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护士在急性医院环境中使用床出口信息系统的观点和经验:混合方法研究研究
Stefan Walzer1, Isabel Schön2, Johanna Pfeil2
1Care and Technology Lab, Furtwangen University, Furtwangen im Schwarzwald, Germany.
JMIR formative research
|February 5, 2025
概括
一个出床信息系统 (BES) 部分支持管理认知障碍患者的护士,但没有显著减少工作量. 未来的整合需要管理期望和改进警报系统,以获得更好的护士和患者结果.
科学领域:
- 护理信息学 护理信息学
- 患者安全技术技术
- 医疗保健创新 医疗保健创新
背景情况:
- 床出信息系统 (BES) 可以帮助急症护理护士,通过检测患者在离开床时有跌倒风险.
- 了解护士对BES的经验对于在医院环境中有效实施至关重要.
研究的目的:
- 探索护士在急症医院的床出信息系统 (BES) 的观点和经验.
- 评估BES对护士工作量,压力和患者安全的影响.
主要方法:
- 在三个医院病房实施BES.
- 护士完成了在线调查,并在BES实施前后参加了焦点小组.
- 对患者不良事件率和调查数据的描述性统计数据的分析;对焦点组的内容分析.
主要成果:
- 虽然64%的护士报告说,认知障碍患者的工作量减少了,但整体工作量和压力并没有显著减少.
- 每名患者每天的不良事件率显著下降 (系数为0.61,P=.03).
- 挑战包括信息过载,报警疲劳,以及由于护理环境异质性而导致BES运营的困难.
结论:
- 对于涉及认知障碍患者的特定场景,BES提供有限的支持.
- 管理对BES绩效的预期对于调整感知和实际收益至关重要.
- 未来的改进应集中在客观的患者护理措施,主观的护士经验和技术规范上,包括加强信息机制以减少警报疲劳.
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