基于证据的护理实践计划的开发,以防止重症监护室的非计划性内内输出:Delphi方法研究研究
Jinhua Wu1, Zewei Xiao2, Suiping Chen2
1The First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, China.
Journal of clinical nursing
|June 26, 2024
概括
这项研究开发了一项基于证据的护理计划,以预防成人重症监护室 (ICU) 患者的无计划内切外注 (UEE). 该计划提供了一个框架,以减少UEE发生率并提高护理护理质量.
科学领域:
- 护理实践 护理实践
- 基于证据的干预措施
- 在ICU的患者安全.
背景情况:
- 无计划的内切外注 (UEE) 是重症监护病房 (ICU) 中的一个关键不良事件.
- 制定标准化的协议对于预防UEE和改善患者的治疗结果至关重要.
- 现有的做法需要一个全面的,以证据为基础的方法,以有效地预防UEE.
研究的目的:
- 开发一个以证据为基础的护理实践计划,以防止成年ICU患者的无计划内内输出 (UEE).
- 将当前的证据和专家的共识综合成一个实用的,可实施的协议.
- 建立一个减少UEE率和提高患者护理质量的框架.
主要方法:
- 在18个数据库的综合文献审查中,确定了相关证据.
- 采用了德尔菲方法,通过调查咨询专家.
- 综合证据提供了调查问卷的开发和代的专家反轮.
主要成果:
- 开发了一个43项基于证据的计划,涵盖风险评估,镇静,妄想管理等.
- 通过两个Delphi轮,高响应率 (94.7%和100%) 的专家达成共识.
- 统计分析 (Kendall W) 表明专家之间存在显著的共识 (p < .001).
结论:
- 成功开发了一项基于证据的护理实践计划,用于在成人ICU中预防UEE.
- 该计划整合了综合证据和专家共识.
- 建议进行进一步的验证研究,以确认该计划的临床有效性.
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