评估护士执业人员领导的程序性焦虑儿童的程序支持服务:一项有效性实施研究
Karin Plummer1,2, Catherine Kotzur2, Suzanne Williams3
1School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.
Journal of advanced nursing
|December 8, 2025
概括
护士执业人员领导的服务有效地支持患有程序性焦虑的儿童,改善护理准入和减少痛苦. 这种专门的护士角色为儿科程序管理提供了一个安全,可复制的模型.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 护理实践 护理实践
- 实施科学 实施科学
背景情况:
- 程序性焦虑是儿科医疗保健的一个重大挑战,可能导致痛苦和回避.
- 专门的护理服务可以在管理焦虑和改善患者结果方面发挥关键作用.
研究的目的:
- 评估护士执业人员为患有程序性焦虑的儿童提供程序支持服务的临床有效性.
- 识别促进者和障碍物,以持续实施和优化此类服务.
主要方法:
- 一个有效性-实施混合型3类研究使用了前性的混合方法方法.
- 数据收集包括对临床结果的前性审计 (n=40) 和对儿童,家长和临床医生的定性访谈 (n=33).
- 这项研究是在2022年12月至2023年5月期间在澳大利亚布里斯班的四级儿科医院进行的.
主要成果:
- 护士执业人员领导的服务是有效和安全的,确保以最小的痛苦和低疼痛/焦虑分数完成程序.
- 该服务改善了对手术护理的准入,减少了对身体限制和全身麻醉的需求,并增强了临床工作流程.
- 在疼痛评分和使用分心技术之间观察到中度负面关系.
结论:
- 护士执业人员领导的程序支持服务是提高程序焦虑的儿科患者获得护理的安全和有效策略.
- 专门的护理角色在治疗儿科程序性焦虑方面具有重要意义,为改善结果和减轻医疗创伤提供可复制的模型.
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