血管接入装置最佳选择的决定因素:由COM-B行为模型为基础的系统审查
Ismael Fernández-Fernández1, Enrique Castro-Sánchez2,3,4, Ian Blanco-Mavillard5,6,7
1Implementation, Research, and Innovation Unit, Hospital de Manacor, Manacor, Spain.
Journal of advanced nursing
|May 3, 2024
概括
选择最佳的血管接入装置是减少并发症的关键. 专家团队专注于能力和机会,往往忽视动机和社会因素,强调需要采取更全面的方法.
科学领域:
- 医疗保健管理的管理
- 临床实践 临床实践
- 患者安全 患者安全
背景情况:
- 选择最佳的血管接入装置 (VAD) 对于尽量减少与VAD相关的并发症至关重要.
- 这种选择过程受到行为和人类因素的影响.
- 该COM-B (能力,机会,动机,行为) 模型为理解这些影响提供了一个框架.
研究的目的:
- 综合有关影响VAD最佳选择的决定因素的证据.
- 应用COM-B行为模型来组织VAD选择决定因素的发现.
主要方法:
- 系统审查研究的研究,检查VAD选择的决策.
- 搜索了Medline,科学网,Scopus和EbscoHost数据库,截至2021年12月31日.
- 包括以英语或西班牙语出版的研究,遵守PRISMA指南.
主要成果:
- 审查了16项研究,重点关注能力 (身体和心理) 和机会 (身体和社会).
- 在理解动机和人际关系影响以及文化和社会环境方面,发现了显著的差距.
- 专家团队是VAD选择的核心,表现出高能力和机会评估 (75-100%).
结论:
- 专家团队主要推动VAD选择,专注于能力和机会.
- 动机因素和社会环境在VAD选择过程中经常被忽视.
- 需要由专业团队采取更注重实施的方法来减少不平等和并发症.
相关概念视频
Pharmacokinetic Models: Comparison and Selection Criterion
69
Physiological and compartmental models are valuable tools used in studying biological systems. These models rely on differential equations to maintain mass balance within the system, ensuring an accurate representation of the dynamic processes at play.
Physiological models take a detailed approach by considering specific molecular processes. They can predict drug distribution, metabolism, and elimination changes, providing a comprehensive understanding of how drugs interact with the body.
Physiological models take a detailed approach by considering specific molecular processes. They can predict drug distribution, metabolism, and elimination changes, providing a comprehensive understanding of how drugs interact with the body.
69
The Availability Heuristic
6.0K
A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):
6.0K
Models of Health Promotion and Illness Prevention I
2.0K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.0K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.2K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.2K


