促进者和障碍证据采用中央静脉导管在瘤护士插入后维护:一个多中心混合方法研究研究
Funa Yang1, Ka Yan Ho2, Katherine Ka Wai Lam2
1Nursing Department, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Henan, China.
BMC nursing
|August 21, 2024
概括
瘤护士表现出高度遵守中央静脉导管 (CVC) 维护,但在消毒实践中存在差距. 解决诸如证据获取等障碍,并让专家参与,可以改善基于证据的护理.
科学领域:
- 护理科学 护理科学
- 瘤科 护理 护理专业
- 基于证据的实践.
背景情况:
- 中枢静脉导管 (CVC) 需要在插入后进行细致的维护,这是关键的护理责任.
- 有限的文献存在于CVC维护的证据采用,特别是在瘤学环境中.
- 这项研究调查了瘤护士在心血管中心护理中的基于证据的实践,确定了促进者和障碍.
研究的目的:
- 评估瘤护士采用基于证据的CVC维护实践.
- 确定影响基于证据的CVC护理实施的促进者和障碍.
主要方法:
- 一项从2022年5月到2023年4月进行的连续解释性混合方法研究.
- 包括中国五家医院1314个CVC维护记录的横截面临床观察.
- 随后与15名护士进行半结构面试,使用i-PARIHS框架探索促进者和障碍.
主要成果:
- 总体而言,对CVC维护的遵守率为90.0%.
- 输注连接器消毒和皮肤/导管消毒的采用率较低 (<80%).
- 主要障碍包括难以获得证据,缺乏专业护士参与以及环境挑战. 促进者是专业护士的积极态度和专门的静脉注射治疗团队.
结论:
- 存在显著的机会,以加强基于证据的CVC维护在瘤学.
- 需要有针对性的组织级干预措施来解决已识别的障碍和促进者.
- 提高CVC对感染控制协议的遵守率至关重要.
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