什么使得重症监护室的疼痛管理干预措施能够实施,以及为什么:一个现实的评估来完善程序理论
Samira Hamadeh1, Georgina Willetts1, Loretta Garvey2
1Institute of Health and Wellbeing, Federation University, Gippsland, Victoria, Australia.
Journal of advanced nursing
|October 1, 2024
概括
在重症监护病房成功的疼痛管理需要护士,领导者和组织来培养支持的环境. 实施干预措施的有效性取决于感知到的好处以及解决个人,单位和组织因素.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 疼痛管理研究 疼痛管理研究
背景情况:
- 在重症监护室 (ICU) 实施疼痛管理干预措施存在独特的挑战.
- 了解影响干预成功的上下文因素对于有效的实践至关重要.
研究的目的:
- 完善程序理论,以便在ICU中实施疼痛管理干预措施.
- 确定成功实施的支持背景和因果机制.
主要方法:
- 使用了一个现实的评估方法.
- 与14名澳大利亚护士进行了虚拟采访.
- 数据分析涉及上下文-机制-结果配置和模式匹配.
主要成果:
- 当干预被视为有益,精确和全面时,干预是有效的.
- 护士买入需要更新的知识和积极的态度.
- 组织支持,包括基础设施和资源,至关重要.
- 成功实施可以提高护士的信心,自我效能和自主性,减少实践的变化.
结论:
- 成功实施疼痛管理干预措施需要多层次的方法.
- 个人,单位和组织层面的行动是必要的,以优化结果.
- 研究结果提供了对有利于在ICU有效疼痛管理的条件的强有力的理解.
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