外科护士在术后使用世卫组织检查清单时的看法和经验:一种混合方法研究
Nail Seffo1,2, Svemir Custovic3, Jasmin Alic4
1Department of Anaesthesiology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Materia socio-medica
|January 3, 2025
概括
外科护士报告说,在世卫组织的外科检查清单上,他们的培训不足,责任不清楚. 为了有效使用和患者安全,需要改进实施和指定的角色.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 手术患者的安全.
背景情况:
- 手术护士在患者定位和准备手术场所方面发挥着关键作用.
- 有效的准备对于成功的外科手术至关重要.
研究的目的:
- 在瑞典调查外科护士与世界卫生组织 (WHO) 外科检查清单的经验.
- 确定清单实施中的挑战和改进领域.
主要方法:
- 一个自我管理的问卷被用来收集来自196名医疗保健专业人员的数据,其中包括39名外科护士.
- 使用Mantle-Haenszel和Pearson千平方测试分析了定量数据.
- 使用内容分析分析了对检查列表贡献的定性数据.
主要成果:
- 超过60%的外科护士报告说,他们没有接受过有关使用外科检查清单的正式教育或培训.
- 很大一部分人 (89.9%) 不知道谁负责执行清单 (89.9%).
- 虽然56.4%的人报告在紧急情况下使用检查清单,但12.8%的人怀疑其对患者安全的影响.
结论:
- 遵守世卫组织的外科检查清单是不一致的,往往低于记录的水平.
- 需要更清晰的外科手术程序和指定的负责人来执行检查清单.
- 解决培训缺口和澄清角色可以提高检查清单的有效性和患者安全.
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