"我们不想哭狼":关于护士激活快速反应团队的经验的定性研究
Lindsay Fitzgerald1, Kim Sears2, Rosemary Wilson3
1Perioperative Services, Kingston Health Sciences Centre, Kingston, Ontario, Canada.
概括
护士面临复杂的决策,当激活快速反应小组 (RRTs) 恶化患者. 了解这些经验可以提高患者的安全性和RRT激活协议.
科学领域:
- 护理 护理 护理
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 患者的临床状况恶化构成重大安全风险.
- 快速反应小组 (RRT) 旨在改善及时识别和应对恶化的情况.
- 延迟RRT激活是患者病情恶化的因素,护士对护士经验的理解有限.
研究的目的:
- 探索单位级护士在激活RRT方面的经验.
- 了解一般成人住院医疗单位的护士在RRT激活的决策过程.
主要方法:
- 一个描述性的,探索性的定性研究设计.
- 从一般成人住院医疗单位有目的地招聘护士.
- 半结构面试和感应性主题分析.
主要成果:
- 确定了11个主题,详细介绍了RRT激活的障碍和促进者.
- 发现了一个总体主题:"决定激活RRT的自我强加的复杂性".
- 突出了护士RRT激活决定的细微,多因素的性质.
结论:
- 提供了对护士RRT激活过程的新见解.
- 告知RRT政策和护理教育的潜在实践变化.
- 建议未来的研究,以优化对病情恶化的患者的RRT策略.
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