护理人员对便失禁产品的挑战和需求的见解:一项混合方法研究
Lanlan Yu1,2, Fengming Hao1,2, Jie Li1,2
1Department of Nursing, Shenzhen Hospital, Southern Medical University, Shenzhen, China.
由于护理人员培训缺口和资源限制,医院的便失禁产品使用不足. 改善产品获取,护理人员教育和保险支持可以改善患者的治疗结果并减少与医疗相关的感染.
科学领域:
- 医疗保健管理的管理
- 患者护理 患者护理
- 公共卫生 公共卫生
背景情况:
- 有效的便失禁 (FI) 管理对于患者的福祉和预防医疗相关感染 (HAI) 至关重要.
- 目前在长期住院环境中使用FI采集产品的情况并不理想.
- 护理人员培训缺口和有限的资源是最佳使用FI产品的主要障碍.
研究的目的:
- 探索便失禁 (FI) 收集产品在长期住院患者中的实际使用和挑战.
- 确定产品最佳使用的障碍,并提供改善失禁管理的建议.
- 考虑FI产品使用对公共卫生的更广泛影响.
主要方法:
- 一个采用解释性顺序设计的混合方法研究.
- 通过在线和纸质调查从三个医院的318名护理人员收集的定量数据.
- 通过24次深入采访收集了定性数据,以探索挑战和影响因素.
主要成果:
- 根据照顾者的类型,产品的选择有很大差异:家庭照顾者受收入和生活安排的影响,护理助理受先前培训的影响,护士受皮肤炎培训和工作环境的影响.
- 定性调查结果显示,现有产品与患者需求之间存在不匹配.
- 影响产品选择的关键因素包括护理人员背景,培训和工作环境.
结论:
- 金融投资产品使用的差异是由经济因素,培训缺口和认识差距驱动的.
- 建议包括加强护理人员培训,优化产品采购,扩大保险覆盖,以改善FI管理和减少HAI.
- 可概括性受到研究的单一地理环境和自我报告数据的限制;在不同的背景下进行进一步研究是有必要的.
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