关键护理护士理解,坚持和障碍的总结 应用呼吸机相关肺炎预防指南:叙述性审查
Imad Asmar1, Omar Almahmoud, Aya Manassrah
1Department of Nursing, Faculty of Pharmacy, Nursing and Health Professions, Birzeit University, Birzeit, Palestine.
Critical care nursing quarterly
|February 26, 2025
概括
呼吸机相关肺炎 (VAP) 是一种致命的医院感染. 重症护理护士了解VAP预防指南,但面临障碍,导致~60%的遵守,需要改进培训和支持.
科学领域:
- 关键护理医学 关键护理医学
- 预防感染 预防感染
- 护理研究 护理研究
背景情况:
- 呼吸器相关肺炎 (VAP) 是机械呼吸患者死亡和发病的主要原因.
- 在医院获得的感染,特别是VAP,在重症监护室 (ICU) 带来了重大挑战.
- 有基于证据的指导方针来减少VAP,但实施面临实际障碍.
研究的目的:
- 调查ICU护士对实施VAP预防指南的理解,遵守和障碍.
- 确定阻碍重症护理护士 (CCN) 有效应用VAP预防策略的障碍.
主要方法:
- 从2014年1月到2024年2月的英语研究的系统审查.
- 搜索的数据库包括科学直接,Scopus,PubMed和CINAHL.
- 特定研究的描述性内容分析,重点关注VAP预防.
主要成果:
- 大多数ICU护士对VAP预防方法有基本到中等的了解.
- 在ICU护士中,遵守VAP预防指南的比例约为60%.
- 障碍被分为与护士相关的 (教育,经验,培训) 和与工作环境相关的 (供应,人员,政策,监督) 障碍.
结论:
- 提高CCN的技能需要通过VAP指南实施的课程和研讨会定期更新.
- 医疗管理人员必须解决已识别的障碍,以提高CCN的遵守率和降低VAP率.
- 针对解决个人和系统障碍的有针对性的干预措施对于有效的VAP预防至关重要.
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