评估执业护士的抗生素处方:应用认知任务分析
Nataly Martini1, Je Wei Choong1, Paula Donamae Dela Cruz1
1School of Pharmacy, Faculty of Medical and Health Sciences, The University of Auckland, Private Bag 92019, Auckland 1142, New Zealand.
新护士执业人员 (NPs) 在处方抗生素时面临复杂的认知挑战,包括不确定性和不足的指导. 了解这些认知需求可以改善抗生素管理和患者护理.
科学领域:
- 卫生科学 卫生科学 卫生科学
- 医学教育 医学教育
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗生素处方是一个复杂的决策过程,对于最小化抗菌素耐药性至关重要.
- 人们对新护士执业人员 (NP) 在开抗生素处方期间使用的认知策略知之甚少.
研究的目的:
- 确定与复杂的抗生素处方相关的认知需求.
- 探索新西兰新NP在处方抗生素时使用的认知策略.
主要方法:
- 使用应用认知任务分析 (ACTA) 方法的定性方法.
- 与五名最近注册的NP进行了深入采访,包括任务图面试和知识审计.
- 数据分析遵循了ACTA协议.
主要成果:
- 确定了四个关键的认知元素,突出显示了抗生素处方的复杂性.
- 这些要素包括管理不确定性,导航不足的指导,个性化治疗计划,并确保治疗有效性和护理连续性.
- 具体的挑战涉及复杂的患者,诊断的不确定性,缺乏指导方针,患者的期望和后续护理.
结论:
- 应用认知任务分析 (ACTA) 框架提供了对新NP抗生素处方实践的洞察力.
- 结果可以为开发有针对性的专业发展和资源提供信息,以支持安全的抗生素处方.
- 进一步的研究应该探索教育资源和临床途径对NP课程中诊断不确定性的影响.
更多相关视频
11:17Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
08:04Quantitative Examination of Antibiotic Susceptibility of Neisseria gonorrhoeae Aggregates Using ATP-utilization Commercial Assays and Live/Dead Staining
Published on: February 8, 2019
相关概念视频
Patient-centered Care
Nursing Assessment
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
Critical Thinking I
Critical Thinking II
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
