改善高级实践提供者和在重症监护室夜班的护士之间的沟通和工作流程
Chelsey A D Massey1, Margaret J Selph2, Sheryl Mitchell3
1Chelsey A. D. Massey is an adult gerontological acute care nurse practitioner, Medical University of South Carolina, Charleston.
Critical care nurse
|January 31, 2025
概括
结构化的床边巡回改善了心血管重症监护室夜班工作人员的协作和工作流程. 这项质量改善计划在重症监护期间加强了团队合作和沟通.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 临界护理护理重症监护护理
- 先进的实践提供商提供先进的实践.
背景情况:
- 在重症监护机构的夜班期间,人员减少和缺乏结构化的沟通,会对协作产生负面影响.
- 在心血管重症监护室 (CICU) 中,护士经常在非紧急问题上打断高级实践提供者 (APP).
研究的目的:
- 评估实施结构化病床巡逻对在中症监护室夜班期间APP和护士之间的沟通和协作的影响.
主要方法:
- 在一个21张床位的重症监护室中,采用了干预前后干预研究设计.
- 调查评估了APP和护士之间对协作,工作流程和沟通的看法.
- 为APP和护士实施了带有目标表的夜间病床巡回.
主要成果:
- 对于APP和护士来说,对合作的看法显著改善 (P = .01).
- 护士报告说,工作流程感知有显著的改善 (P < .001),而APP没有显著的变化.
- 任何一组的沟通感知得分都没有显著变化.
结论:
- 实施具有目标表的结构化床边巡回,增强了夜班APP和护士团队的协作和工作流感知.
- 这项质量改进项目强调了重症监护机构结构化沟通的好处.
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