护士在成人重症监护病房实施早期动员方面的经验和需求:定性元综合
Ewa Zuzanna Krzyż1, Kai-Mei Chang2, Iftitakhur Rohmah3
1School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
概括
由于系统性问题和缺乏支持,护士在重症监护病房实施早期动员 (EM) 面临挑战. 提高EM需要更好的培训,资源和政策,以改善患者的治疗结果.
科学领域:
- 关键护理护理 关键护理护理
- 定性研究综合 定性研究综合
- 患者的流动性 患者的流动性
背景情况:
- 在成人重症监护室 (ICU) 的早期动员对于患者的康复至关重要.
- 护士的经验和需求对于有效的EM实施至关重要.
- 这项研究解决了理解护士领导的EM挑战的差距.
研究的目的:
- 探索护士在成人ICU实施早期动员方面的经验.
- 确定护士对于成功的早期动员的需求.
- 为加强早期动员实践提供建议.
主要方法:
- 按照托马斯和哈登的方法进行系统的元合成.
- 搜索了科学网,PubMed,Embase和Scopus (2015年3月至2025年3月) 的数据.
- 包括护士在成人ICU中对EM的经验的定性研究;使用CASP工具进行批判性评估.
主要成果:
- 综合了10项涉及87名护士的研究.
- 确定了系统性问题:缺乏政策,人员,标准化工具和时间限制.
- 突出的人际挑战:患者参与,团队合作和领导力缺陷.
- 表达的需求:护士的全面培训,支持和激励.
结论:
- 护士报告主要是负面的经历,阻碍了早期动员实施.
- 在EM的机构支持和资源方面存在重大差距.
- 建议包括结构化的教育,明确的角色,充足的资源和协作环境.
相关概念视频
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.0K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.0K
Current Trends in Nursing II
3.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
3.3K
Nursing 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
Current Trends in Nursing I
5.3K
Current trends in nursing include:
5.3K
Planning Nursing Care I
5.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.5K
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
