团队合作,道德敏感性和ICU护士缺失护理护理的关联:一个跨部门研究
Wanshun Jia1, Xue Chen1, Jinxia Fang1
1Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
Journal of clinical nursing
|December 31, 2024
概括
重症监护病房 (ICU) 护士具有更好的团队合作和道德敏感度,经历的护理缺失较少. 实施12小时班次和培养归属感可以减少错过的护理.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 临床实践 临床实践
背景情况:
- 团队合作,道德敏感和错过的护理是重症监护室 (ICU) 护士的关键问题.
- 了解这些因素之间的相互作用对于提高患者护理质量至关重要.
- 目前缺乏对团队合作,道德敏感性和错过护理护理之间的关系的明确概念化.
研究的目的:
- 调查ICU护士的人口特征,团队合作和道德敏感性之间的相关性.
- 检查这些因素与遗漏护理的发生之间的关系.
- 确定影响ICU环境中错过护理护理的关键因素.
主要方法:
- 一个横截面的研究设计,遵循STROBE检查清单.
- 从中国山东省两家医院的ICU护士收集的数据 (2023年11月 - 2024年1月).
- 利用了人口统计特征,团队合作感知,道德敏感性和错过的护理护理的问卷.
- 使用多重线性回归和皮尔森相关性分析来检查变量之间的关系.
主要成果:
- 在ICU护士中,错过护理的整体水平很低 (平均得分为37.49).
- 通过劳动派遣雇佣的护士报告说,与合同或人事机构系统相比,缺失护理护理的数量显著增加 (p < 0.05).
- 实施12小时班次也影响了错过护理护理的程度.
- 在团队工作和道德敏感性之间发现了显著的正相关性 (r = 0.653,p < 0.001).
结论:
- 医院和护理管理人员应优先加强ICU护士的临床归属感.
- 合理调整工作轮班,特别是实施12小时轮班,可以帮助减少遗漏的护理.
- 建议制定改善护士团队合作和实施12小时班次的策略,以减轻道德困扰和提高护理质量.
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