在重症监护室实施科学研究:一个范围审查
Yingxue Sun1, Min Ding2, Cong-Cong Liu1
1Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
BMJ open
|November 20, 2025
概括
本审查确定了在重症监护病房 (ICU) 中使用的实施科学框架. 调查结果强调了实施研究综合框架 (CFIR) 作为弥合重症监护的证据和实践差距的关键工具.
科学领域:
- 实施科学 实施科学
- 关键护理医学 关键护理医学
- 基于证据的实践.
背景情况:
- 基于证据的实践转化为重症监护室 (ICU) 环境对于改善患者的治疗结果至关重要.
- 实施科学提供理论框架和方法来促进这种翻译.
- 了解这些框架在ICU中的应用对于推进研究和实践至关重要.
研究的目的:
- 确定在ICU中使用的实施科学的理论框架.
- 确定影响ICU实施成功的因素.
- 评估在ICU中以理论为指导的干预措施的有效性.
主要方法:
- 根据乔安娜·布里格斯研究所 (JBI) 和系统性审查的首选报告项目以及扩展范围审查的元分析 (PRISMA-ScR) 准则进行了范围审查.
- 在PubMed,Web of Science,Cochrane图书馆和EBSCO进行了搜索,包括在ICU实施科学的英语研究.
- 数据的提取和合成涉及两个独立的研究人员选的标题,摘要,和全文的检索文章.
主要成果:
- 包括13篇文章,包括定性,混合方法,准实验和前性观察研究.
- 实施研究综合框架 (CFIR) 是最常用的理论框架 (七项研究),其次是实施指导的卫生服务研究 (i-PARIHS) 框架 (两项研究).
- 文献证明了实施科学在缩小科研证据和ICU临床实践之间的差距方面的有用性.
结论:
- 在ICU中实施基于证据的加速实践需要战略支持.
- 需要在ICU中进一步实施科学研究,以加强证据的翻译.
- 这些努力对于提高重症监护机构护理实践质量至关重要.
相关概念视频
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.0K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.0K
Nursing Clinical Information System
1.2K
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
1.2K
Acute Coronary Syndrome IV: Interprofessional Care
203
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
203
The Scientific Method in Nursing Process
15.4K
The scientific method provides the foundation for any research. It is the most reliable and objective of all forms of gaining knowledge and guides in applying research-based evidence in practice and conducting future research.
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
15.4K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
387
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
387
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
286
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
286


