护士在医疗保健机构发言的经验:一种定性元合成
Eunhee Lee1, Jennie C De Gagne2, Paige S Randall2
1College of Nursing, Sungshin Women's University, Seoul, Korea.
Journal of advanced nursing
|November 4, 2024
概括
由于复杂性和对负面反应的恐惧,护士面临着说话的挑战. 创造一个有利的环境,培养专业责任,可以提高患者的安全.
科学领域:
- 医疗保健的质量和安全
- 护理实践 护理实践
- 定性研究综合 定性研究综合
背景情况:
- 对护士来说,发声对于识别和报告不安全情况至关重要.
- 了解护士的经验是提高患者安全的关键.
- 之前的研究还没有综合了关于这个话题的定性发现.
研究的目的:
- 系统地审查和综合对护士发言经验的定性研究.
- 为了识别促进或阻碍护士表达行为的因素.
主要方法:
- 使用元民族学方法进行定性元合成.
- 在多个国际和韩国数据库中进行搜索.
- 在选6250篇文章后,包括15项研究,使用JBI检查清单进行质量评估.
主要成果:
- 三个主题出现了:决策的复杂性,动机,和说话的障碍.
- 护士经历了挑战,害怕负面的反应.
- 层次结构和糟糕的工作环境是障碍;专业责任和支持的氛围是促进者.
结论:
- 对护士来说,说出来对于提高患者安全至关重要.
- 解决已识别的动机和障碍可以帮助领导者改善安全文化.
- 促进护士的发言行为对于改善医疗保健至关重要.
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