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对极度早产婴儿的非侵入性呼吸辅助实践的跨专业观点:加拿大调查
Tugba Alarcon Martinez1, Elissa Remmer2, Stephanie Mardakis2
1Neonatologist, Division of Neonatology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Center, Montreal, QC, Canada.
医疗保健专业人员面临的挑战是为极度早产婴儿提供最佳的非侵入性呼吸支持 (NRS). 改进证据,指导方针和培训可以减少NRS提供中的跨专业差异.
科学领域:
- 新生儿医学 新生儿医学
- 呼吸系统护理 呼吸系统护理
- 医疗保健专业教育 医疗保健专业教育
背景情况:
- 非侵入性呼吸辅助 (NRS) 对极度早产婴儿至关重要.
- 在医疗保健专业人员 (HCP) 之间提供NRS存在变化.
研究的目的:
- 确定障碍和战略,以在极度早产婴儿中提供最佳的NRS.
- 了解医疗保健人员对NRS设备,管理和挑战的看法.
主要方法:
- 在加拿大第三级护理NICU分发给医生,护士和呼吸治疗师的横截面基于网络的调查.
- 调查包括关于NRS设备,管理策略,事件监控和故障的19个问题.
- 分析了391个回答,以确定跨专业的观点和挑战.
主要成果:
- 医疗保健专业人士对NRS设置,接口和故障预防的看法各不相同.
- 48%的医疗保健人员发现获得有效的NRS具有挑战性.
- 56%的护士,78%的医生和89%的呼吸治疗师认为NRS培训充足.
结论:
- 在NRS的感知效益和应用方面存在显著的跨专业差异.
- 需要加强证据,跨学科指南和改进培训,以减少NRS供应的变化.
- 解决这些因素可以优化极度早产婴儿的NRS.
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