护士对患者病情恶化的经验和快速反应团队
Cynthia Ruiz1, Karolina Golec1, Susan C Vonderheid2
1Northwest Community Healthcare, 800 W. Central Rd., Arlington Heights, IL 60005, USA.
Applied nursing research : ANR
|September 10, 2024
概括
护士在识别患者病情恶化和激活快速反应小组 (RRTs) 时面临挑战,通常是由于负面态度和耻辱感,影响患者的安全和结果.
科学领域:
- 护理 护理 护理
- 患者安全 患者安全
- 医疗保健的质量 医疗保健的质量
背景情况:
- 快速反应小组 (RRT) 对患者安全至关重要,但它们的有效性取决于及时激活和团队合作.
- 护士对RRT的看法和经验对于改善他们的表现和患者的结果至关重要.
研究的目的:
- 探索护士对患者病情恶化的看法.
- 了解护士在启动RRT时的决策过程.
- 检查护士在激活期间和之后与RRT的经验.
主要方法:
- 使用半结构焦点小组采访进行的定性描述性研究.
- 来自芝加哥地区一家医院的24名护士参与了这项研究.
- 对转录的采访进行主题分析,确定了关键模式.
主要成果:
- 五个主题出现了:恶化识别,升级决策,团队响应能力,沟通和感知的有效性.
- 护士报告说,他们难以识别微妙的恶化迹象.
- 延迟RRT激活与响应者的态度和耻辱联系在一起.
结论:
- 研究结果强调需要改善的工作环境,以支持护士的表现和跨专业的合作.
- 在RRT激活和有效性的挑战需要持续的监测和教育.
- 需要改进的关键领域包括患者移交,护士赋权,沟通和角色明确.
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