在肯尼亚海岸的三个医院,全科护士检测和应对临床恶化:一个融合的平行混合方法研究
Nickcy Mbuthia1, Nancy Kagwanja2, Moses Ngari2
1Department of Medical Surgical Nursing, School of Health Sciences, Kenyatta University, Nairobi, Kenya. mbuthia.nickcy@ku.ac.ke.
肯尼亚大病房的护士不一致地记录了生命体征,阻碍了早期发现患者病情恶化. 低于最佳的环境和资源限制阻碍了对关键条件的及时响应.
科学领域:
- 护理 护理 护理
- 关键的护理关键的护理
- 患者安全 患者安全
背景情况:
- 低收入和中等收入国家的有限的重症监护机构需要在一般病房管理急性病患者.
- 一般病房的护士对于检测和响应患者病情恶化至关重要,以防止不良后果.
- 这项研究调查了生命体征记录和影响护士对肯尼亚医院病情恶化的反应的因素.
研究的目的:
- 检查护士的生命体征记录在临床恶化期间的做法.
- 探索影响护士检测和应对患者病情恶化的能力的因素.
- 确定在一般医院病房改善患者安全的领域.
主要方法:
- 在肯尼亚三个沿海地区医院进行了融合并行混合方法研究.
- 在死亡前24小时内,对405名患者的生命体征记录进行了定量分析.
- 从与24名注册护士的半结构面试中获得的定性数据.
主要成果:
- 生命体征记录主要出现在护理笔记中,而不是观察图表.
- 呼吸率是死亡前24小时记录最少的生命体征 (1.2%).
- 确定了关键主题:监测不足,设备有限,人员问题,工作量,培训不足和沟通障碍.
结论:
- 在一般病房观察到护士不一致的生命体征监测和记录.
- 不理想的病房环境阻碍护士及时检测和应对临床恶化.
- 标准化的评估系统,警报机制和支持性的工作环境对于改善患者的治疗结果至关重要.
更多相关视频
11:21Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
08:10Neuroimaging Field Methods Using Functional Near Infrared Spectroscopy NIRS Neuroimaging to Study Global Child Development: Rural Sub-Saharan Africa
Published on: February 2, 2018
相关概念视频
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Current Trends in Nursing II
Current Trends in Nursing I
The Scientific Method in Nursing Process
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Nursing Assessment
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
