在ICU中的医疗保健专业人员之间进行关系协调培训干预的可行性和可接受性
Sherita House1, John Palazzolo, Christopher Stucky
1Sherita House is an Assistant Professor at the University of North Carolina Greensboro (Greensboro, NC). John Palazzolo is an Assistant Professor at Truman State University (Kirksville, MO). Christopher Stucky is the Chief of Research and a Nurse Scientist in the Center for Nursing Science and Clinical Inquiry at the Landstuhl Regional Medical Center in Germany (Landstuhl, Germany). Robin Newhouse is a Professor and Dean at Indiana State University (Indianapolis, IN).
一项试点研究发现,ICU中的关系协调 (RC) 培训的参与率很低,这表明可行性挑战. 这些发现将完善医疗保健专业人员未来的沟通干预措施.
科学领域:
- 医疗保健管理的管理
- 临床沟通 临床沟通
- 重症监护病房 (ICU) 的实践.
背景情况:
- 在ICU中,有效的沟通对于患者安全至关重要.
- 关系协调 (RC) 框架旨在改善团队合作和信息共享.
- 之前的干预还没有充分探索RC培训在各种ICU环境中的可行性.
研究的目的:
- 评估ICU医疗保健专业人员的关系协调 (RC) 培训干预措施的可行性和可接受性.
- 确定在重症监护环境中实施RC培训的障碍和促进者.
- 收集初步数据,以完善RC干预,用于未来的大规模研究.
主要方法:
- 两组随机对照试验的试点研究在四个ICU中进行.
- 干预组接受了RC培训,而对照组没有.
- 通过可行性和可接受性调查收集的数据.
主要成果:
- 在各个单位,调查完成率在18%至36%之间.
- 干预组中只有8%的符合条件的参与者完成了RC培训.
- 没有达到完成培训的可行性基准.
结论:
- 在试点阶段,RC培训干预的可行性和可接受性很低.
- 参与者的反对于完善培训和改进未来实施至关重要.
- 需要进一步的修改,以加强ICU的通信干预.
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