了解医院病房护士安全护理的分布式情境意识和信息交换:一项聚焦的民族学研究
Ivy Goedegebure1, Jan S Jukema2,3, Paul T Y Preenen4,5
1Smart Health Research Group, Saxion University of Applied Sciencs, Enschede, the Netherlands.
Nursing inquiry
|April 21, 2025
概括
医院护士经常难以分享情况意识,这会影响患者的安全. 改善沟通和护士领导力可以提高信息交换和患者护理成果.
科学领域:
- 医疗保健管理的管理
- 护理科学 护理科学
- 患者安全研究 患者安全研究
背景情况:
- 在日益复杂的医院环境中,患者安全至关重要.
- 有效的团队合作和共享的理解对于安全的患者护理至关重要.
- 护士在跨学科和分布式医疗保健团队中发挥着核心作用.
研究的目的:
- 探索医院病房护士之间的情境意识的发展和交流.
- 识别影响跨学科和分布式团队工作中的情境意识的因素.
- 了解如何提高情境意识可以提高患者的安全.
主要方法:
- 专注的民族学研究涉及护士的影子,采访和记录分析.
- 使用状态空间图和关键决策方法分析了三个临床病例.
- 检查沟通,协调和学习的气候因素.
主要成果:
- 护士之间的情境意识交流往往是不完整的,不及时的,而且不是相互的.
- 缺乏足够的决策前信息会危及患者的安全.
- 沟通,协调和学习气候显著影响情境意识.
结论:
- 护士需要敏感性,警性和网络控制才能有效地意识到情况.
- 护士领导行为提供了改善情境意识交易的机会.
- 将协作视为一个信息网络强调了护士在患者安全方面的作用.
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