针对护理中的临床无礼的干预措施:系统性审查
Anne Lama1, Henrietta Nwamu1, Younglee Kim1
1Department of Nursing, California State University San Bernardino, 5500 University Parkway, San Bernardino, CA 92407, USA.
像模拟和多组件策略这样的干预措施有效地减少了护理中的临床不文明. 长期的成功需要机构的支持和领导层的参与,以获得持续的积极成果.
科学领域:
- 护理教育 护理教育
- 医疗保健 专业主义 医疗保健 专业主义
- 患者安全 患者安全
背景情况:
- 临床不礼貌会对护理学生,教育工作者和临床医生产生负面影响.
- 不文明的行为会破坏沟通,团队合作和患者安全.
- 对于临床不文明现有的干预措施显示不一致的有效性.
研究的目的:
- 系统地审查和评估解决护理临床不文明问题的干预措施.
- 识别未来的研究和实践的趋势,差距和影响.
主要方法:
- 从2014年到2024年进行系统的文献搜索 (PubMed,科学网,EBSCOhost).
- 他们遵循了PRISMA 2020指南.
- 包括17项实证研究,评估护理学生,教师或执业护士的干预措施.
主要成果:
- 确定了五种干预类型:教育模块,认知排练,模拟/角色扮演,基于团队的策略和反/沟通策略.
- 14项研究报告了积极的结果 (意识,沟通,自我效能).
- 八项研究显示,感知不文明的显著减少,特别是基于模拟,多次会议或机构支持的干预措施.
结论:
- 经验和多组件干预措施是有效的减少临床不文明.
- 持续的成功需要领导层的参与,机构的支持和专业发展的整合.
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