在ICU的多学科早期活动团队协作实践:定性研究
Xueqin Wang1, Jie Mi2, Chuanlin Zhang2
1Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, PR China.
PloS one
|August 26, 2025
概括
在重症监护室 (ICU) 的多学科团队面临着协作挑战,影响患者的早期动员. 改善团队结构,培训和管理是有效协作和患者康复的关键.
科学领域:
- 医疗保健管理
- 质量研究
- 团队合作
背景情况:
- 在重症监护室的早期动员对于患者的康复至关重要.
- 多学科团队对于实施早期动员策略至关重要.
- 了解团队动态对于优化协作实践至关重要.
研究的目的:
- 探索ICU多学科早期活动团队成员的合作实践经验.
- 确定早期患者动员中有效团队合作的障碍和促进因素.
- 提供科学多学科团队合作模式的发展信息.
主要方法:
- 使用现象学方法的定性研究.
- 在中国9个高等医院的22个多学科早期动员小组进行了深入的采访.
- 有目的的抽样选择参与者.
主要成果:
- 发现了三大主题:合作概念不足,团队建设不足和团队管理不完善.
- 副主题包括管理者哲学,多学科成员理解,团队结构,成员培训需求,缺乏持续改进和不清楚的激励.
- 分析显示了团队动态和操作机制需要改进的重要领域.
结论:
- 有效的团队合作对于促进ICU患者早期动员至关重要.
- 需要建立一个科学可行的合作模式来指导多学科团队.
- 解决协作,团队建设和管理方面的挑战对于优化ICU患者护理至关重要.
相关概念视频
Interdisciplinary Care: The Health Care Team-II
1.5K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.5K
Interdisciplinary Care: The Health Care Team-I
1.8K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.8K
Acute Coronary Syndrome IV: Interprofessional Care
26
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
26
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
44
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
44
Acute Kidney Injury V: Interprofessional Care
44
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
44
Coronary Artery Disease V: Interprofessional Care
30
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
30


