在急诊室注册护士使用的患者护理指南:瑞典管理文件的映射
Veronica Pavedahl1, Inger K Holmström2, Martina Summer Meranius1
1School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna Västerås, Sweden.
International emergency nursing
|November 4, 2024
概括
瑞典针对注册护士的急诊室指南往往准备不够好,缺乏证据. 需要改进,以确保患者安全和护理质量,护士积极参与指南制定.
科学领域:
- 护理实践 护理实践
- 改善医疗保健质量 改善医疗保健质量
- 临床指南开发 临床指南开发
背景情况:
- 临床指导方针对于在紧急情况下确保护理质量和患者安全至关重要.
- 然而,现有的指导方针可能并不总是系统地准备或基于证据.
- 这项研究解决了评估管理注册护士在急诊室工作的指导方针的需要.
研究的目的:
- 绘制和描述瑞典关于急诊室注册护士指南的内容.
- 使用修改后的AGREE II工具评估这些指南的质量.
- 确定在准则制定和实施方面需要改进的领域.
主要方法:
- 采用了一种描述性,横截面的研究设计.
- 对指南内容进行了主题综合.
- 数据分析包括描述性统计和使用修改后的AGREE II工具进行质量评估.
主要成果:
- 分析了来自37个急救部门的190条指南.
- 准则揭示了一种以任务为导向的方法,内容有显著的变化.
- 指南质量普遍不佳,证据联系有限 (17%) 并且很少将注册护士确定为目标用户 (15%).
结论:
- 迫切需要加强急诊室指导方针,以以证据为基础,以人为中心.
- 注册护士应该积极参与制定指导方针,以规范他们的实践.
- 改善指南质量对于支持关键护理情况的护士至关重要.
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