护理专业人员在插入外围血管接入装置方面的国家实践
Bianka Sousa Martins Silva1, Luciano Marques Dos Santos2, Patrícia Kuerten Rocha3
1Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.
Revista latino-americana de enfermagem
|September 25, 2024
概括
在插入外周静脉导管之前,护理专业人员经常跳过必要的步骤,技术人员和助理对指南的遵守程度最低. 对于更好的血管接入结果,需要改进门时间控制和患者准备等实践.
科学领域:
- 护理实践 护理实践
- 静脉注射疗法 静脉注射疗法
- 患者安全 患者安全
背景情况:
- 插入外周血管接入装置是一种常见的护理程序.
- 坚持基于证据的指导方针对于患者的安全和有效治疗至关重要.
- 不同的护理专业类别之间可能存在实践的差异.
研究的目的:
- 识别和比较护理专业人员在外围血管接入装置插入期间的做法.
- 根据专业类别 (例如,护士,护理技术人员,护理助理) 来分析实践.
主要方法:
- 从2021年7月到2022年5月进行了一项描述性,横截面研究.
- 一个经过验证的问卷评估了2584名护理专业人员的导管和设备选择相关的做法.
- 使用了描述性和推断性的统计分析.
主要成果:
- 许多专业人员没有充分准备患者或执行必要的导管前护理.
- 首选的插入部位包括手,手臂和前臂,具有不一致的轮时间控制和多次刺穿尝试.
- 聚氨和烯酸是常见的设备材料,具有不同的选择标准和频繁使用Micropore®带的固定. 导管识别通常是不够的.
结论:
- 护理技术人员和助理对外围静脉注射导管的推指南的遵守率最低.
- 即使是注册护士的实践也显示出与当前科学证据的偏差.
- 在所有护理专业水平上,有很大需要改善教育和遵守外周血管接入装置插入的最佳实践.
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