从护士的角度来看,ERAS协议的遵守和实施的障碍:定性研究
Gökçen Aydın Akbuğa1, Kübra Yılmaz2
1Faculty of Health Sciences, Department of Nursing, Yozgat Bozok University, Yozgat, Türkiye.
概括
实施手术后增强恢复 (ERAS) 协议的护士面临知识缺乏和团队合作等挑战. 解决这些障碍对于成功实施ERAS和改善患者治疗结果至关重要.
科学领域:
- 护理 护理 护理
- 手术护理 手术护理
- 医疗保健管理的管理
背景情况:
- 手术后增强恢复 (ERAS) 是一种多学科,基于证据的方法,以优化手术患者的恢复.
- 护士是成功实施ERAS协议的重要组成部分,管理患者护理的各个方面.
- 了解护士的经验和挑战对于完善ERAS实施策略至关重要.
研究的目的:
- 探索和描述实施ERAS协议的护士的实践经验.
- 确定护士在ERAS协议应用过程中遇到的具体障碍.
主要方法:
- 使用现象学进行定性研究设计.
- 标准有目的的抽样招募12名积极参与ERAS的护士.
- 通过入门和半结构面试收集数据,使用七步Colaizzi方法进行分析.
主要成果:
- 出现了三个主要主题:ERAS协议的重要性,障碍,合规性/适用性.
- 发现的关键障碍包括缺乏知识,领导者混乱,对变革的抵制以及团队合作不佳.
- 副主题强调了该协议在减少并发症,加速愈合和提高患者满意度方面的作用.
结论:
- 护士在实施ERAS方面遇到重大障碍,包括信息不足和团队合作不足.
- 解决已识别的障碍,例如对变革的抵抗和领导力问题,对于有效的ERAS协议集成至关重要.
- 识别和解决这些挑战将有助于制定有针对性的解决方案,以提高ERAS计划的成功.
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