在重症监护室实施降噪套餐:一个定性过程评估
Jeanette Vreman1, Mark van den Boogaard1, Johannes G van der Hoeven1
1Radboud University Medical Center, Department of Intensive Care, Nijmegen, the Netherlands.
在重症监护室 (ICU) 实施降噪包需要结构化的方法. 积极的领导和明确的沟通促进了采用,但缺乏紧迫性和共同的噪音规范阻碍了可持续性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 临床实践实施科学 临床实践实施科学
背景情况:
- 重症监护室 (ICU) 的噪音会对患者的治疗结果和工作人员的幸福感产生负面影响.
- 实施降噪策略对于改善ICU环境至关重要.
研究的目的:
- 确定影响在日常ICU实践中采用和持续使用降噪包的因素.
- 了解医疗保健专业人员在实施降噪干预措施方面的经验.
主要方法:
- 与31名护理人员和医生进行了7次半结构化焦点小组采访.
- 数据被转录,编码和分析,使用Flottorp的检查清单来确定实践的决定因素.
- 多位研究人员的协作分析确保了数据的全面解释.
主要成果:
- 确定了37个影响噪音降低捆绑应用程序的因素.
- 促进者包括分阶段实施,清晰沟通,定期主题解决,例行构建,支持材料,提醒,培训,技术援助,参与领导,关键护士和反.
- 障碍包括紧迫性有限,结果预期不足,坚持不良,提出问题有限,没有噪音规范和不适合的环境.
结论:
- 成功降低ICU噪音需要结构化的实施,应对上下文和文化因素.
- 积极的领导和反促进了采用,而有限的紧迫性和缺乏共同的噪音规范阻碍了可持续性.
- 结合技术解决方案,行为策略,团队所有权和开放沟通的综合方法对于有效的降噪至关重要.
更多相关视频
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
05:56Monitoring Lung Function with Electrical Impedance Tomography in the Intensive Care Unit
Published on: September 6, 2024
相关概念视频
Nursing Evaluation
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Mechanical Ventilation III: Noninvasive Ventilation
Noninvasive Positive-Pressure Ventilation...
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Assessment of Ventilation II: Respiratory Depth and Rhythm
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Methods of Documentation III: PIE
