在急诊室的严重创伤儿童中以目标为导向的温度管理:一个最佳实践实施项目的项目
Wenchao Wang1, Yanhong Zhang1, Fang Ling1
1Emergency Department, Children's Hospital of Fudan University, Shanghai, China.
JBI evidence implementation
|June 24, 2024
概括
通过基于证据的实践,创伤患者的低温预防得到了显著改善. 面向目标的温度管理策略和员工培训减少了严重受伤儿童的低温发病率.
科学领域:
- 医学研究 医学研究
- 基于证据的实践实施实施.
- 创伤护理 创伤护理
背景情况:
- 低温症是创伤患者常见的并发症.
- 在急救部门遵守基于证据的低温预防实践是不一致的.
- 这项研究解决了对严重创伤儿童改善温度管理的需求.
研究的目的:
- 评估对严重创伤儿童目标导向温度管理的基于证据的实践的遵守.
- 确定在低温预防方面实施最佳实践的障碍.
- 评估实施战略在提高合规性方面的有效性.
主要方法:
- 使用了JBI证据实施框架和i-PARIHS框架.
- 制定了以目标为导向的温度管理策略,模拟培训,并确保了供应暖气材料.
- 通过实地观察,医疗记录审查以及干预前后的采访来评估合规性.
主要成果:
- 从基线到后续行动,所有12个经过审计的标准的合规性都显著增加.
- 干预后,发和感冒不适的分数下降.
- 在所有幸存的患者中预防了低温.
结论:
- 根据JBI的证据实施框架,有效地改善了对基于证据的低温预防实践的遵守.
- 持续的遵守需要持续的审计和加强基于证据的行为.
- 实施的策略成功地减少了严重创伤儿童的低温症.
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