量化急症护理护士在换班期间患者交接的经验:一个横截面研究
Vivek Kaliraman1, Joni L Watson2
1The Handoff Company, Inc, Los Angeles, CA, USA.
BMC nursing
|December 25, 2025
概括
医院护士在轮班交换期间报告患者交接质量不一致,许多人经历了错过的信息和有问题的过渡. 这凸显了改善沟通和干预措施的必要性,以确保患者的安全.
科学领域:
- 护理 护理 护理
- 患者安全 患者安全
- 医疗保健通讯 医疗保健通讯
背景情况:
- 联合委员会要求标准化患者交接流程,以减轻安全风险.
- 在患者交接期间不一致的沟通是患者安全的重要风险因素.
- 关于轮班交换时护士与护士之间的患者交换沟通质量的证据有限.
研究的目的:
- 检查医院护士在轮班交换时患者交接质量的经验.
- 评估错过信息的频率,信息准确性,患者参与度和有问题的轮班变化.
- 根据护士人口统计和经验,识别交付质量的变化.
主要方法:
- 一项采用24个问题在线调查的横截面观察性研究.
- 调查于2024年6月17日至9月15日进行,对美国医院的688名直接护理护士进行调查.
- 顺序和多变量回归分析了数据,控制了专业,执照类型,教育和多年的经验.
主要成果:
- 超过25%的护士报告说,在轮班交换期间,他们经常错过关键的患者信息.
- 只有6.3%的护士始终收到准确和完整的交付报告.
- 只有不到7%的护士在轮班交换中一直让病人参与.
结论:
- 医院护士经常在轮班交换时遇到不一致和低质量的患者交接.
- 研究结果表明,护士们对不安全和不准确的班次变更报告的正常化.
- 需要进一步的研究和干预,以改善各种护理专业人员的移交实践.
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