在远程ICU临床医生中对轮班交换沟通实践的定性分析
Katheryne Tifuh Amba1,2,3, Omokhaye Higo1,2,3, Franz Henryk Vergara1,2,3
1Dr. Amba, PhD, DNP, RN, ACNP-BC, CCRN, is a nurse scientist at SSM Health Cardinal Glennon Children's Hospital and a Major in the United States Air Force Reserve. Her work focuses on advancing nursing science through evidence-based practice, research, and innovation, with a commitment to improving patient outcomes and health care delivery.
远程ICU临床医生面临着交换交换通信 (SHC) 的挑战,包括信息差异和障碍. 标准化SHC是最好的改善护理协调在偏远的重症监护病房.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 重症监护病房 (ICU) 的管理人员.
- 远程医疗远程医疗
背景情况:
- 轮班交换通信 (SHC) 对于重症监护室 (ICU) 的患者安全至关重要.
- 远程ICU模型为SHC带来了独特的挑战,因为远程护理提供.
- 了解临床医生的经验对于优化远程ICU操作至关重要.
研究的目的:
- 探索远程ICU临床医生对轮班交换通信 (SHC) 的看法.
- 确定在SHC期间远程ICU临床医生所面临的挑战.
- 为提升Tele-ICU通信协议的改进提供信息.
主要方法:
- 进行了一项现象学解释性研究.
- 这项研究探讨了Tele-ICU重症监护医生的实践经验.
- 这项研究是在美国中西部地区的Tele-ICU中心进行的.
主要成果:
- 五个主要主题出现了:SHC的变化,信息差异,对标准化SHC的偏好,对SHC的不同态度和沟通障碍.
- 临床医生报告说,在移交期间,信息交换存在不一致.
- 确定了对标准化SHC流程的显著偏好.
结论:
- 远程ICU提供者经常充当远程护理协调员,需要明确的角色划分.
- 由于夜班期间没有案件经理参与,因此需要进一步调查.
- 在远程ICU环境中,有效的SHC至关重要,以确保无的患者护理过渡和多学科团队合作.
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