一个混合方法研究跨专业的ICU团队之间的备份行为
Deena Kelly Costa1, Kathryn A Lee2, Nathan C Wright3
1Yale School of Nursing, West Haven CT, USA; Yale School of Medicine, Section on Pulmonary, Critical Care & Sleep Medicine, New Haven CT, USA.
Heart & lung : the journal of critical care
|February 2, 2025
概括
备份行为在重症监护室 (ICU) 中很常见. 专业间备份涉及任务完成,而专业内备份意味着检查,突出改善团队合作和患者护理的领域.
科学领域:
- 医疗保健团队动态 医疗保健团队动态
- 关键护理医学 关键护理医学
- 专业间合作 专业间合作
背景情况:
- 备份行为,即临床医生互相协助,对于重症监护室 (ICU) 团队合作至关重要,但人们对此了解甚少.
- 了解跨专业团队如何提供支持对于开发有效干预至关重要.
研究的目的:
- 调查ICU内的机械通风护理中备份行为模式.
- 确定谁提供备用,频率,原因以及在什么情况下.
主要方法:
- 混合方法设计,使用定性数据 (观察,采访) 和定量调查.
- 在两年的时间里,从两个医疗ICU的护士,医生和呼吸治疗师那里收集的数据.
- 分析的重点是了解备份请求和条款的频率和背景.
主要成果:
- 在ICU中经常观察到备份行为.
- 专业间的备份通常涉及与专业角色一致的特定任务援助.
- 专业内备份通常由同事互相检查组成.
结论:
- 备份行为很普遍,具有明显的专业间和专业内模式.
- 专业间的备份专注于特定角色的任务,而专业内部的备份涉及相互支持.
- 通过有针对性的培训来加强专业间的备份,可以优化团队功能和患者的结果.
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