合作领导力赋权护士在尼泊尔的一个急诊室实施ABCDE急诊护理
Sushil Khadka1, Prakash Subedi2, Buddhike Sri Harsha Indrasena3
1Department of Emergency Medicine, Chitwan Medical College, Bharatpur, Nepal.
Leadership in health services (Bradford, England)
|September 30, 2024
概括
尼泊尔的急诊护士接受了使用气道,呼吸,循环,残疾,暴露 (ABCDE) 方法的培训. 定性数据显示,尽管知识随着时间的推移而下降,但实践发生了重大变化,特别是在航道管理方面.
科学领域:
- 紧急医疗 紧急医疗
- 护理教育 护理教育
背景情况:
- 全球紧急护理系统需要强大的护理角色,特别是在中低收入国家 (LMICs).
- 在尼泊尔,急救护士的发展不足,护士往往缺乏专门培训.
- 世界卫生大会强调紧急护理在所有卫生系统中的关键作用.
研究的目的:
- 通过协作领导方法共同设计紧急护理培训模块.
- 通过结构化培训,赋予急救部门的护士权力.
- 评估基于气道,呼吸,循环,残疾,暴露 (ABCDE) 的训练模块的影响.
主要方法:
- 混合方法研究涉及30名护士在尼泊尔的第三级医院急诊室.
- 第1阶段:与协作领导一起共同设计一个ABCDE培训模块.
- 第二阶段:对知识的定量评估 (前,后,30日,45日后续). 第三阶段:通过在线调查,对培训后7个月的影响进行定性评估.
主要成果:
- 护士积极参与共同设计3小时的ABCDE培训模块.
- 在培训后观察到ABCDE知识的统计学上显著改善,尽管这在30和45天下降了.
- 定性反 (80%的回报率) 表明,学习在实践中得到了持续的应用,气道管理得到了显著的改善.
结论:
- 一个合作设计的"自下而上的"ABCDE培训模块积极影响了尼泊尔三级医院的急诊护理实践.
- 虽然知识保留减少了,但定性数据突出显示了临床实践的显著改进,特别是气道管理.
- 制定国家战略,并将急诊护理作为尼泊尔的一个子专业的正式化对于持续的进步至关重要.
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