为标准ICU实践制定以家庭为中心的护理的概念指导方针:一种基于构造主义的理论
Alhassan Sibdow Abukari1, Shelley Schmollgruber2
1Department of Nursing Education, School of Therapeutics, Faculty of Health Sciences, University of the Witwatersrand, School of Nursing, South Africa; Department of General Nursing, School of Nursing & Midwifery, Wisconsin International University College, Ghana.
这项研究探讨了重症监护室 (ICU) 中的以家庭为中心的护理 (FCC),发现护士和医生支持其实施. 关键构造包括尊重,家庭支持,参与和合作,导致FCC为ICU制定了指导方针.
科学领域:
- 医疗保健研究的研究.
- 护理和医疗的实践.
- 定性研究方法 定性研究方法
背景情况:
- 在重症监护室 (ICU) 中,以家庭为中心的护理 (FCC) 是至关重要的.
- 了解医疗保健提供者和家庭的观点对于有效实施FCC至关重要.
- 现有的FCC模型需要针对独特的ICU环境进行改进.
研究的目的:
- 从重症监护室的护士,医生和家庭的角度探索以家庭为中心的护理 (FCC) 的构造.
- 制定基于证据的FCC指导方针,适用于ICU设置.
- 加强将家庭观点纳入重症监护的整合.
主要方法:
- 构造主义基于理论 (CGT) 的设计.
- 与72名参与者 (护士,医生,家庭) 进行了12次个人采访和12次焦点小组讨论 (FGD).
- 数据使用CGT分析与MAXQDA进行分析,遵循32COREQ检查清单.
主要成果:
- 从参与者的角度来看,出现了四个主题:尊重,家庭支持,参与和协作.
- 护士和医生对FCC表达了积极的看法,并表示愿意实施它.
- 副主题提供了更深入的洞察力,了解FCC在ICU中构建的多面性质.
结论:
- 护士和医生可以接受ICU中的FCC,这表明他们有可能成功地融入标准实践.
- 根据四个核心构造:尊重,家庭支持,参与和协作,为FCC制定了概念指南.
- 促进FCC的实施需要包括家庭在内的ICU设计,改善沟通和员工培训.
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