对重症监护护士在提供体外膜氧化 (ECMO) 支持方面对工作负载的看法进行探索:一项描述性的定性研究
Paul Ross1, Jayne Sheldrake2, Dragan Ilic3
1Department of Intensive Care, Alfred Health, Commercial Road, Melbourne, VIC, 3004, Australia; School of Public Health & Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, 3004, VIC, Australia.
概括
集中护理护士在管理体外膜氧化 (ECMO) 疗法时面临着巨大的工作负载挑战. 解决这些问题需要专门的培训和支持系统,以获得最佳的患者护理.
科学领域:
- 关键护理护理 关键护理护理
- 支持心肺血管的支持.
- 患者管理 患者管理
背景情况:
- 身体外膜氧化 (ECMO) 的使用在重症监护中正在增加.
- 护士为ECMO小管,电路和控制台提供必要的护理.
- 关于ECMO工作量和挑战的护理视角的研究有限.
研究的目的:
- 探索重症监护护士对工作负载的看法.
- 调查提供专业ECMO治疗和护理的情况.
- 在澳大利亚ECMO中心进行的研究.
主要方法:
- 定性描述性研究.定性描述性研究.
- 与30名护士进行半结构面试.
- 数据的诱导性主题分析.
主要成果:
- 确定了影响工作负载的三个关键主题:机会,知识/责任和系统/结构.
- 护士需要ECMO的高级临床和批判性思维技能.
- 护士有动力获得ECMO技能,以获得专业发展.
结论:
- ECMO护理需要不断的警和先进的技能.
- 一个训练有素和受过良好教育的护理工作人员对于ECMO服务至关重要.
- ECMO为护士提供临床发展和高级实践角色的机会.
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