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动员警报在医院的使用和与以人为中心的实践的结合:一种定性研究
Kelly Stephen1,2, Dai Pu1, Jennifer Weller-Newton3,4
1School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Australia.
Journal of advanced nursing
|August 4, 2025
概括
医院工作人员使用动员报警器,以防止因人力不足和担心责任而导致的跌倒,尽管面临着以人为中心的护理的挑战. 需要更明确的指导和临床推理自由.
科学领域:
- 医疗保健的质量和安全.
- 护理和相关健康实践
- 患者跌倒的预防策略
背景情况:
- 全球各地的医院都在寻求有效的防摔方法.
- 有限的研究探讨了前线工作人员对动员报警使用的观点.
- 了解员工的经验对于评估警报的有效性至关重要.
研究的目的:
- 调查员工使用防摔报警器的原因和方法.
- 评估警报使用与以人为中心的护理实践的协调程度.
主要方法:
- 使用焦点小组和采访进行定性解释设计.
- 数据来自10个卫生服务部门,涉及451名护士,82名医疗保健专业人员和18名防摔管理人员.
- 框架方法用于数据分析,以以人为中心的实践框架作为指导结构.
主要成果:
- 关键主题包括人力不足,资源限制以及影响报警使用的压力.
- 报警的实施会影响员工的压力和工作量,需要在患者安全和偏好之间进行谈判.
- 值得注意的是,家庭参与和共同责任,以及应对模两可和对后果的恐惧.
结论:
- 工作人员觉得有义务使用报警器,尽管发现了问题和挑战以人为中心的实践.
- 资源不足和对责任的恐惧是警报利用的主要驱动因素.
- 工作人员主张在保持临床推理自主性的同时,在报警使用方面制定更清晰的组织指导方针.
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