护士对医院环境中的压力损伤预防的临床决策:一个范围审查
Joanne Cordina1,2, Kaye Rolls2, Jenny Sim1,2,3
1School of Nursing & Midwifery, University of Newcastle, University Drive, Callaghan, New South Wales, Australia.
Journal of advanced nursing
|January 23, 2025
概括
由于干预措施的不一致实施,护士在预防医院获得的压力损伤方面面临挑战. 需要进一步的研究,以了解护士的临床决策过程,以有效预防压力损伤.
科学领域:
- 护理研究 护理研究
- 临床决策 - 临床决策
- 患者安全 患者安全
背景情况:
- 压力损伤 (PIs) 是住院患者的一个重大问题,影响护理质量.
- 护士在PI预防中发挥着至关重要的作用,但发病率仍然很高.
- 了解护士的决策对于改善预防策略至关重要.
研究的目的:
- 系统地审查和综合有关护士在压力伤害预防方面的临床决策的研究.
- 确定影响护士决策过程的因素,以预防住院患者的PI.
主要方法:
- 进行了全面的范围审查.
- 在Medline,CINAHL Plus和Scopus数据库中进行了搜索.
- 阿克西和奥马利的框架指导了审查,包括到2024年7月11日发表的研究.
主要成果:
- 综述中包括了38项研究.
- 确定的主要影响因素包括支持系统,护士的知识和态度,预防实践的障碍,以及与临床判断一起使用风险评估工具.
- 有限的研究专门针对护士对实施PI预防干预措施的临床决策.
结论:
- 护士承认PI预防的重要性,但实施仍然不一致,导致医院常见的事件.
- 需要对护士在临床决策过程中使用的临床决策流程进行更多研究,以预防高危住院成年人的PI.
- 更好的理解可以为教育策略提供信息,并改善护理以减少PI发生率.
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