从普通病房运送重症患者到重症监护室的挑战:一项定性研究
Li Tang1,2, Lingzhi Huang1, Xianmei Zhao1
1Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China.
Nursing in critical care
|January 15, 2026
概括
在将重症患者从普通病房运送到重症监护室时,护士面临着重大挑战. 解决这些障碍需要改进的协议,培训和跨学科的团队合作,以实现更安全的患者转移.
科学领域:
- 护理 护理 护理
- 关键的护理关键的护理
- 患者安全 患者安全
背景情况:
- 危急病患者的医院内运输存在风险.
- 需要转移到重症监护室 (ICU) 的重症患者经常面临不充分的初始治疗.
- 在单位间患者转移期间的安全性尚未得到充分研究.
研究的目的:
- 探索护士对将重症患者从普通病房运送到重症监护室的挑战的看法.
- 确定在重症患者的医院内转移过程中遇到的障碍.
主要方法:
- 使用深入的半结构面试进行的定性描述性研究.
- 数据来自中国一所高等大学医院的16名护士.
- 对定性采访数据应用的内容分析.
主要成果:
- 确定了四个关键主题:启动运输的障碍,准备过程中的压力,转移期间病人的病情恶化以及部门间合作的困难.
- 早期识别和管理方面的差距被认为是实际障碍.
- 挑战包括调节多个角色,对患者稳定性的担忧,以及非同步的交接.
结论:
- 护士在整个运输重病患者的过程中都会遇到很大的困难.
- 建议包括澄清转移标准,标准化协议,加强跨学科团队合作,实施持续培训计划.
- 强调需要高准确度的跨学科培训和共同教育,以确保安全的患者运输.
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