疗保健管理的管理
- 医疗法 法律 医疗法
背景情况:
- 临床护士在法律上对准确执行医疗命令负有责任.
- 订单执行会影响医疗保健质量和患者安全.
- 实施的挑战需要仔细考虑.
研究的目的:
- 探索临床护士执行医疗订单的过程.
- 在订单执行过程中识别问题.
- 发现解决这些问题的策略.
主要方法:
- 使用接地理论进行定性设计.
- 20名参与者 (16名护士,2名护士经理,2名医生) 在伊朗医院.
- 深入的,半结构化的访谈,直到数据和.
主要成果:
- 护士从事"选择性和品味的实施",以避免法律/组织责任.
- 策略包括"控制医疗订单的准确性"",不真实记录"和"隐事件".
- 诸如工作负担,医生不遵守规定和文件压力等因素导致心理困扰并影响患者的安全.
结论:
- 减轻人员短缺,增强医生护士专业关系.
- 提供法律支持,并实施录制口头命令.
- 培养一种接受错误的文化,鼓励改进;升级设备.
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