急症护理护士的决定,以识别和响应患者的改善:一个定性研究
Gabrielle Burdeu1,2, Bodil Rasmussen1,2,3,4, Grainne Lowe5
1School of Nursing and Midwifery, Deakin University, Geelong, Australia.
Journal of clinical nursing
|August 7, 2024
概括
急症护理护士积极识别并响应患者的临床改善,使用有针对性的评估和临床判断来确保安全并促进康复. 这突出了护士的特点.
科学领域:
- 护理 护理 护理
- 临床决策 - 临床决策
- 患者安全 患者安全
背景情况:
- 虽然患者病情恶化得到了广泛的研究,但急症护理护士对临床改善的认知和反应仍然不太了解.
- 对恶化和改善的有效管理对于最佳的患者结果和安全的医疗保健服务至关重要.
研究的目的:
- 探索和描述急症护理护士的决策过程,在现实环境中识别和响应患者的临床改善.
主要方法:
- 一项描述性研究,涉及直接观察护士和随后的采访.
- 九名医疗护士和十一名外科护士参加了澳大利亚一家大型大都会医院的实验.
- 使用反射主题分析来分析转录的观察和采访数据.
主要成果:
- 护士们采用了一种"检查"的过程,对改进作出判断,并决定适当的应答者.
- 决策的指导是预测的安全风险,主观和客观的患者线索,以及对以患者为中心的护理的愿望.
- 护士对患者安全的判断是他们对应对临床改善的决策的核心.
结论:
- 作为对临床改善的反应,急症护理护士的决策提供了显著的安全益处,类似于对恶化的反应.
- 识别和响应改善保护患者免受潜在伤害,促进恢复,防止不必要的干预.
- 医疗保健政策和教育应强调管理患者病情恶化和改善安全护理的同等重要性.
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