减少ICU护士限制实施的障碍:一个定性研究
Wenqi Xu1, Jing Hui Liu2, Yatian Hou3
1Zhongshan City People's Hospital, Henan University School of Nursing and Health, Kaifeng, China.
Nursing in critical care
|December 17, 2025
概括
由于概念缺陷,资源短缺和协作问题,ICU护士面临实施最低限度克制的挑战. 通过培训和改进策略来解决这些障碍,对于改善患者护理和护士决策至关重要.
科学领域:
- 护理实践 护理实践
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 尽量减少重症监护室 (ICU) 患者的限制是改善患者体验和实现人文护理的关键目标.
- 提高护士关于限制使用的决策能力是重症监护机构面临的重大挑战.
研究的目的:
- 调查ICU护士在实施最小限制实践时所面临的障碍.
- 为改善未来的护理干预和重症监护的策略提供见解.
主要方法:
- 用有目的的抽样方法从中国南部一家三级医院的ICU设置中招募了16名医疗保健工作者.
- 进行了半结构面试,并使用NVivo 14软件组织数据.
主要成果:
- 七个主题出现了:概念缺陷,缺乏主动评估,人力资源短缺,无效的疼痛管理合作,需要提高专业意识,过去经验的影响以及对更好的组织策略的需求.
- 障碍包括医院法规,管理文化,专业角色和个人护士能力.
结论:
- 解决障碍需要全面评估,加强对最小限制决策的支持,并标准化决策过程.
- 培训,倡导团队合作,培养协作环境对于提高护士的信心和实践最少的克制至关重要.
- 这些发现旨在提高ICU护士在临床环境中对最小限制技术的理解和应用.
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