注册护士使用国家早期预警评分的危险关键点-感知和挑战
Claire Nadaf1, Suzanne Bench2, Yvonne Halpin2
1Health Sciences University, Bournemouth, UK.
Journal of advanced nursing
|December 6, 2024
概括
使用国家早期预警分数 (NEWS) 的注册护士在患者病情恶化管理中面临风险. 解决委托,过度依赖和文化问题对于患者安全至关重要.
科学领域:
- 护理实践 护理实践
- 患者安全 患者安全
- 临床评估 临床评估
背景情况:
- 国家早期预警评分 (NEWS) 是英国用于识别和管理急性成人患者病情恶化的工具.
- 了解护士对NEWS的体验对于优化其使用和确保患者安全至关重要.
研究的目的:
- 探索注册护士在英国使用国家早期预警分数 (NEWS) 的经验和看法.
- 确定 NEWS 如何用于识别和管理急性成人患者病情恶化.
主要方法:
- 采用了一种解释学现象学设计.
- 在2019-2020年期间,英国NHS医院的16名注册护士使用解释性现象学方法进行了采访.
主要成果:
- 发现的关键风险包括对生命体征监测的委托,初级护士过度依赖NEWS和高级护士的自我管理.
- 工作场所文化经常出现妥协和有限的学习机会,影响了NEWS的利用.
- 突出了三个关键的"紧点",即决策可能导致错失防止恶化的机会.
结论:
- 由于未能认识到与 NEWS 使用相关的风险,因此威胁到患者的安全.
- 错误的判断在关键点可能会导致无法识别的恶化或不适当的管理.
- 解决教育差距和培养支持性的护理文化对于减轻风险和提高患者安全至关重要.
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