在成年重症监护病房的患者和家庭为中心的跨学科回合期间的家庭参与:一种定性探索性研究
Dimensions of critical care nursing : DCCN
|September 30, 2025
概括
通过促进透明度和信任,家庭参与重症监护轮改善了患者的护理. 障碍包括后勤挑战和多样化的看法,而清晰的沟通和可行的后勤便利家庭的包容.
科学领域:
- 关键护理医学 关键护理医学
- 患者和以家庭为中心的护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 跨学科轮的家庭参与是重症监护中以患者和家庭为中心的方法.
- 这种方法在成人重症监护病房中不一致地实行,并且研究不足.
- 了解医疗保健专业人员的观点对于将家庭参与纳入临床实践至关重要.
研究的目的:
- 在跨学科会议期间探索注册护士和医生对当前家庭参与实践的观点.
- 确定可行的方法来整合家庭的包容性和参与重症监护.
- 确定实施以家庭为中心的跨学科轮的促进者和障碍.
主要方法:
- 使用重点小组与7名重症护理提供者 (4名RN,3名医生) 进行定性探索性研究.
- 通过视频会议收集的数据与结构化问题,记录,并字面转录.
- 使用布劳恩和克拉克的建构主义和上下文主义方法进行的主题分析.
主要成果:
- 被视为"提供信息"的轮回,以减少不确定性和促进透明度.
- 圈子被视为一个"安全空间",培养关怀,同情和信任.
- 障碍物包括不同的感知,后勤困难和焦虑;促进者是清晰,一致的后勤和信息.
结论:
- 这项研究加深了对RN和医生的观点,即家庭参与重症监护的理解.
- 结果为干预设计和未来随机对照试验提供了信息.
- 通过加强家庭参与,结果为改善患者结果和家庭体验提供了一条途径.
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