利用PARIHS框架评估和增强重症监护单位的基于证据的护理实践 - - 混合方法研究
1London School of Hygiene and Tropical Medicine, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
基于证据的实践 (EBP) 在重症监护室 (ICU) 的实施很低,受到结构和劳动力问题的阻碍. 在PARIHS框架中强调环境和便利化是改善EBP采用的关键.
科学领域:
- 护理科学
- 实施科学
- 医疗管理
背景情况:
- 基于证据的实践 (EBP) 对于重症监护室 (ICU) 的高质量护理至关重要.
- 由于组织和劳动力问题,EBP的实施面临重大挑战.
- 实施科学提供了在复杂的临床环境中促进EBP整合的框架.
研究的目的:
- 评估EBP在ICU中的实施程度.
- 通过PARIHS框架确定影响EBP采用的障碍和促进因素.
主要方法:
- 采用了并发混合方法设计.
- 通过调查,焦点小组和两家三级医院的ICU护士采访收集数据.
- 在相关的研究伦理委员会获得了伦理认可.
主要成果:
- 发现EBP的实施水平很低.
- 护士的EBP技能和培训需求与实施水平有很大关系.
- 环境因素 (身份,权力所有权,活力) 和促进影响了护士的EBP经验.
- 确定了证据,背景和促进的连续性,提供了EBP实施的多维视图.
结论:
- 该框架为了解EBP实施提供了有价值的视角.
- 背景和促进是促进证据融入临床实践的关键因素.
- 解决这些因素对于加强ICU的EBP吸收至关重要.
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