护士在救护服务中使用咨询决策支持系统:一项定性研究
Cecilia Fager1,2,3, Andreas Rantala2,4,5, Anders Svensson2,3,6
1Department of Ambulance Service, Kalmar County, Kalmar, Sweden.
Journal of advanced nursing
|March 22, 2024
概括
使用基于网络的咨询决策支持系统 (ADSS) 的救护护士感到更安全和更有能力. 然而,该系统在团队动态和角色适应方面提出了挑战,影响了护理价值观.
科学领域:
- 医疗保健技术 医疗保健技术 医疗保健技术
- 救护车服务 救护车服务
- 护理信息学 在护理信息学.
背景情况:
- 救护车服务越来越多地利用数字工具进行患者评估.
- 决策支持系统旨在标准化护理并改善患者的治疗结果.
- 了解这些系统的用户体验对于有效实施至关重要.
研究的目的:
- 通过基于网络的咨询决策支持系统 (ADSS) 探索救护护士的经验.
- 确定ADSS如何影响患者评估,转诊过程和专业角色.
- 了解ADSS实施对护理价值观的影响.
主要方法:
- 使用归纳和描述方法进行定性研究.
- 与救护车护士进行了13次半结构化采访.
- 使用反射主题分析分析的数据.
主要成果:
- ADSS增强了护士的安全感,能力和压力管理.
- 挑战包括适应动态的团队,以及患者转诊和自我护理建议中的角色差异.
- 该系统促进了透明度,患者理解和独立性,尽管护士们在患者的期望中进行了导航.
结论:
- 护士报告说,在ADSS的评估和转介中,他们的安全性增加了.
- 患者信息和决策透明度的新机会出现了.
- 护理价值观存在潜在的威胁,即救护车服务的协议驱动,系统引入的变化.
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