压力损伤风险评估和使用结构化工具对临床判断进行预防性干预的处方:一个评估者之间的协议研究
Paul Fulbrook1,2,3, Josephine Lovegrove2,4,5, Saroeun Ven1,2
1School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Brisbane, Australia.
Journal of advanced nursing
|March 7, 2024
概括
与临床判断相比,使用结构化工具的护士在压力损伤风险水平上表现出公平的共识. 观察到干预处方的差异,但结构化工具仍然被推用于实践.
科学领域:
- 护理 护理 护理
- 临床评估 临床评估
- 患者安全 患者安全
背景情况:
- 压力伤害是一个重要的医疗保健问题.
- 准确的风险评估对于有效的预防至关重要.
- 护士使用结构化工具和临床判断来进行风险评估.
研究的目的:
- 为了比较护士使用结构化工具与临床判断之间的压力损伤风险水平协议.
- 根据评估方法分析预防性干预处方的差异.
主要方法:
- 进行了一项与94名护士评估员进行的互评级协议研究.
- 护士独立评估压力损伤风险,使用结构化工具 (Waterlow评分) 或临床判断.
- 规定了预防性干预措施,并分析了风险水平的协议.
主要成果:
- 在这两种方法之间的整体风险水平上,发现了公平的协议.
- 临床判断倾向于低估压力损伤风险.
- 干预处方各不相同,结构化工具导致更多的标准护理干预和临床判断导致更多的可选干预.
结论:
- 在压力损伤风险评估和干预处方中,结构化工具和临床判断之间存在重大差异.
- 虽然需要进一步的研究,但目前的发现并不支持从实践中排除结构化风险评估工具.
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