儿童术后疼痛管理障碍 - 专业间焦点小组采访
Peter Forde Hougaard1, Anja Hetland Smeland2
1Children's Surgical Department, Division of Head, Neck and Reconstructive Surgery, Oslo University Hospital, Oslo, Norway; Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
概括
儿科手术后疼痛管理不足与资源限制和专业不信任有关. 领导者必须促进专业间的对话,以实施基于证据的协议,并改善儿童的疼痛治疗.
科学领域:
- 医疗保健管理的管理
- 儿科手术 儿科手术
- 疼痛管理 疼痛管理
背景情况:
- 儿童术后疼痛管理在历史上一直不足,导致不良结果.
- 不有效的疼痛控制会增加并发症,心理痛苦和医疗费用.
研究的目的:
- 探索医疗保健专业人员对有效儿科术后疼痛管理障碍的经验.
- 确定阻碍儿童最佳疼痛护理的因素.
主要方法:
- 焦点小组采访与四个外科病房的十二名医疗保健专业人员进行.
- 数据使用两个独立研究人员的反射主题分析来分析.
主要成果:
- 确定的障碍包括医生/护士能力差距,人员短缺,繁重的工作负载和缺乏标准化协议.
- 护士和医生对阿片类药物使用和疼痛评估工具的看法存在差异.
结论:
- 坚持以证据为基础的疼痛管理协议至关重要,并与医院领导有关.
- 专业缺乏经验,不信任和资源限制阻碍了有效的儿科术后疼痛管理.
- 由领导方促进的专业间对话对于建立最佳实践和基于证据的护理文化至关重要.
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