护士的障碍和促进者提供基于证据的手术前视察护理用于跨导管大动脉置换:基于证据应用设置的混合方法研究
GuanXing Wei1, JunYang Tan2, Fang Ma3
1Cardiology Department, The First Affiliated Hospital of Kunming Medical University, No. 295, Xichang Road, Kunming, 650032, China.
BMC health services research
|September 19, 2024
概括
在中国,护士对跨导管大动脉置换术 (TAVR) 的基于证据的手术前护理的遵守程度较低. 关键障碍包括缺乏例行,知识和培训,强调需要领导力支持和改善护士教育,以改善TAVR患者的治疗结果.
科学领域:
- 心血管护理心血管护理
- 基于证据的实践.
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 通过导管的大动脉置换 (TAVR) 的手术前拜访护理对于患者的安全和护理质量至关重要.
- 目前在中国的TAVR手术前护理严重依赖于经验,缺乏标准化的基于证据的协议.
- 了解TAVR护理中证据应用的促进者和障碍者至关重要.
研究的目的:
- 评估护士是否遵守中国TAVR的基于证据的手术前访问护理.
- 确定影响TAVR护理实践实践实施的障碍和促进者.
- 为改善手术前护理质量的战略提供信息.
主要方法:
- 使用护士合规清单进行合规评估 (n=21).
- 雇员基于证据的实践信念 规模和影响因素 护士的检查清单 (n=66).
- 进行了利益相关者 (管理人员,护士,患者) 的采访,以探索实践动态.
主要成果:
- 观察到的遵守率很低,只有1项证据完全实施,3项证据显示0%的实施.
- 在整个环境 (缺乏程序,材料,培训),从业者 (注意力,知识,压力) 和患者 (关系知识) 领域中确定了障碍.
- 促进者包括领导力支持,护士对基于证据的实践的高度信念,以及强大的执行能力.
结论:
- 护士对基于证据的手术前TAVR护理的遵守是不理想的.
- 解决诸如缺乏日常生活,知识和培训等可修改障碍是必不可少的.
- 加强领导力支持和有针对性的护士培训可以改善基于证据的实践采用.
相关概念视频
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Tracheostomy Care I: Pre-procedural Steps
140
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
140
Ethical Issues
870
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
870
Pre-Procedural Guidelines for Assessing Blood Pressure
525
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
525


