数字护士:早期预警系统对护士高阶思维的影响,量化研究
Marie Danielle Le Lagadec1, Deb Massey2, Amy-Louise Byrne1
1School of Nursing Midwifery and Social Sciences, CQUniversity, Rockhampton, Queensland, Australia.
Journal of advanced nursing
|May 11, 2024
概括
注册护士发现早期预警系统有帮助,但认为它们可以阻碍批判性思维. 大多数人优先考虑自己的判断,而不是算法得分,这表明工具应该包含批判性思维元素.
科学领域:
- 护理实践 护理实践
- 临床决策 - 临床决策
- 医疗信息学 医疗信息学
背景情况:
- 早期预警系统 (EWS) 在医疗保健中越来越多地用于标准化患者监测.
- 算法工具在临床实践中的整合引发了关于它们对医疗保健专业人员认知技能的影响的问题.
- 了解护士对EWS的看法对于优化其实施和对临床判断的影响至关重要.
研究的目的:
- 评估注册护士对如何强制使用预警系统 (EWS) 生命体征工具影响他们更高层次的思维能力的看法.
- 探索护士的信心,合规性和与EWS使用相关的感知障碍.
主要方法:
- 采用了并发混合方法研究设计.
- 在线调查与利克特类型的问题和定性字段被管理到注册护士.
- 收集了关于EWS有用性,临床信心,协议合规性和障碍的感知数据.
主要成果:
- 大多数护士 (91%) 经验超过5年.
- 虽然许多人支持EWS和遵守升级协议,但40%的受访者感到有信心,优先分数与他们的评估不一致.
- 很大比例的护士遗漏或不准确地记录了生命体征 (69.4%和63.3%),以匹配所需的分数;只有3.6%的人认为EWS不会阻碍更高层次的思维.
结论:
- 经验丰富的护士比EWS更重视患者的安全和他们自己的高级思维,经常依靠他们的临床判断.
- 过度依赖EWS可能会阻碍护士发展必要的批判性思维技能.
- 未来的EWS开发应该考虑结合批判性思维标准来支持,而不是取代护士的临床推理.
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