在医院实施营养护理:使用实施理论对障碍和促进者的定性研究
Lærke Prietzel Nielsen1, Krista Horsholt Thomsen1, Camilla Alleslev1
1Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Scandinavian journal of caring sciences
|March 23, 2024
概括
在医院实施营养护理临床指南面临挑战. 成功的关键因素包括明确的责任,领导支持,充足的资源,员工培训和营养师的存在,以改善患者的营养.
科学领域:
- 医疗保健管理的管理
- 临床营养学 临床营养学
- 实施科学 实施科学
背景情况:
- 与疾病相关的营养不良在住院患者中很常见,但缺乏一致的营养护理.
- 医院难以统一执行营养实践的临床指南,导致病房变化.
研究的目的:
- 确定实施临床营养指南的障碍和促进因素.
- 通过实施战略,提出基于证据的建议,以加强营养护理实践.
主要方法:
- 对11名医疗保健工作者 (护士,营养师等) 进行了定性采访研究. 在丹麦大学医院的八个病房.
- 半结构面试探讨了员工对实施营养护理指南的看法.
主要成果:
- 六个关键主题出现了:明确的责任,管理承诺,领导支持,合适的身体环境,适当的员工选择,以及现场营养师的作用.
- 鉴定出障碍物和促进因素为有针对性的干预提供了基础,以改善营养护理.
结论:
- 多种因素影响营养实践的实施.
- 结合已识别的因素的实施战略可以促进实践变化并提高营养护理质量.
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