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紧急护士遵守外围静脉导管指南:系统审查

Joana Teixeira^1,2,3,4, Celeste Bastos³, Maria do Rosário Pinto^2,4

¹School of Medicine and Biomedical Sciences (ICBAS) - Porto University (UP), Porto, Portugal.

International journal of nursing studies advances

|January 16, 2026

概括

在急诊室改善周围静脉导管 (PIVC) 护理需要解决知识差距并加强机构支持. 策略包括持续教育和团队赋权,以获得更好的患者结果.

科学领域:

紧急医疗紧急医疗
护理研究护理研究
预防感染预防感染

背景情况:

周围静脉注射导管 (PIVC) 在急诊室是必不可少的,但低于最佳的做法会对患者的治疗结果产生负面影响.
基于证据的PIVC指导方针没有得到一致的遵循,这凸显了护理提供中的关键差距.
了解影响坚持的因素对于改善患者安全和治疗疗效至关重要.

研究的目的:

确定影响在紧急情况下遵守PIVC指南的决定因素.
分析可以改善遵守PIVC插入,维护和删除协议的策略.
为提高PIVC护理质量和患者安全的干预措施提供信息.

主要方法:

从2018年开始,使用主要数据库 (Cochrane,CINAHL,MEDLINE,SCOPUS) 进行了系统审查.
研究的重点是急诊室护士/临床医生和PIVC坚持的决定因素/策略.
方法遵循乔安娜·布里格斯研究所的指导方针和PRISMA系统审查报告标准.

主要成果:

六项研究揭示了PIVC遵守的个人,组织和临床决定因素,包括知识缺陷,培训缺口和缺乏支持.
不一致的做法被确定为遵守指南的重大障碍.
确定的有效策略包括持续教育,超声导向插入,血管接入团队和质量改进计划.

结论:

确定了提高急诊护士中PIVC感染预防遵守度的关键决定因素和策略.
综合技术培训,支持性环境和临床领导力的多模式干预至关重要.
未来的努力应侧重于团队赋权,与机构目标保持一致,并通过参与式方法提高护士的动机和自我效能.

关键词:

与导管相关的感染.导管,外围,外围的使用坚持指导方针的坚持.护理护理护理护理系统审查是系统的审查.

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