发烧的护理管理决策:一种混合方法的方法来理解理解
Lu-Yen A Chen1, Tonks N Fawcett2, Colin Chandler2
1Institute of Clinical Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan.
International journal of nursing studies advances
|January 26, 2026
概括
护士经常根据日常和文化来管理发烧,而不仅仅是指导方针. 这可能导致因发烧恐惧症和败血症等因素的过度治疗,这表明需要更好的教育.
科学领域:
- 护理实践 护理实践
- 临床决策 - 临床决策
- 患者护理 患者护理
背景情况:
- 发烧是住院患者的常见症状,经常导致护理干预.
- 临床指导方针优先考虑患者的舒适性,而不是温度正常化.
- 在成人护理中进行发烧管理干预的基本理由尚不清楚.
研究的目的:
- 探索护士对成人患者发烧管理的方法.
- 检查护士在控制发烧方面的临床决策背后的逻辑.
主要方法:
- 使用了一种连续的解释性混合方法设计.
- 通过在苏格兰对177名注册护士的在线调查,收集了定量数据.
- 通过开放文本回复和五次后续访谈收集了定性数据,并使用专题分析和描述性统计数据进行分析.
主要成果:
- 独立的护理判断是最常见的理由 (49.2%),但惯例,规范和风险厌恶是关键因素.
- 干预措施经常被启动为败血症六项协议的一部分,即使没有确诊的感染.
- 发烧恐惧症和专注于舒适,没有重新评估,是普遍存在的.
结论:
- 护理发烧管理是由临床文化和例行程序驱动的,而不是基于证据的指导方针.
- 发烧恐惧症和败血症 六种压力可能导致过度治疗.
- 需要反思教育和系统支持,以使实践与当前证据保持一致,并挑战发烧恐惧症.
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