在重症监护室进行护士带领的食障碍查 - - 一项实施研究
Anne Højager Nielsen1, Robert Winding2, Bettina Hvas Busk3
1Department of Anaesthesiology and Intensive Care, Gødstrup Hospital, Hospitalsparken 15, DK-7400 Herning, Denmark(m); Department of Clinical Medicine, Aarhus University, Palle Juul-Jensens Boulevard 99, DK-8200 Aarhus N, Denmark(n).
在重症监护室进行护士带领的失消症查是可行的,但面临挑战. 改进文档和解决外部因素是成功实施安全患者吞的关键.
科学领域:
- 关键护理护理 关键护理护理
- 吞障碍 吞障碍 吞障碍
- 医疗保健 实施 科学 科学
背景情况:
- 在重症监护病房 (ICU) 中,催管后消化障碍很常见.
- 护士的床边查对于早期检测和预防吸血至关重要.
- 系统性消化不良查方案对于患者的安全至关重要.
研究的目的:
- 评估护士领导的,在ICU中的系统性消化障碍查的实施情况.
- 确定影响采取失消症查的障碍物和促进因素.
- 为了提高患者的安全性和口服摄入后造.
主要方法:
- 使用行为变化轮框架进行实用实施研究.
- 实施策略包括教育,电子学习,同行支持,反和环境线索.
- 通过图表审查,参与者日志,实施日志和重点小组采访收集的数据.
主要成果:
- 护士在教育中的参与率高 (94%),在电子学习中的参与率低 (67%).
- 对查方案的遵守率较低 (19%的输管患者).
- 护士们发现耶鲁吞协议是有效的;障碍包括NPO地位,缺乏跨专业支持和文档问题. 同事们的社会支持是一个促进者.
结论:
- 在ICU中由护士主导的食障碍查是可以实现的,但受到外部因素的阻碍.
- 需要对协议进行修改,以方便文档编制,避免仪器变更.
- 成功实施赋予护士权力,有助于决策,并促进安全的口服摄入,需要在不损害查工具完整性的情况下进行上下文化.
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