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了解医院护士如何解决影响患者的操作失败:对解决问题的行为进行探索性研究
Sem Vanbelleghem1, Melissa De Regge2,3, Yves Van Nieuwenhove1,4
1Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Nursing inquiry
|April 21, 2025
概括
医院的运营失败破坏了患者的护理. 当失败直接影响患者时,护士提高了解决问题的能力,突出了积极主动,有弹性的医疗保健系统的需要.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 护理实践 护理实践
背景情况:
- 医院的运营故障,包括通信故障和设备故障,经常会破坏患者的护理和工作流程.
- 目前的方法往往依赖于短期修复,而不是对这些失败的全面,长期战略.
研究的目的:
- 调查操作失败对患者的影响.
- 检查护士解决问题的行为如何改变,以应对这些失败对患者的直接影响.
主要方法:
- 在比利时五家医院的23个病房进行了一项定性探索性研究.
- 通过对26名护士进行深入的半结构面试和对6名病房经理进行小组讨论,收集了数据.
主要成果:
- 有效解决问题的障碍包括护士对患者更广泛影响的意识有限,沟通不良和过度的工作负载.
- 当操作失败导致直接伤害患者时,护士更倾向于采取纠正措施以防止复发.
- 提高问题解决能力的推动因素包括叙事医学,改善沟通,简化报告和充足的资源.
结论:
- 解决运营失败需要提高护士的意识,并实施支持性策略.
- 积极主动的方法,强调护士的适应能力和从结果中学习 (安全II原则),对于建立有弹性的医疗保健系统至关重要.
- 改善沟通,报告系统和资源分配是加强护士解决问题的能力和患者安全的关键.
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