I-PASS-结构化床边护理交接:一种类型-1有效性实施混合试点研究
Maryline Abt1, Philippe Schneider1, Line Martin1
1La Source School of Nursing, HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.
实施I-PASS结构化的床边护理移交改善了移交质量和患者的信任. 虽然有效,但克服实施挑战需要超越初始培训的进一步策略.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 护理实践创新护理实践的创新
- 患者安全研究的研究.
背景情况:
- 在轮班交换时口腔护理的移交会给患者带来脆弱性.
- 转移到患者床边的目标是提高质量.
- 在广泛实施床边交付方面存在挑战.
研究的目的:
- 评估I-PASS结构化的床边护理移交的可行性,可接受性和有效性.
- 评估对交付质量和患者对护士的信任的影响.
主要方法:
- 一种类型-1的有效性-实施混合研究设计.
- 间断时间序列分析,以测量实施前后的有效性.
- 实施探索的多方法方法,包括培训和模拟.
主要成果:
- 在实施后观察到的交付质量的显著改善.
- 增加了交付时间.
- 护士们发现实施障碍,仅仅通过培训无法完全解决.
结论:
- 床边护理转让提高了质量和患者的伙伴关系.
- 患者报告说,他们感觉更安全,更有考虑.
- 需要制定战略,以确保跨部门的可持续实施.
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