了解ICU护理知识,感知障碍和败血症识别和管理的促进者:一个跨部门研究
Katherine A Kissel1,2, Karla D Krewulak1,3, Thérèse G Poulin3
1Department of Critical Care Medicine, Alberta Health Services, AB, Canada.
Critical care explorations
|January 13, 2025
概括
集中治疗室护士认识到早期毒症检测的重要性,但由于知识差距和资源限制,在识别和管理方面面临挑战. 解决这些障碍需要加强培训和跨学科的支持,以改善患者的治疗结果.
科学领域:
- 关键护理医学 关键护理医学
- 护理科学 护理科学
- 医疗保健管理的管理
背景情况:
- 在重症监护室 (ICU) 认知和治疗败血症对于患者的生存至关重要.
- 护理工作人员的变化和知识翻译差距可能会阻碍有效的败血症护理.
- 环境和组织因素对及时识别和管理败血症构成重大障碍.
研究的目的:
- 评估当前的ICU护理知识关于败血症的识别和管理.
- 利用理论领域框架 (TDF) 探索影响败血症护理的个人,环境和组织因素.
- 识别影响护理败血症识别和管理的感知障碍和促进者.
主要方法:
- 在四个一般系统ICU的护士中进行了横截面调查.
- 使用描述性统计数据分析了定量数据.
- 对于关于障碍和促进者的开放式问题,使用了定性内容分析.
主要成果:
- 大多数护士 (97%) 认为早期毒症检测可以改善结果.
- 较少的护士发现很容易优先考虑败血症干预 (53%).
- 关键障碍包括能力缺陷,工作量,人员和资源的可用性,同事的支持作为促进者.
结论:
- 个人,环境和组织因素显著影响ICU护理败血症护理.
- 建议包括加强能力发展,结构化增强和解决资源缺口.
- 基于理论的方法对于未来的败血症改善计划至关重要.
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