建立一个课程,以训练ICU护士倾斜的位置机械通风:德尔菲的研究
1Department of Nursing & Respiratory and Critical Care Medicine, The First Affiliated Hospital of University of Science and Technology of China, Hefei, China.
Nursing open
|June 11, 2024
概括
开发了一个新的培训课程,用于临床临床的重症监护室 (ICU) 护士. 这一框架增强了在重症监护中易受机械通风技术的培训和评估.
科学领域:
- 关键护理 护理教育 护理教育
- 呼吸系统疗法 呼吸系统疗法
- 患者定位技术 患者定位技术
背景情况:
- 躺卧是急性呼吸困扰综合征 (ARDS) 患者的关键干预措施.
- 对卧床重症监护室 (ICU) 护士进行有效的培训对于最佳的患者治疗结果至关重要.
- 现有的培训计划可能缺乏全面的结构和标准化的评估方法.
研究的目的:
- 为ICU护士开发一个全面和结构化的培训课程,专注于易受影响的定位技术.
- 建立一个框架来评估护士在应用易于机械通风方面的实际能力.
主要方法:
- 一种混合方法的方法,将半结构面试和两轮德尔菲调查相结合.
- 数据收集包括文献综述,专家访谈和对17名重症监护专家的Delphi调查.
- 使用专家共识建立培训指标的问卷开发和完善.
主要成果:
- 问卷恢复率高 (88.2%) 和专家权威强 (0.876).
- 专家们在培训指标的重要性上达成了显著的共识 (肯德尔的W=0.402).
- 制定一个结构化的培训框架,其中包括13个二级和41个三级指标,涵盖易于通风的内容,方法和评估.
结论:
- 开发的培训系统为教育ICU护士易于机械通风提供了有效的框架.
- 这种结构化的方法将有助于标准化培训和评估重症监护机构护士的实际技能.
- 这项研究为改善需要躺卧的患者的护理质量奠定了坚实的基础.
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