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新生儿重症监护室有效预防感染的障碍:一种定性研究
Veronica U Weser1, Abigail Crocker, Thomas S Murray
1Department of Pediatrics (Drs Weser, Murray, Truesdell, Marks, Martinello, and Hieftje), Department of Internal Medicine (Dr Martinello), Yale School of Medicine, New Haven, Connecticut; Yale School of Nursing (Ms Crocker), New Haven, Connecticut; Yale New Haven Children's Hospital (Dr Murray and Ms Ciaburri), New Haven, Connecticut; Department of Infection Prevention (Drs Murray and Martinello), Yale New Haven Health, New Haven, Connecticut; Department of Molecular, Cellular, and Developmental Biology (Mr Wright), Yale University, New Haven, Connecticut.
医院工作人员和家属之间改善有关感染预防 (IP) 行为,如手部卫生 (HH) 的沟通至关重要. 解决沟通挑战可以减少压力,并加强新生儿重症监护病房的IP实践.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 新生儿护理 新生儿护理
背景情况:
- 有效的感染预防 (IP) 行为,包括手部卫生 (HH) 和设备消毒,对于重症新生儿至关重要.
- 减少来自家庭成员和医院工作人员的感染传播是新生儿重症监护室 (NICU) 的关键问题.
研究的目的:
- 在新生儿护士和患者家属中识别与IP行为相关的感知和障碍.
- 为教育干预措施的发展提供信息,旨在改善员工和家庭的知识产权实践.
主要方法:
- 使用重点小组与新生儿护士和患者家属进行定性研究.
- 数据三角化与全医院调查结果.
- 收集的定性数据的诱导性内容分析.
主要成果:
- 确定了有关知识产权教育的员工和家庭之间的沟通挑战,特别是"及时"的手部卫生 (HH) 提醒.
- 利益相关者报告说,他们对HH教育的时间和性质感到不舒服,这导致NICU的压力增加.
- 调查数据证实了关于沟通障碍及其影响的调查结果.
结论:
- 改善患者家属和前线工作人员之间的沟通策略对于提高知识产权行为至关重要.
- 通过加强知识产权教育,减少护士提供HH提醒的负担,可以减少压力并改善患者的治疗结果.
- 需要进行进一步的研究,以优化针对知识产权利益相关方沟通的教育干预措施的交付和时间.
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