护士进行的膀超声波:一种改善临床质量的倡议
Sarah Jayne Liptrott1, Anduena Saliquni1, Letizia Giau1
1Ospedale Regionale Bellinzona e Valli, Ente Ospedaliero Cantonale, via A. Gallino 12, 6500, Bellinzona, Switzerland.
Contemporary nurse
|September 25, 2024
概括
接受了膀超声波 (BUS) 培训的护士通过准确评估空气后残留量 (PVR) 来改善患者护理. 这项质量改进倡议提高了效率,沟通和患者满意度,证明了护士在诊断程序中的扩大角色的价值.
科学领域:
- 护理实践 护理实践
- 诊断成像 诊断成像 诊断成像
- 提高质量 提高质量
背景情况:
- 膀超声波 (BUS) 准确地测量了空虚后残留体积 (PVR),但由于从业人员的可用性,访问是有限的.
- 延迟BUS访问会对症状管理,患者出院和满意度产生负面影响.
- 在BUS中培养护理能力可以解决这些接入问题,并改善患者护理.
研究的目的:
- 发展护士在执行BUS.US方面的理论知识和实践技能.
- 评估护士执行的BUS的活动和影响.
- 评估利益相关者对倡议的看法.
主要方法:
- 一个使用德明计划-做-研究-行动 (PDSA) 循环的质量改进计划.
- 一个跨专业团队开发并实施了一项针对护士的理论和实践教育计划.
- 通过调查问卷和重点小组收集关于护理活动和利益相关方 (患者,医生,护士) 的看法的数据.
主要成果:
- 11名护士接受了培训,并获得了执行BUS的认证.
- 护士执行的BUS (n=202) 用于PVR评估,症状评估和导管管理,改善决策和沟通.
- 利益相关者报告了高度满意度,患者发现护士有能力,医生注意到提高了效率和护理质量.
结论:
- 护士执行的BUS是护理实践的宝贵补充,增强了患者护理和流程.
- PDSA周期为这项成功的质量改进计划提供了结构化的框架.
- 该倡议导致护理和患者护理的改善,并为所有利益相关者带来了积极的经验.
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