在重症监护病房的初级护理
Lars Krüger1,2, Thomas Mannebach3, Franziska Wefer4,5
1Project and Knowledge Management/Care Development intensive care, Care Directorate, Heart and Diabetes Center NRW, University Hospital of the Ruhr University Bochum, Bad Oeynhausen, Germany.
初级护理 (过程负责护理;PRN) 改善了ICU中的沟通和以患者为中心的护理,特别是涉及亲属. 然而,在交付和文档方面的挑战需要进一步优化才能成功实施PRN.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 定性研究方法 定性研究方法
背景情况:
- 初级护理 (过程负责护理;PRN) 是组织护理护理的模式.
- 在重症监护室 (ICU) 实施PRN存在重大挑战.
- 本研究分析了PRN在德国一所大学医院ICU的开发和实施情况.
研究的目的:
- 评估护士在PRN实施后对护理实践变化的看法.
- 收集有关PRN实施过程的见解.
- 确定进一步优化PRN的领域.
主要方法:
- 进行了定性过程分析.
- 数据收集包括重点小组采访和病房过程分析 (参与者观察) 在三个时间点:实施前,实施后6个月和实施后12个月.
- 分析使用库卡茨的内容结构定性内容分析.
主要成果:
- 确定的关键类别包括沟通,护理规划和患者/亲属整合.
- 观察到PRN的积极影响,特别是亲属的参与.
- 确定优化领域包括交付程序,预约安排,文档系统和访问时间.
结论:
- 定性分析表明,在PRN实施期间,护理实践发生了变化,例如改善了沟通和护理规划.
- 还强调了与访问预约和文档系统相关的挑战.
- 需要进一步优化,以应对已识别的挑战并提高PRN的有效性.
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