查和早期检测输出管后口腔喉功能障碍:一个最佳实践实施项目
Paulo Carlos Garcia1,2, Karina Sichieri1,2, Tatiane Martins de Matos1
1University Hospital, University of São Paulo, São Paulo, Brazil.
在ICU中实施基于证据的查,以检测输出管后口腔喉功能障碍 (PED),改善了早期检测. 审计显示,对PED护理的最佳实践和更好的护理文档的遵守增加了.
科学领域:
- 关键护理医学 关键护理医学
- 护理实践 护理实践
- 基于证据的医疗保健
背景情况:
- 需要输入管和机械通风的重症监护病房 (ICU) 的患者有风险出现输出管后口腔喉乱 (PED).
- PED可以导致严重的并发症,包括吸气性肺炎,长时间住院治疗和增加死亡率.
- 早期查和发现PED对于减轻这些不良结果至关重要.
研究的目的:
- 实施和评估一个基于证据的项目,用于查和早期检测PED在巴西的成年人重症监护室.
- 促进卫生保健专业人员遵守PED识别和管理的最佳实践.
主要方法:
- 使用了JBI证据实施框架和JBI PACES和GRiP方法.
- 进行了基线和后续审计,以评估遵守基于证据的做法.
- 开发并实施了一项教育计划,以解决最佳实践中发现的障碍.
主要成果:
- 基线审计揭示了PED查现行做法中的重大缺陷.
- 第一个后续审计显示了更好的合规性,在七个标准中,五个标准的合规性达到100%.
- 第二次后续审计显示,在针对性干预后,五个标准的持续100%的合规性和剩余两个标准的改善.
结论:
- 护士们表现出对PED查和检测的教育计划的良好遵守.
- 证据实施项目成功改善了对PED管理的最佳实践的遵守.
- 在实施新策略后,观察到护理文档的改进.
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