在紧急护理环境中为儿童提供以分心为基础的干预措施:基于初级研究的现实综合
Christian Micallef1, Suja Somanadhan2, Deirdre O'Donnell2
1UCD School of Nursing Midwifery and Health Systems, Belfield, Dublin, Ireland; Children's Health Ireland, Dublin, Ireland.
Journal of pediatric nursing
|January 22, 2025
概括
基于分心的干预措施 (DBI) 在紧急护理环境中有效管理儿科疼痛. 这种现实主义的综合分析确定了成功实施的关键因素,包括个性化,家长参与,医疗保健工作者的承诺,政策支持和利益相关者的参与.
科学领域:
- 儿科急救医学 儿科急救医学
- 疼痛管理 疼痛管理
- 实施科学 实施科学
背景情况:
- 疼痛是儿童紧急护理环境中最常见的症状,通常会引起焦虑和压力.
- 痛苦的手术是常见的,需要有效的疼痛管理策略.
- 基于分心的干预措施 (DBI) 是有希望的,但面临着分散的采用.
研究的目的:
- 探索DBI在儿童紧急护理环境中的有效实施.
- 了解"什么适合谁,在什么情况下,如何以及为什么?" 关于DBI的实施.
主要方法:
- 从健康和社会科学数据库中对经验研究进行了系统的现实主义合成.
- 利用程序理论的发展原则来分析DBI有效性的背景和机制.
主要成果:
- 包括从2099年选的64项研究.
- 创建了五个方案理论 (PT),详细介绍了实施因素.
- 专业培训包括个性化,家长参与,医疗保健工作者的承诺,政策支持和利益相关者的参与.
结论:
- 这是对紧急护理儿童DBI的第一个现实合成.
- 确定了促进或阻碍DBI实施的机制.
- 为临床从业者提供实用,基于理论的指导.
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