儿科重症监护人员对患有医疗复杂性和神经障碍的儿童的态度:一种定性研究
Elizabeth J Bleed1,2, Leonardo Barrera1, Mickayla Jones1
1Ann and Robert H. Lurie Children's Hospital, 225 E. Chicago Ave, Chicago, IL 60611, USA.
Children (Basel, Switzerland)
|January 25, 2025
概括
儿科重症监护室 (PICU) 提供者将患有医疗复杂性和神经障碍 (CMC与NI) 的儿童视为一个不断增长的,独特的人口. 虽然矛盾,他们开发适应性策略,为这些具有挑战性的患者提供有意义的护理.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 医疗保健提供者经验
- 复杂的护理管理.
背景情况:
- 患有医疗复杂性 (CMC) 和神经功能障碍 (NI) 的儿童在儿科重症监护室 (PICU) 代表着越来越多的患者人口.
- 具有NI挑战的CMC独特的护理要求建立了PICU实践和观念.
研究的目的:
- 探索和描述PICU提供商的经验和信念,他们与NI一起照顾CMC.
- 了解临床医生如何感知和管理这种专业患者群体的护理.
主要方法:
- 一项基于面试的定性研究,涉及来自六个州的七个PICU的20名PICU提供者 (临床医生和护士执业人员).
- 采用主题分析,从转录的视频会议采访中确定关键主题,确保双重编码的严格性.
主要成果:
- 医疗服务提供者认识到CMC与NI作为一个独特且日益重要的患者群体.
- 与NI一起照顾CMC对传统的PICU实践提出了挑战,导致提供者矛盾.
- PICU临床医生已经制定了适应性策略,以有效地管理NI的CMC护理.
结论:
- 随着NI的CMC人口不断增长,重新塑造了儿科重症监护的定义.
- 了解提供者矛盾和适应性策略对于提高患者护理和减轻提供者倦怠至关重要.
- 从临床医生的角度获得的见解可以为这一群体提供更好的护理模式和支持系统.
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