在实施多模式止痛方案期间在外科环境中进行专业间的合作:定性研究
Emilie Bourdeau1, Emilie Paul-Savoie2, Johanne Lapré3
1School of Nursing, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada.
International journal of orthopaedic and trauma nursing
|June 20, 2025
概括
在外科手术后增强恢复 (ERAS) 计划中实施多模式止痛 (MMA) 协议需要强有力的专业间合作. 有效的沟通和明确定义的角色对于优化术后疼痛管理至关重要.
科学领域:
- 医疗保健管理的管理
- 手术患者护理手术患者护理
- 专业间合作 专业间合作
背景情况:
- 手术后增强恢复 (ERAS) 计划旨在优化患者的治疗结果.
- 多模式止痛 (MMA) 方案是ERAS的关键组成部分.
- 成功实施MMA取决于有效的专业间合作.
研究的目的:
- 描述在外科环境中实施MMA协议期间的专业间协作 (IC) 过程.
- 确定影响MMA协议采用成功的关键因素.
主要方法:
- 描述性定性研究的二次分析.
- 与71名外科医疗保健专业人员 (护士,经理,外科医生,药剂师) 进行半结构面试.
- 使用Sunnybrook框架进行主题分析和分类.
主要成果:
- 主要主题包括职业角色,沟通,信任和自主.
- 议定书的实施导致了角色澄清,改善了沟通和共享决策.
- 关键的成功因素是共同的愿景,有效的沟通和角色明确.
结论:
- 在ERAS中成功实施MMA依赖于强大的专业间合作.
- 优化术后疼痛管理需要所有相关医疗保健专业人员的参与.
- 专业间的合作对于复杂的干预措施至关重要,如术后疼痛缓解.
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