"我们没有接受过临床工作的培训":安全人员在英国儿科病房为NGT养提供身体克制 - - 一项多信息者的定性研究
Sarah Fuller1,2, Emerie Sheridan3, Jacinta Tan3
1Imperial College London, London, UK sarah.fuller@nhs.net.
BMJ open
|January 14, 2025
概括
使用安全人员进行鼻胃养限制是拯救生命的,但对所有参与者来说都是创伤性的. 预告和解答是至关重要的,需要进一步的研究来减轻负面影响.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 临床干预措施 临床干预
- 患者安全 患者安全
背景情况:
- 鼻胃管养对于一些儿科患者来说是必不可少的.
- 在这种过程中,有时需要物理约束.
- 安全人员参与这些干预是一个敏感的问题.
研究的目的:
- 探索使用安全人员来促进鼻胃管养的身体限制的经验和影响.
- 了解患者,家长/护理人员,儿科工作人员和安全人员的观点.
主要方法:
- 横截面研究设计. 截面研究设计.
- 39个个人采访,3个在线焦点小组和3个书面提交.
- 对53名参与者的数据进行了定性主题分析.
主要成果:
- 参与者报告了短期和长期影响.
- 短期:干预感觉不合适/创伤,但保留了护士关系.
- 长期:创伤症状,以及技能发展和改善的职业关系.
结论:
- 使用安全人员进行鼻胃养限制对所有相关人员产生重大负面影响.
- 预告和解答是干预过程的重要组成部分.
- 需要进一步的研究来确定减轻不良影响的策略.
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