调整周围静脉导管质量与护理培养-A混合方法研究
Lise Husby Høvik1,2, Kari Hanne Gjeilo3,4, Gillian Ray-Barruel5,6,7
1Clinic of Anaesthesia and Intensive Care, St Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.
Journal of clinical nursing
|May 8, 2024
概括
病房培养显著影响周围静脉导管护理质量. 支持领导和加强护理教育对于改善患者安全和遵守最佳实践至关重要.
科学领域:
- 护理科学 护理科学
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 遵守对外围静脉导管 (PIVC) 护理的基于证据的指导方针对于预防并发症至关重要.
- 在不同的医院环境中存在PIVC护理质量的变化,需要了解影响因素.
- 之前的研究还没有充分探索影响不同病房PIVC护理遵守的细微障碍和促进因素.
研究的目的:
- 调查影响遵守PIVC护理指南的障碍和促进因素.
- 探索不同的病房文化如何影响PIVC护理的质量.
- 确定改善PIVC管理和患者安全的策略.
主要方法:
- 采用了一种连续解释性的混合方法研究设计.
- 在41个病房使用外周静脉导管迷你问卷 (PIVC-miniQ) 收集了定量数据.
- 从个人护士采访中获得的定性数据与使用支柱整合过程的定量发现相结合.
主要成果:
- 在医院病房中观察到PIVC护理质量的显著差异.
- 病房文化成为影响PIVC质量的中心主题,影响教育和遵守最佳实践.
- 关键的子主题包括偏离最佳实践,教育差距,病房间之间的质量差异以及支持性领导的重要性.
结论:
- 病房文化是PIVC质量的关键决定因素,偏差与并发症有关.
- 对于PIVC管理的护理教育在很大程度上依赖于临床实习,突出了教育差距.
- 改善PIVC护理需要解决教育缺陷,培养支持性的领导力,并任命病房冠军.
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