在埃塞俄比亚工作的护士中,临床移交经验:现象学定性研究
Gurmu Dumbala1, Yeshitila Belay2, Ebrahim Yimam2
1Institute of Health, Department of Nursing, Dembi Dolo University, Dambidollo, Ethiopia.
BMC nursing
|May 15, 2025
概括
埃塞俄比亚的护士面临着不一致的临床交接流程,导致患者受到伤害. 标准化实践和干预措施对于提高护理质量和患者安全至关重要.
科学领域:
- 护理传播 护理传播
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 临床移交是医疗保健中的关键沟通过程,对患者安全至关重要.
- 无效的临床转移导致了大量可预防的不良健康事件.
- 缺乏关于埃塞俄比亚护士临床移交实践经验的证据.
研究的目的:
- 探索护士在吉玛医疗中心关于临床交接的实践经验.
- 在埃塞俄比亚背景下,确定与临床移交相关的挑战和影响.
主要方法:
- 使用了一种描述性的现象学方法.
- 通过与护士和关键信息人进行深入采访来收集数据,并通过非参与式观察来补充.
- 科拉伊齐的七步方法和Atlas.ti 8软件促进了数据分析.
主要成果:
- 出现了三个核心主题:不一致/非标准化的交付流程,对一致交付的障碍 (系统,提供者,患者因素) 和负面的患者影响.
- 副主题包括沟通风格,交付地点,时间,内容,患者参与和责任.
- 参与者报告说,无效的交付对护理服务的整体质量产生了负面影响.
结论:
- 在一致和标准化的临床移交实践中发现了显著的缺陷.
- 障碍来自于护士,医疗保健系统和患者的健康状况.
- 需要量身定制的干预措施来加强护理中的临床交接实践.
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