通过从日常实践中学习,改善从重症监护室到病房的患者护理过渡. 一个多中心的定性研究
Gijs Hesselink1, Stan Bins1, Ingrid Bonte2
1Radboud University Medical Center, Department of Intensive Care Medicine, Nijmegen, the Netherlands.
Intensive & critical care nursing
|September 3, 2024
概括
探索从重症监护室 (ICU) 到病房的患者护理过渡,揭示了预测患者需求和有效沟通至关重要. 微妙的护理技能在这些关键转移期间显著影响患者的舒适性和护理协调.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 护理实践的护理实践
- 患者过渡管理的管理.
背景情况:
- 从重症监护室 (ICU) 到普通病房的患者护理过渡是一个复杂的过程.
- 现有的质量改进工作往往忽视了这些转型的"完成工作"方面.
- 了解日常做法对于优化患者的治疗结果至关重要.
研究的目的:
- 探索和描述阻碍和促进患者从重症监护室到病房的护理过渡的日常实践 (已完成的工作).
- 确定影响单位间患者转移期间护理质量的因素.
主要方法:
- 在荷兰三个医院进行了多项定性案例研究.
- 数据收集包括观察,半结构面试和对患者,亲属和护士的调查.
- 专题分析被用来系统地分析收集的数据,直到和.
主要成果:
- 15个主题出现了,突出了预测患者特定需求 (信息,指导,支持) 和对手需求 (交换) 的重要性.
- 标准程序有时可能与实际需求相冲突,例如ICU和病房护士之间的直接沟通.
- 非技术护理技能对于患者的舒适和护理协调至关重要.
结论:
- 微妙的,非技术的护理技能对于患者的舒适和协调护理在ICU到病房过渡期间是必不可少的.
- 完成工作的发现为反思和干预开发提供了宝贵的见解,以优化患者的过渡.
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