实施和工作与产科紧急选的经验:瑞典助产士,辅助护士和产科医生之间的定性研究
Linnéa Lindroos1, Verena Sengpiel1, Helen Elden2
1Region Västra Götaland, Sahlgrenska University Hospital, Department of Obstetrics and Gynecology, Gothenburg, Sweden; Department of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
概括
在瑞典,正在引入产科紧急分组,这是评估孕妇患者的新系统. 最初怀疑的员工发现它改善了患者护理和团队合作,促进了紧急产科的"新思维".
科学领域:
- 产科和妇科 产科和妇科
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 在瑞典,产科急诊分组是新鲜的,有可能改善孕妇的评估.
- 过去在识别重症妇女方面的失败导致了不良结果.
- 实施需要适应现有的护理模式和具有挑战性的规范.
研究的目的:
- 探索和描述产科工作人员在产科紧急诊断方面的工作经验.
主要方法:
- 对瑞典东部的13名产科医生,助产士和辅助护士进行了定性采访.
- 数据分析采用了诱导性的定性内容分析 (格兰海姆和隆德曼).
主要成果:
- "一个新的思维方式"的总体主题出现了,它包括个人工作的影响,组织改进和增强的患者护理.
- 最初对分拣的怀疑在实施后演变为积极的态度.
- 确定了成功实施分拣的障碍和促进者.
结论:
- 产科急诊分组,有了足够的实施时间,可以在紧急产科护理中培养一种新的思维方式.
- 通过清晰的患者概述和增强的沟通,Triage提供了结构,控制和改进的团队合作.
- 该方法将注意力集中在关键问题上,促进反思,行动和改善患者安全.
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