使用可互操作的护理数据来改善多重创伤患者的治疗结果
Raisa Camilo Ferreira1,2,3, Karen Dunn-Lopez4, Sue Moorhead2
1School of Nursing, State University of Campinas, Campinas, SP, Brazil.
Journal of clinical nursing
|April 10, 2024
概括
这项研究开发了经过验证的NNN链接,用于护理多重创伤患者的身体移动性受损,改善数据利用,以获得更好的患者结果. 这些联系有助于护士有效地做出明智的决策.
科学领域:
- 护理信息学 护理信息学
- 临床数据的互操作性
- 创伤护理 创伤护理
背景情况:
- 整体的病人护理需要全面了解复杂的需求.
- 多重创伤患者的身体移动能力受损在护理规划中存在独特的挑战.
- 标准化的护理术语对于数据互操作性和基于证据的实践至关重要.
研究的目的:
- 证明可互操作的护理数据对多重创伤患者的有用性.
- 提出和验证护理诊断 (身体活动障碍) 和标准化分类 (NOC,NIC) 之间的联系.
- 提高护士理解和解决创伤患者医疗保健需求的能力.
主要方法:
- 使用定量和定性分析进行描述性的横截面设计.
- 交叉映射方法应用于巴西一级创伤中心的非识别护理记录.
- 专家护士共识和卡帕系数用于验证拟议的联系.
主要成果:
- 分析了44个患者记录,映射到3个国家医疗中心和13个国家医疗中心,共有32个相互关联的活动.
- 该研究通过构建的NNN链接确定了37个NOC和41个NIC.
- 在多重创伤患者的护理诊断中确立了经过验证的身体运动障碍的联系.
结论:
- 经过验证的NNN链接为护士有效的临床决策提供了宝贵的资源.
- 这种方法增强了改善患者安全和创伤护理结果的潜力.
- 互操作的护理数据,当有效链接时,支持基于证据的实践和整体的患者评估.
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