什么影响了抗生素的启动? 开发一个尺度来衡量在住宅老年护理设施的护理行为
Saniya Singh1,2, Chris Degeling2, Peta Drury3
1School of Psychology, University of Wollongong, Wollongong, New South Wales, Australia.
Nursing open
|May 28, 2024
概括
一项新的测量准确地捕捉了影响老年护理中的抗生素启动的护理行为. 这个工具有助于理解护士.
科学领域:
- 老年学是一门学科.
- 护理实践 护理实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 抗生素管理在住宅老年护理设施 (RACF) 中至关重要,以打击耐药性.
- 护理行为显著影响抗生素启动决策.
- 现有的措施可能无法完全捕捉RACF设置中的这些行为细微差别.
研究的目的:
- 开发和心理测量评估一种新的测量方法,评估与RACF中的抗生素启动相关的护理行为.
- 为了确定关键的护理行为影响抗生素决策在老年护理.
主要方法:
- 对157名护士进行了一项横截面在线调查.
- 该调查包括了临床细节,介绍了常见的老年护理感染 (UTI,URTI) 与不同的信息.
- 探索性因子分析和可靠性分析被用于评估测量的心理特征.
主要成果:
- 一项16项测量,产生了三个因素 (记住和打电话给GP,咨询同事,立即评估和抗生素),证明了令人满意的可靠性和有效性.
- "记住和打电话给医生"因子与焦虑和对不确定性的普遍容忍有负相关性.
- 所有因素都与临床耐受不确定性有显著的相关性.
结论:
- 开发的测量可靠且有效地捕捉了影响RACF抗生素启动的护理行为.
- 该工具为理解老年护理中复杂的护理决策提供了基础.
- 这些发现支持在RACF中开发有针对性的抗生素管理干预措施.
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