在重症监护病房中护士主导的妄想管理的障碍:使用COM-B模型进行综合性系统审查
Mokhtar Abdu Almoliky1,2, Sameer Alkubati3,4, Khalil Saleh3
1Department of Medical Surgical Nursing, College of Nursing, University of Hail, Hail, Saudi Arabia. almoliky1981@yahoo.com.
BMC nursing
|January 28, 2025
概括
护士确定了重症监护室 (ICU) 妄管理的关键障碍,包括知识缺口和复杂的工具. 解决这些障碍对于有效的护士主导的妄想治疗至关重要.
科学领域:
- 护理科学 护理科学
- 关键护理医学 关键护理医学
- 医疗保健管理的管理
背景情况:
- 需要有效的妄想管理指南,特别是在重症监护病房 (ICU).
- 护士是最前线的护理人员,他们对妄管理障碍的看法对于策略制定至关重要.
研究的目的:
- 从重症监护室 (ICU) 护士的角度探索护士领导的妄想管理的障碍.
- 提供基于证据的支持,以改善护士主导的ICU设置中的妄想管理.
主要方法:
- 使用惠特莫尔和克纳弗框架和PRISMA指南进行了综合性审查.
- 搜索了五个数据库,搜索到2024年6月的文章;包含的文章使用混合方法评估工具 (MMAT) 进行了质量评估.
- 通过使用COM-B模型,确定了由护士领导的妄想管理障碍物.
主要成果:
- 包括23篇文章,其中7篇获得了100%的质量评分.
- 确定的主要障碍包括护士的知识赤字,错觉查工具的复杂性,高工作量,时间短缺和文件不足.
- 沟通方面的挑战,特别是与输入管和镇静剂的患者,以及缺乏指导方针也是重大障碍.
结论:
- 在ICU中护士主导的妄想管理的障碍包括知识缺陷,工具复杂性,工作量,时间限制,文档问题和通信问题.
- 在COM-B框架内提出这些障碍,为开发有效的治疗策略和临床决策提供了一个结构化的方法.
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