在四级重症监护室的动员过度:一个横截面描述性调查
Andrew J Neilson1, Samantha Keogh2, Jessica Ingleman3
1School of Nursing and Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Australia; Department of Intensive Care Services, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
概括
澳大利亚重症监护室 (ICU) 对早期动员 (EM) 准则的认识仍然很低,系统层面的障碍也存在. 尽管临床医生态度积极,但改善指南传播和实际支持对于将EM嵌入常规ICU实践至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 国际证据支持在重症监护病房 (ICU) 早期动员 (EM).
- 澳大利亚ICU显示EM率较低,未知指南意识和临床医生的态度.
- 这项研究解决了澳大利亚对EM的障碍和促进因素的理解差距.
研究的目的:
- 评估澳大利亚ICU临床医生对最近早期动员指南的认识.
- 通过使用理论领域框架,识别和运行早期动员的障碍和推动因素.
- 为改善澳大利亚ICU中EM实施的战略提供信息.
主要方法:
- 在澳大利亚四级ICU的临床医生 (护理,医疗,理疗) 进行了横截面描述性调查.
- 数据是通过研究电子数据捕获平台收集的.
- 使用描述性统计数据分析了定量数据; 进行了定性数据的主题和内容分析.
主要成果:
- 观察到对准则的认识很低 (23%) .
- 关键的感知障碍包括知识/证据和人员.
- 临床医生报告了关于EM的积极意图和信念,并将资源和技能确定为推动者.
结论:
- 尽管临床医生态度积极,但指南意识低,系统层面的障碍阻碍了澳大利亚ICU的早期动员.
- 加强指南传播,教育和实际支持对于常规的EM是必要的.
- 未来的研究应该专注于有效的实施策略,以实现一致的EM交付.
关键词:
关键的护理关键的护理早期的行走方式基于证据的实践实践.医疗服务研究 医疗服务研究重症监护病房的重症监护病房是重症监护病房.动员行动 动员行动多学科的护理服务.质量改善 质量改善康复 康复 康复 康复更多相关视频
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