护士对冠状动脉病房病情恶化的患者的评估范围:一项混合方法研究
Nicholas Woolfe Loftus1,2, Duncan Smith1,3, Leanne M Aitken1
1City St George's, University of London, London, UK.
护士对病情恶化的冠状动脉病房患者的评估比最佳实践更狭窄. 教育和经验并没有扩大评估范围,强调需要更好的框架.
科学领域:
- 护理 护理 护理
- 关键护理医学 关键护理医学
- 患者安全 患者安全
背景情况:
- 冠状动脉护理单位 (CCU) 患者的病情恶化的风险很高.
- 对于护士对这些患者的评估实践的了解有限.
研究的目的:
- 调查护士对CCU中病情恶化的患者的评估范围.
- 了解影响评估实践的因素.
主要方法:
- 采用了在线混合方法调查.
- 修改后的救助病人的情况恶化 (mRAPIDS) 工具测量了评估范围.
- 主题分析探讨了对日常实践的反思.
主要成果:
- 护士的评估范围很窄 (mRAPIDS中位数为5).
- 确定的主要领域是"评估行为"和"教育和经验".
- 教育和经验都与更广泛的评估范围无关.
结论:
- CCU护士的评估比广泛接受的ABCDE最佳实践更狭窄.
- 当前的评估框架可能与现实世界的CCU实践不一致.
- 需要对临床判断和医疗保健助理角色进行进一步的研究.
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