重复反对疼痛文档的影响:一个集群随机试验
Salla Grommi1, Ari Voutilainen2, Anne Vaajoki3
1Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
概括
疼痛文档审计和反复反可能会提高质量,但变化会阻碍意义. 建议持续监测和解决实施障碍,以改善疼痛护理文档.
科学领域:
- 护理实践 护理实践
- 改善医疗保健质量 改善医疗保健质量
- 疼痛管理 疼痛管理
背景情况:
- 有效的疼痛管理依赖于准确的文档.
- 评估干预措施对护理文档的影响对于质量护理至关重要.
- 该REFPAD干预措施是为了提高注册护士的疼痛记录和知识而开发的.
研究的目的:
- 评估疼痛文档审计和反复反 (REFPAD干预) 对护士疼痛文档和知识的影响.
- 识别影响疼痛记录和知识的背景变量.
主要方法:
- 一个集群随机试验,涉及大学医院的30个工作单位.
- 干预组每月接受审计和反;控制组没有.
- 疼痛知识测试和文档质量评估是在8个月内使用线性混合模型进行的.
主要成果:
- 在REFPAD干预中,疼痛文档质量的改善呈现出积极趋势 (干预组的疼痛文档质量从35%升至44%).
- 由于单位内部的差异很大,没有达到统计学意义.
- 只有每名患者每天的疼痛评估数量影响了文档质量;没有观察到对疼痛知识的影响.
结论:
- REFPAD干预措施有可能提高疼痛记录的质量.
- 进一步分析实施障碍和促进因素是必要的,以尽量减少变化.
- 建议专注于反实施和持续的质量监测,以改善疼痛护理.
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