在儿童重症监护病房的护士实施腹内压力测量时的障碍和促进因素:一项定性研究
ZhiRu Li1, FangYan Lu2, Li Dong3
1Department of Nursing, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
概括
儿科重症监护护士在测量腹内压力时面临知识和资源障碍. 干预措施应侧重于教育,设备和合作,以改善患者护理.
科学领域:
- 关键护理医学 关键护理医学
- 护理科学 护理科学
- 患者监测 患者监测
背景情况:
- 腹腔内高血压是重症患者死亡的重要危险因素.
- 精确的腹腔内压力监测对于早期检测和管理腹腔内高血压和腹腔综合征至关重要.
- 儿科重症监护护士在观察重症儿童腹腔内压力的微妙变化方面至关重要.
研究的目的:
- 探索儿科重症护理护士对腹内压力测量的障碍和促进者的观点.
- 确定影响儿科重症监护单位腹内压力监测临床实践的因素.
主要方法:
- 使用半结构面试进行的定性,探索性研究.
- 在中国的一家三级医院的儿科重症监护病房进行.
- 利用理论领域框架进行面试指南开发和数据分析.
主要成果:
- 我们采访了14名护士和护理经理.
- 确定了七个领域,包括六个障碍领域 (知识,社会影响,行为调节,对后果的信念,对能力的信念,环境背景/资源) 和四个促进领域 (社会影响,对后果的信念,环境背景/资源,社会/专业角色/身份).
结论:
- 需要进行干预措施,以支持护士在腹腔内压力测量.
- 改进的关键领域包括知识,技能,设备,专业间合作,标准化流程和支持性环境.
- 理论领域框架可以指导针对标准化腹内压力管理的有针对性的干预措施的设计.
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