"护理护理流程的隐式配额化" - - 在ICU护士的决策经验:一种定性研究
Shuyan Fang1, Yingnan Zhao2, Shizheng Gao1
1School of Nursing, Jilin University, Changchun, China.
Nursing in critical care
|July 16, 2024
概括
由于资源有限,重症监护室 (ICU) 护士经常对护理的配给做出直观的决定. 培养积极的护理文化和优化工作负载管理对于道德的病人护理至关重要.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 护理护理的隐性配给包括由于资源稀缺而拒绝采取必要的护理措施.
- 关于护士在重症监护室 (ICU) 中隐性配给的决策过程的研究有限.
研究的目的:
- 探索ICU护士的决策和判断过程,涉及护理护理的隐性配给.
- 在隐性配给的既定概念框架内分析这些过程.
主要方法:
- 一项使用参与式观察和采访18名ICU护士的定性研究.
- 2020年6月至9月期间收集的数据.
- 专题分析用于数据解释.
主要成果:
- 出现了五个关键主题:状况评估,优先设定策略,实施期间的缓解,现有的护理现实和配给评估.
- 护士在资源限制下实施护理计划时使用各种策略.
- 决策往往涉及直觉和情境判断,因为没有明确的指导方针.
结论:
- 护士在重症监护室面临着重大的伦理责任,尤其是在对待弱势患者和缺少家庭支持的情况下.
- 减轻隐性配给的策略包括团队合作,有组织的护理和解决工作负载.
- 建立积极的护理文化和优化人员配置/安排对于有效和道德的护理服务至关重要.
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