了解护理人员对流体平衡图表的看法:北欧焦点组研究
Lisbeth Roesen Leinum1,2, Marianne Krogsgaard3,4, Sören Nordh5
1Department of Urology, Zealand University Hospital, Køge, Denmark.
Scandinavian journal of caring sciences
|December 7, 2025
概括
护理人员认为流体平衡图表对于患者的结果至关重要,但由于工作流程的挑战,他们难以准确. 改善日常工作,澄清责任,采用数字工具,可以提高图表的质量.
科学领域:
- 护理科学 护理科学
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
背景情况:
- 流体平衡图表的质量往往不够优,改善举措的成功率不一致.
- 护理人员对流体平衡图的看法尚未得到充分研究,特别是在北欧国家.
研究的目的:
- 探索护理人员在丹麦和瑞典使用流体平衡图表的经验.
主要方法:
- 使用半结构焦点小组采访进行描述性定性研究.
- 包括来自丹麦和瑞典不同临床环境的护士和保健助理.
- 由保罗·里科尔 (Paul Ricoeur) 启发的现象学-解释学分析.
主要成果:
- 流体平衡图表的感知重要性与实际准确性之间存在差异.
- 工作人员认识到图表对患者结果的影响,但由于多人员和高患者护士比例,他们觉得图表超出了他们的控制范围.
- 建议制定明确的程序,确定的责任和数字技术,以提高图表质量和简化工作流程.
结论:
- 流体平衡图表被认为是减少死亡率和发病率的关键,但由于缺乏护理人员控制,经常不准确.
- 提高图表准确性需要明确的责任,标准化的程序和数字技术的整合.
相关概念视频
Flow Sheet
2.5K
Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
2.5K
Methods of Documentation IV: Focus Charting
1.6K
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
It typically involves three columns for recording information:
1.6K
Chronic Kidney Disease IV: Nursing Management
299
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
299
Hemodialysis III: Nursing Management
694
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
694
Heart Failure VII: Nursing Interventions
397
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
397
Nursing Assessment of the Genitourinary System I: Health History
348
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
348

