一个PICU情境意识干预的可持续性:一个定性研究
Maya Dewan1,2,3,4, Jonelle Prideaux5,6, Daniel Loeb1,2
1From the Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio.
Pediatric quality & safety
|September 4, 2024
概括
这项研究探讨了如何在儿科医院维持一个跨专业的情况意识捆绑. 关键的促进者包括根深蒂固的实践和强有力的沟通,而流程变化带来了挑战.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 专业间合作 专业间合作
背景情况:
- 住院心脏骤停 (IHCA) 是一个关键的患者安全问题.
- 情况意识对于有效的临床决策和预防不良事件至关重要.
- 跨专业的合作对于实施和维持复杂的护理包至关重要.
研究的目的:
- 调查影响跨专业情境意识包可持续性的促进者和障碍.
- 了解该捆绑如何融入日常实践及其感知影响.
主要方法:
- 一项定性研究是在三级护理儿科中心进行的.
- 与12名医疗保健工作人员 (护士,高级实践提供者,研究员,护理人员) 进行了半结构化采访.
- 数据使用诱导和演主题分析进行分析.
主要成果:
- 情况意识包已经根深蒂固地植根于日常实践和文化中,加强了沟通,决策和结果.
- 标准化流程,利益相关者参与和团队支持对于可持续性至关重要.
- 挑战包括过程变化和动态的临床环境;家庭被排除在捆绑之外.
结论:
- 情况意识包已经成功地持续了五年,通过将其融入实践和文化.
- 它显然改善了沟通和共享决策.
- 了解实施和可持续性组件是未来传播和增强的关键.
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