承认:一个经典的理论,解释护士在遵守预警系统协议时如何运用临床判断
Justine Connor1, Tracy Flenady1, Trudy Dwyer1
1School Nursing, Midwifery and Social Sciences, CQUniversity, Australia.
International journal of nursing studies
|January 15, 2025
概括
注册护士在与临床判断一起使用早期预警系统时会经历认知失调. "认可"的基础理论解释了护士如何调和这些,优先考虑患者安全,通过重视两种系统和自己的专业知识.
科学领域:
- 护理实践 护理实践
- 患者安全 患者安全
- 临床决策 - 临床决策
背景情况:
- 临床恶化的认可是全球卫生优先事项.
- 实施早期预警系统 (EWS) 以防止患者衰退.
- 注册护士 (RNs) 在患者护理和EWS利用中发挥着关键作用.
研究的目的:
- 关于RN如何使用临床判断与EWS协议产生理论.
- 了解护士对EWS合规性和临床决策的看法.
主要方法:
- 采用了经典的基础理论方法.
- 澳大利亚州卫生保健系统的20名RN参与了这项研究.
- 数据收集涉及采访,使用大巡回问题.
主要成果:
- 在使用EWS和临床判断时,RNs报告了不安和认知不和.
- 发现的一个核心问题是EWS遵守和临床判断之间的不一致.
- "承认"的基础理论出现了,解释了护士如何解决这种不和.
结论:
- 承认理论描述了护士如何平衡EWS遵守与临床判断.
- 护士承认EWS的有效性,同时重视他们的判断和患者的安全.
- 调和这种不和促进了护士主导的评估,并提高了患者的安全.
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