人类因素评估产科护士使用避孕方法的使用情况
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
|August 11, 2025
概括
产科护士使用解决方案,主要是由于技术问题,以克服系统故障. 改善工作系统可以减少对这些护理解决方案的需求.
科学领域:
- 护理信息学 护理信息学
- 人类因素工程 人类因素工程
- 患者安全 患者安全
背景情况:
- 规避方法在医疗保健中很常见,特别是在产科.
- 了解引发解决方案的工作系统组件对于改善患者护理至关重要.
- 患者安全系统工程倡议 (SEIPS) 模型为分析工作系统提供了一个框架.
研究的目的:
- 识别和分类产科护理工作系统的组件,这些组件需要使用解决方案.
- 探索护士在产科环境中实施的规避措施的性质和背景.
主要方法:
- 融合平行混合方法研究设计.
- 在线调查 (N=168) 和半结构化的虚拟访谈 (n=30) 与注册护士在产前,产后和产后环境中进行.
- 使用描述性统计和内容分析分析的数据,以SEIPS模型为指导.
主要成果:
- 解决方案最常与技术和工具相关 (79.2%的参与者).
- 报告说,护士需要通过电子病历和药柜的解决方案来取代紧急药物系统.
- 几乎所有参与者 (97.0%) 报告说,他们强烈倾向于遵守既定程序.
结论:
- 护士利用解决方案作为适应策略,以应对工作系统中的操作失败.
- 针对工作系统的质量改进举措对于减少对工作规则的依赖至关重要.
- 解决技术缺陷可以显著减轻在产科护理护理解决方案的需要.
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