德尔菲共识开发了一种由护士领导的手术前麻醉查工具
M B Nejthardt1, P Alexandris2, S Bechan3
1Department of Anaesthesia and Perioperative Medicine, Faculty of Health Sciences, University of Cape Town, South Africa; Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital, Cape Town, South Africa. mb.nejthardt@uct.ac.za.
概括
护士使用的手术前查工具可以识别高风险的手术患者,需要专家麻醉师的检查. 这一策略优化了护理,并减少了在低资源环境中手术前一天的取消.
科学领域:
- 麻醉学 麻醉学
- 医疗保健管理的管理
- 护理实践 护理实践
背景情况:
- 低收入和中等收入国家面临着麻醉专家的短缺.
- 大多数手术患者的术后风险较低,但专家资源稀缺.
- 一个临时策略包括优先考虑高风险患者的专家手术前评估.
研究的目的:
- 开发一个由护士管理的手术前麻醉查工具.
- 确定在手术前从专家审查中受益的患者.
- 区分适合进行手术当天麻醉师评估的患者,以优化护理并减少取消.
主要方法:
- 对研究进行系统审查,以确定手术前查问题.
- 三轮的德尔菲共识过程涉及来自南非大学部门的16名麻醉师.
- 开发一个由护士管理的查工具,用于术前评估.
主要成果:
- 98项研究产生了79个初始查问题.
- 辅导员识别的项目在第一轮增加了清单93个问题.
- 最终的工具包括81个问题,其中37个问题对于识别需要专家手术前检查的患者至关重要.
结论:
- 提出了一个结构化的,由护士管理的术前查工具.
- 该工具可以识别高风险患者,需要及时接受麻醉专家的检查.
- 这种方法旨在防止手术当天的取消,并优化患者的护理.
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