护理药物管理实践中的弹性:通过叙事合成进行系统审查
Pollyanna Lr Kellett1,2, Bryony Dean Franklin3,4, Susie Pearce2,5
1School of Psychology, University of Leeds, Leeds, West Yorkshire, UK psplrk@leeds.ac.uk.
护士通过调整药物管理实践以保持在医疗保健复杂性中的安全来表现出弹性. 这些主动的实时策略有助于防止错误,并在面临挑战时确保生产力.
科学领域:
- 护理 护理 护理
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 对护士如何调整药物给药以确保安全的理解有限.
- 弹性是适应和主动响应以防止伤害的能力.
- 现有的研究主要集中在药物错误上,而不是适应性策略.
研究的目的:
- 综合关于护理药物管理中的弹性原则和实践的证据.
- 探索护士在药物管理过程中如何保持安全.
- 为了识别弹性药物管理的触发因素和策略.
主要方法:
- 以系统审查和元分析 (PRISMA) 的首选报告项目为指导的系统审查.
- 在MEDLINE,EMBASE,Psychinfo和CINAHL数据库中进行了搜索.
- 32项不同方法的经验研究的专题综合.
主要成果:
- 32项研究符合纳入标准,大多数研究质量良好.
- 包括11项干预性研究和21项非干预性研究.
- 弹性药物管理策略是从五个已识别的触发因素中产生的.
结论:
- 护士的弹性实践是对威胁安全和生产力的触发器的反应.
- 这些做法涉及短期的实时调整,以保持安全.
- 弹性有助于补偿和应对现代医疗保健环境中的复杂性.
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