对外围静脉导管护理实践的质量改善干预措施:系统性审查
1Author Affiliations: Department of Nursing, Korea Nazarene University, Cheonan, Chungnam, South Korea (Dr Cho); and Department of Nursing Science, Sun Moon University, Asansi, Chungnam, South Korea (Dr Kim).
对外围静脉导管 (PIVC) 的质量改进举措有希望,但往往缺乏可持续性. 需要进一步的研究,以开发有效的,经济高效的协议,以广泛实施PIVC护理.
科学领域:
- 护理 护理 护理
- 提高质量 提高质量
- 患者安全 患者安全
背景情况:
- 周围静脉导管 (PIVC) 对于护理护理中的患者安全至关重要.
- 有效的PIVC插入和管理是关键的护理职责.
研究的目的:
- 系统地审查有关护理实践的质量改进 (QI) 文章,以进行PIVC插入和管理.
- 评估与PIVC相关的QI干预的质量和特征.
主要方法:
- 进行了全面的文献搜索.
- 两位独立审查员使用质量改善最低质量标准 (QI-MQCS) 评估了研究质量.
主要成果:
- 审查中包括了27项研究.
- 超过一半的研究未能满足QI-MQCS可持续性和传播的标准.
- 干预措施包括超声导向PIVC安置,先进的包装产品和捆绑护理方法.
- 患者的治疗结果和护理技能得到改善.
结论:
- 需要进行进一步的研究,以建立详细的QI协议,以确保干预的可持续性和成本效益.
- 在多样化的医院环境中促进QI应用对于PIVC实践进步至关重要.
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