护士在重症监护室实施痴呆症PADIS指南的促进者和障碍:综合性审查
Dimensions of critical care nursing : DCCN
|September 30, 2025
概括
在ICU中实施疼痛,兴奋/镇静,妄想,不运动和睡眠障碍 (PADIS) 准则的障碍包括缺乏合作和护士知识差距. 改善跨学科的团队合作和教育是改善患者结果的关键促进因素.
科学领域:
- 临界护理医学 临界护理医学
- 护理实践 护理实践
- 基于证据的医疗保健
背景情况:
- 在重症监护室 (ICU) 实施疼痛,兴奋/镇静,妄想,不运动和睡眠障碍 (PADIS) 的临床实践指南面临着许多障碍.
- 痴呆症是重症患者的关键问题,需要护士有效实施指导方针以改善结果.
研究的目的:
- 进行综合性审查,确定护士在成人ICU设置中实施PADIS Delirium指南的障碍和促进因素.
主要方法:
- 按照PRISMA指南进行系统审查,并纳入Joanna Briggs研究所的质量评估.
- 包括以英语 (2013-2023) 发表的定量,定性,质量改进和审查研究,重点关注成人ICU.
- 分析不同国家与护士狂妄症指南实施相关的促进者和障碍.
主要成果:
- 选择了15项研究 (横截面,混合方法,队列,定性,质量改进,系统审查).
- 常见的障碍包括缺乏跨学科合作/支持,工作负担和护士知识缺陷.
- 关键的促进者涉及跨学科的合作和加强关于妄的教育,PADIS指南和ABCDE捆绑.
结论:
- 在个人,教育和机构层面上存在PADIS指南实施的障碍和促进者.
- 对妄的护士进行例行,结构化的教育对于解决知识缺陷和改善准则遵守是必不可少的.
- 加强跨学科的合作和教育对于支持护士和优化ICU Delirium管理至关重要.
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