护士的决策和对血管活性药物定位的信心
Eugene Waterval1, Tara Hunt2, Daleen Penoyer3
1Eugene Waterval is director for research and education, Nemours Children's Health, Central Florida, Orlando, Florida.
概括
重症护理护士使用协议和临床判断来定位血管活性药物. 他们的决策和信心是由知识,病史和团队合作塑造的,而不仅仅是经验水平.
科学领域:
- 护理实践 护理实践
- 临界护理医学 临界护理医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 重症护理护士对静脉注射的血管活性药物进行定位.
- 在2017年协议标准之前,护士历来使用临床判断.
- 了解护士在血管活性药物定位方面的决策对于患者的结果至关重要.
研究的目的:
- 探索重症护理护士在定位血管活性药物时的做法和决策.
- 了解护士对血管活性药物定位的看法.
主要方法:
- 未来的,单一的地点,融合的混合方法,描述性的设计.
- 通过护士调查收集的定量数据 (护士临床决策量表,信心量表).
- 通过半结构面试收集的定性数据.
主要成果:
- 人口群体之间的决策或信任得分没有显著差异.
- 四个主要主题出现了:协议的遵守,知识的应用,患者病史的考虑和专业的合作.
- 调查和发生在10次采访后.
结论:
- 血管活性药物定位协议是有价值的,但有局限性.
- 有效的定位依赖于强大的知识基础,经验和专业间的合作.
- 一致的信心水平可能源于单位支持或与流行病相关的经验.
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