使用i-PARIHS理论框架开发中央静脉导管维护的证据实施策略:一个多站点质量改进项目
Wenchao Wang1, Qin Fu2, Weijie Shen3
1Emergency Department, Children's Hospital of Fudan University, Shanghai, China.
使用卫生服务研究实施综合促进行动 (i-PARIHS) 框架实施基于证据的实践,改善了儿科重症监护室中中央静脉导管 (CVC) 护理. 这一策略改善了护士的临床实践,并减少了并发症.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 护理研究实施实施.
- 儿科重症监护 儿科重症监护
背景情况:
- 基于证据的护理实践对于减少中央静脉导管 (CVC) 并发症至关重要.
- 卫生服务研究实施的综合促进行动 (i-PARIHS) 框架有助于识别实施基于证据的实践的障碍和促进因素.
研究的目的:
- 评估i-PARIHS框架在改善CVC维护实践方面的有效性.
- 确定在儿科重症监护室 (PICU) 实施基于证据的实践中的促进者和障碍.
主要方法:
- 一个项目是在中国六家高等儿童医院的PICU中进行的.
- 审计评估了CVC目前的护理与22个最佳实践标准相比.
- 根据i-PARIHS框架,制定了有针对性的改进策略.
主要成果:
- 在创新,接收者和上下文层面确定了促进者和障碍者.
- 制定了CVC维护策略,以将最佳证据纳入护理实践.
- 与基线相比,在22个审计标准中的17个中观察到显著改善.
结论:
- 在临床环境中,i-PARIHS框架有效地开发和实施基于证据的策略.
- 在CVC维护方面,护士的临床实践显示有所改善.
- 需要长期数据来确认这些积极结果的可持续性.
更多相关视频
05:04Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
相关概念视频
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Methods of Documentation III: PIE
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
