在肯尼亚新生儿单位共同设计和实施护理交接改进工具:试点研究
Joyline Jepkosgei1, David Gathara2,3, Daniel Mbuthia2
1Health Services Unit, KEMRI-Wellcome Trust Research Programme, 197 Lenana Place, Lenana Road, P. O. Box 43640, Nairobi, 00100, Kenya. jjepkosgei@kemri-wellcome.org.
BMC nursing
|October 28, 2025
概括
一个共同设计的交付工具改善了肯尼亚新生儿单位的护理沟通和团队合作,尽管定量数据显示没有显著变化. 用户参与和支持是成功实施的关键.
科学领域:
- 医疗保健的质量和安全
- 护理实践 护理实践
- 患者信息传输和转移
背景情况:
- 有效的患者转移对于优质的护理至关重要,特别是对于生病的新生儿.
- 肯尼亚新生儿单位 (NBU) 的护理交接被确定为潜在的贫穷.
- 在低收入和中等收入国家 (LMICs) 实施的改善护理交接的举措很少.
研究的目的:
- 共同设计,实施和评估肯尼亚NBU的护理交付工具.
- 评估该工具对患者信息沟通,团队合作和护理协调的影响.
- 探讨在LMICs的交付改进工具的实施挑战和促成因素.
主要方法:
- 一种联合设计方法,涉及护士开发ESBAR工具.
- 在三个肯尼亚县转诊医院进行的前后研究.
- 通过定性访谈,交付观察和调查收集数据.
主要成果:
- 定性数据表明,ESBAR工具对信息完整性,交付过程和团队互动产生了积极的影响.
- 定量分析显示,ESBAR实施前后的关键指标在统计学上没有显著差异.
- 实施的挑战包括员工的抵抗力和高的患者对员工的比例;用户参与和冠军是促成因素.
结论:
- 标准化交付工具显示出在资源较少的环境中改善信息交换的潜力.
- 背景挑战建议将工具整合为沟通指南,而不是严格的协议.
- 建议采用联合设计方法,以确保医疗保健计划满足用户需求并促进采用.
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