在瘤护士中改善恶性功能性伤口管理:一个最佳实践项目实施项目
Shing-Li Chang1, Chi Feng Chung2, Yueh Guo Liou1
1Institute of Clinical Nursing, National Yang Ming Chiao Tung University, Hsinchu City, Taiwan.
JBI evidence implementation
|May 13, 2024
概括
瘤护士通过教育和技能培养改善了恶性菌性伤口 (MFW) 护理,显著提高了患者的治疗结果和生活质量. 这个倡议解决了MFW管理中的关键障碍.
科学领域:
- 护理 护理 护理
- 在瘤学瘤学.
- 基于证据的实践.
背景情况:
- 恶性功能性伤口 (MFW) 护理对瘤护士来说是一个重大挑战.
- 这些挑战可能会导致护士的压力增加,护理质量下降,以及患者的不良结果.
研究的目的:
- 确定MFW护理中最佳实践的障碍.
- 制定和实施基于证据的指导方针来管理MFW.
主要方法:
- 利用JBI证据实施框架和班杜拉的社会学习理论.
- 进行了护士技能和患者病历的干预前后审计.
- 开发了一个在线教育计划和对护士的客观结构化临床检查.
主要成果:
- 全面的MFW评估从27%增加到98%.
- 在记录中使用伤口照片的比例从50%上升到100%.
- 验证的伤口评估工具使用率达到100%,适当的干预措施从50%增加到90%.
结论:
- 综合教育计划,多学科合作和领导力支持赋予护士在MFW管理中的权力.
- 干预促进了护理实践和组织文化的可持续变化.
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