从护士的角度来看,重症监护患者需要息护理的触发因素:混合方法研究
Manuela Schallenburger1, Jacqueline Schwartz2,3, Andrea Icks4,5
1Interdisciplinary Centre for Palliative Medicine, Medical Faculty, University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
Critical care (London, England)
|May 28, 2024
概括
德国重症监护护士确定了关键的息护理触发因素,重点关注专业间合作和患者预后. 一个经过验证的调查问卷现在可以在未来的研究中评估这些触发因素.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 护理研究 护理研究
- 密集护理医学 密集护理医学
背景情况:
- 在国际上,触发器被用来识别需要息治疗的重症监护患者.
- 护士与患者的亲密关系需要在触发器识别中包括他们的观点.
研究的目的:
- 从德国重症监护护士的角度来看,识别潜在的息护理触发器.
- 通过问卷,开发和分析重症监护护士对这些触发因素的接受程度.
主要方法:
- 一种混合方法的方法,涉及从各种重症监护学科的护士组成的定性焦点小组.
- 使用内容结构化内容分析分析定性数据的分析.
- 基于定性发现的32项调查问卷的开发,随后进行认知预测和试点调查.
主要成果:
- 确定了四大类触发因素:预后,专业间合作,亲属和患者.
- 护士强调疾病的严重程度,治疗过程,沟通和患者/相对特征至关重要.
- 还注意到护士和医生之间存在专业冲突.
- 试点调查显示,护士接受的30个触发因素 (≥50%的同意),响应率为76.7%.
结论:
- 密集护理护士认识到息护理的各种触发因素,专业间合作和患者预后是重要的因素.
- 开发的问卷适用于进一步的专业间调查,以完善息治疗触发因素的识别.
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