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创新的ICU电子日记的实施和可持续性
Louise Rose1, Amy Welch2, Kemi Okelana2
1King's College London, London, UK; Guy's & St Thomas' NHS Foundation Trust, London, UK.
Intensive & critical care nursing
|November 9, 2025
概括
这项研究表明,在重症监护室 (ICU) 实施电子日记 (e-diary) 在员工和家庭参与方面取得了适度的成功. 人们注意到了易于获取和家庭参与等促进因素,尽管需要解决技术获取等障碍,以实现更广泛的采用.
科学领域:
- 医疗保健创新 医疗保健创新
- 数字健康实施方案
- 患者沟通工具 患者沟通工具
背景情况:
- 在ICU中的传统纸质日记在数据捕获和可访问性方面存在局限性.
- 电子日记 (e-日记) 为改善重症监护机构的患者沟通和记录保持提供了潜力.
研究的目的:
- 评估在重症监护病房 (ICU) 实施电子日记的情况.
- 评估ICU工作人员的吸收,家庭参与,以及电子日记使用的感知障碍和促进者.
- 为了确定电子日记的可接受性,可行性和随着时间的推移而持续使用.
主要方法:
- 一项使用电子日记 (aTouchAwayTM) 的服务创新和评估研究,用于英国四个ICU.
- 实施涉及一个专门的官员,教育,提醒和示威活动超过8个月 (2022年1月至8月).
- 通过实施前审计,工作人员问卷 (干预措施的可接受性和可行性 - AIM/FIM) 和持续使用的实施后审计收集的数据.
主要成果:
- 在实施期间,电子日记的开始率平均为65%,来自护士,治疗师和家庭成员的1242条条目.
- 工作人员发现电子日记通常易于访问 (74%) 和使用 (63%),其中包括减少环境影响和家庭参与.
- 障碍包括登录/教育的需要和技术能力较低的家庭面临的挑战;持续使用显示在2023年6月开始使用率为63%.
结论:
- 电子日记证明了在ICU中适度和持续的实施成功.
- 确定了电子日记采用的关键促进者,为其他中心提供了有价值的见解.
- 虽然存在一些障碍,但战略方法可以加强家庭参与和整体电子日记的实施.
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