基于证据的重症监护循环的描述性评估,使用混合数据类型

P Yerbury¹, S Sutherland^1,2, T Venes¹

¹Oxford University Hospital NHS Foundation Trust, Oxford, UK.

Journal of advanced nursing

|December 12, 2025

概括

基于证据的循环 (EBR) 是重症监护的成功病床教育模式. 这种可适应的策略使护士能够在实践中应用证据,建立信心,并确定当地的改进,提供可持续的专业发展方法.

科学领域:

临界护理医学临界护理医学
护理教育护理教育
基于证据的实践.

背景情况:

关键护理环境面临的挑战是扩大课程和员工保留.
有效的持续专业发展对于保持高标准的患者护理至关重要.
床边教育模式提供了一种实用方法,将学习纳入常规的临床工作.

研究的目的:

在重症监护环境中试点和评估一个结构化的基于证据的循环 (EBR) 教育模式.
评估EBR作为专业发展战略的可行性和感知有效性.
确定EBR对临床工作人员的具体好处.

主要方法:

采用混合方法设计,结合结构化的观测数据和开放式调查答案.
用内容分析和描述性统计数据来分析评估中的定性和定量数据.
进行了17轮调查,在83名临床工作人员中,有55人提交了评估调查.

主要成果:

基于证据的回合被工作人员积极看作是一种有用的教育策略,他们非常愿意参加未来的会议.
包括高级护士,辅助工作者和学生护士在内的所有级别的护士是最频繁的参与者.
巡回会议促进了证据在实践中的应用,增强了员工对呈现临床信息的信心,并支持了对当地患者护理改进的识别.

结论:

基于证据的循环代表了一个可适应和有效的临床教育模型,用于重症监护.
该模型使护士能够在实践中应用证据,并提高信心,为患者护理的本地改进做出贡献.
EBR提供了一种可持续的,低成本的持续专业发展方法,可能在其他临床领域采用.

关键词:

关键护理关键护理关键护理教育教育教育教育的教育.医疗服务研究医疗服务研究领导领导领导领导领导领导领导研究实施研究实施.研究在实践中的研究.

相关概念视频

01:15

Nursing Evaluation

4.1K

The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.

4.1K

01:23

Methods of Documentation V: CBE

1.4K

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...

1.4K

01:30

Guidelines for Nursing Documentation I

1.7K

Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.

1.7K

01:23

Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches

380

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,...

380

01:15

Methods of Documentation VI: Case Management Model

837

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...

837

01:20

Comparing the Survival Analysis of Two or More Groups

533

Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...

533