在重症监护中实施医院获得的压力伤害预防包
Robin R Jackson1, Donna Thomas, Kimberly Winter
1Robin R. Jackson is a clinical nurse specialist at Inova Alexandria Hospital in Alexandria, VA. Donna Thomas is a critical care nursing program manager at Inova Health System in Falls Church, VA, where Kathleen Russell-Babin is vice president of professional practice. Kimberly Winter is wound ostomy coordinator and Julia Gordon is an RN unit supervisor at Inova Fair Oaks Hospital in Fairfax, VA. Patricia M. Green, Sarah Lemaster, and Jenny R. Fox are staff nurses at Inova Fairfax Medical Campus in Falls Church, VA. Dejon M. Wright is an RN unit supervisor at Inova Loudoun Hospital in Leesburg, VA. Amanda P. Bettencourt is an assistant professor in the University of Pennsylvania School of Nursing in Philadelphia and an implementation science consultant. Maureen Kirkpatrick McLaughlin is an implementation science consultant in Charles Town, WV. Contact author: Kathleen Russell-Babin, kathleen.russell-babin@inova.org. The authors have disclosed no potential conflicts of interest, financial or otherwise.
实施科学 (IS) 支持基于证据的实践. 一个由护士领导的团队使用IS在重症监护单位实施了医院获得的压力损伤 (HAPI) 预防捆绑,以减少HAPI发生率.
科学领域:
- 实施科学 实施科学
- 临床护理 临床护理
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 在临床环境中维持基于证据的实践至关重要.
- 实施科学 (IS) 提供了整合最佳实践的框架.
- 医院获得的压力损伤 (HAPI) 是一个重要的患者安全问题.
研究的目的:
- 描述由护士领导的团队应用IS概念,方法和工具.
- 在多个重症监护病房中详细实施HAPI预防包.
- 为了减少HAPI在多站点卫生系统中的发病率.
主要方法:
- 利用IS原则和实用工具来实现捆绑实现.
- 在多站点卫生系统中采用护士领导的团队方法.
- 专注于卫生系统内的六个重症监护单位.
主要成果:
- 实现了HAPI预防包的成功实施.
- 该研究提供了在临床实践中应用IS的模型.
- 关于减少HAPI发病率的数据正在等待进一步分析.
结论:
- 信息系统是实施和维持临床干预的有价值的框架.
- 护士主导的倡议可以有效地推动采用基于证据的实践.
- 需要进一步的研究来量化对HAPI发病率的影响.
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