在长时间的PICU住院期间,护理人员对提供者连续性的看法:单中心定性研究,2021-2022年
Patricia Peña Jiménez1, Wendy Leatherman Phipps2, Elizabeth Jacob-Files3
1Department of Pediatrics, Critical Care Medicine, Driscoll Children's Hospital, Corpus Christi, TX.
概括
家庭重视熟悉的提供者,他们表现出同情心并理解他们的孩子.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 医疗保健提供系统
- 家庭为中心的护理.
背景情况:
- 长期住院于儿科重症监护室 (PICU) 的儿童,护理的连续性至关重要.
- 专业的连续性护理 (CA) 医生对家庭护理人员的经验的影响还不太清楚.
研究的目的:
- 探索和描述家庭对长期PICU停留期间护理连续性的观点.
- 为了比较护理人员带有和没有PICU CA的经验.
主要方法:
- 与39名严重病儿童的家庭照顾者进行了定性半结构面试 (PICU停留≥14天).
- 参与者被分为有 (n=18) 和没有 (n=21) PICU CA. 的两组.
- 在护理连续性模型中,采访被分析使用现实的主题方法.
主要成果:
- 护理人员确定了六个主题:提供者同情可以建立信任,对基线健康的了解可以减少压力,在过渡期间信息丢失会导致挫折,已知的提供者可以改善沟通,重视家庭的专业知识可以提高护理,提供者对长期计划的责任可以减少压力.
- 关系,信息和管理连续性是影响家庭体验的关键因素.
结论:
- 随着医疗复杂性和停留时间的增加,护理人员的需求转向了导航过渡和长期规划.
- 加强提供者连续性的干预措施,包括关系,信息和管理方面,对于优化结果和家庭体验至关重要.
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