当护士担心时:临床恶化中的直觉的概念分析
Amy-Louise Byrne1, Deb Massey2, Tracy Flenady1
1School of Nursing, Midwifery and Social Sciences, CQUniversity, Rockhampton, Queensland, Australia.
Journal of advanced nursing
|April 11, 2025
概括
护士担心,早期预警系统的一个关键指标,涉及护士对患者的直观认识. 验证这种担忧可以促进对病情恶化的患者的积极护理.
科学领域:
- 护理科学 护理科学
- 临床恶化研究 临床恶化研究
- 患者安全 患者安全
背景情况:
- 护士的担忧是早期预警系统的组成部分,用于在临床标记不明确时增加护理.
- 护士担心的确切含义和过程需要进一步澄清.
研究的目的:
- 在临床恶化背景下对护士担忧进行概念分析.
- 发展对护士担忧现象的清晰理解.
主要方法:
- 利用罗杰斯的进化概念分析方法.
- 在多个数据库 (CINAHL,PubMed,EmCare,Embase) 进行了全面的文献审查.
- 分析了22篇文章,重点关注护士担忧的先例,属性和后果.
主要成果:
- 护士的担忧反映了护士对患者的直观理解,涉及评估,感知,识别和信息处理.
- 担心是一种体现的过程,整合各种线索和模式来信号潜在的患者下降.
结论:
- 护士的担忧是一个复杂的,多方面的过程,受到内部和外部因素的影响.
- 验证护士的担忧会导致保证,主动的护理;基于恐惧的担忧会导致反应性护理.
- 对护士担忧的组织支持对于有效检测和管理临床恶化至关重要.
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