长期护理单位护士之间沟通的一般原则:一个最佳实践实施项目
Helena Felizardo1,2, Daniela Cardoso2,3, Paula Nogueira4
1Nursing School of Coimbra (ESEnfC), Coimbra, Portugal.
JBI evidence implementation
|January 10, 2025
概括
有效的沟通培训显著改善了长期护理环境中的护理实践. 实施基于证据的策略,如ISBAR,提高了患者的安全和团队合作.
科学领域:
- 医疗保健沟通策略 医疗保健沟通策略
- 提高护理实践的改善
- 基于证据的实施.
背景情况:
- 有效的沟通对于医疗保健团队合作和患者安全至关重要,减少不良事件.
- 对沟通技能的持续教育对于无的专业间互动至关重要.
研究的目的:
- 提高长期护理单位护士之间的沟通实践.
- 促进采用基于证据的沟通建议.
主要方法:
- 利用JBI证据实施框架,包括审计,反和重新审计周期.
- 采用临床证据系统的实际应用 (PACES) 和将研究付诸实践 (GRiP) 的方法.
- 评估了250名移交人员,并调查了14名护士,以确定障碍并实施变革战略.
主要成果:
- 沟通培训提高了标准1的符合性,从0%提高到78%.
- 团队合作和冲突管理培训 (标准2) 将合规性从21%提高到50%.
- 在移交期间使用ISBAR工具 (标准3) 的比例从43.6%上升到91%.
结论:
- 护士团队的参与是成功实施沟通改进的关键.
- 适应ISBAR工具的长期护理单位被证明是有效的,并保证了更广泛的分享.
- 优先考虑沟通培训和持续的审计对于可持续的实践变化至关重要.
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