在一般病房开发临床护理关键值早期预警的指标系统:Delphi研究
Weixin Xiong1, Fenglan Xie2, Qin Li1
1Department of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, GuangZhou, 510080, China.
BMC nursing
|July 2, 2025
概括
开发了一个新的指标系统,用于早期警告一般病房的关键护理值. 该系统有助于护士检测患者的变化,预防不良事件,并提高临床安全.
科学领域:
- 护理科学 护理科学
- 患者安全 患者安全
- 医疗保健系统 医疗保健系统
背景情况:
- 目前的早期预警系统 (EWS) 主要用于重症监护,而不是一般病房.
- 缺乏共识和实际指标,以预防护理风险在一般情况下.
- 需要改进的方法来检测患者临床状态的微妙变化.
研究的目的:
- 开发一个可靠和实用的指标系统,用于预警临床护理的临床关键值在一般病房.
- 为积极预防护理风险建立定量指标.
- 提高非急性护理环境中的患者安全.
主要方法:
- 综合性研究方法:文献综述,理论分析和定性方法.
- 系统选以确定关键护理价值预警指标草案.
- 根据CREDES和STROBE的指导方针,对148名专家进行了两轮的Delphi调查.
主要成果:
- 在德尔菲调查中响应率高 (96.62%和99.32%).
- 高权威系数 (0.854和0.871) 和低变化系数 (0.08-0.23).
- 最终系统包括10个主要和23个次要指标,用于一般病房的早期预警.
结论:
- 开发的指标系统在科学上是可靠的,并且在一般病房中实际适用.
- 为及时检测患者状况变化提供了明确的指导.
- 旨在预防不良事件并确保临床护理安全.
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