结构化护士主导的PICU解放捆绑 (ABCDEF) 讨论在轮:一个单一的中心,从2017年实现前与后数据的二次分析
Oluwatomini A Fashina1, Robert J Kahoud2, Gina M Rohlik3
1Department of Pediatrics, Mayo Clinic Children's, Rochester, MN.
概括
在儿科重症监护室 (PICU) 实施ABCDEF套餐改善了团队沟通和满意度. 这种以解放为重点的圆形化过程增加了对关键护理要素的讨论,而没有延长患者的圆形时间.
科学领域:
- 关键护理医学 关键护理医学
- 儿科重症监护室的儿童重症监护室
- 质量改善倡议 质量改善倡议
背景情况:
- 关键护理医学协会的PICU解放ABCDEF (A-F) 运动协作促进患者护理的最佳实践.
- 已建立的圆形化流程可能无法完全整合这些释放捆绑元素.
- 为了改善护理,开发了一种新的圆形化过程,强调了AF捆绑.
研究的目的:
- 为了比较一个前实施的护理脚本圆形化过程与一个后实施的以解放为重点的圆形化过程.
- 评估以解放为重点的圆形化对团队沟通,满意度和讨论捆绑元素的影响.
主要方法:
- 从四级护理,学术医疗中心的医疗/外科 PICU 的数据进行了后期分析.
- 实施前和后的调查,由独立观察员在多学科团队中收集.
- 对涉及医生,护士,呼吸治疗师,药剂师和营养学家的观察轮次的分析.
主要成果:
- 实施后的调查 (n=67) 显示,与实施前 (n=145) (p <0.05) 相比,团队满意度,沟通和对日常计划的理解显著改善.
- 受访者报告说,关于捆绑组件A-E的讨论频率增加 (p < 0.01).
- 观察到的轮次 (41个前,46个实施后) 显示,所有A-F捆绑组件的讨论频率增加 (p < 0.01),而每位患者的持续时间没有增加 (p = 0.20).
结论:
- 2017年实施由护士领导的PICU解放圆形化过程与捆绑元素的讨论增加有关.
- 新的圆形化过程导致了团队沟通的改善,以及PICU工作人员的满意度.
- 这个倡议突显了结构化,以解放为重点的圆形化在提高儿科重症监护服务的有效性.
更多相关视频
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
1.6K
09:57A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
13.7K
相关概念视频
01:15Nursing Implementation
5.9K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.9K
01:27Nursing Clinical Information System
1.2K
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
1.2K
01:26Cardiac Catheterization IV: Nursing Management
638
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
638
01:21Methods of Documentation III: PIE
2.0K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
2.0K
01:29Endocarditis IV: Nursing Management
314
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
314
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
734
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
734