重症监护治疗中的技术和护理实践中的障碍:系统审查
Antonio Henrique Braga Martins de Aguiar1, Patrícia Ribeiro Azevedo2, Wildilene Leite Carvalho3,4
1Federal University of Maranhão (UFMA), São Luís, Maranhão, Brazil.
Worldviews on evidence-based nursing
|February 19, 2026
概括
护士在重症监护室 (ICU) 使用医疗技术面临挑战,包括培训不足和工作量问题. 解决这些问题需要更好的教育,对新护士的支持,以及平衡技术与以患者为中心的护理的政策.
科学领域:
- 护理信息学 护理信息学
- 医疗保健技术管理 医疗保健技术管理
- 关键护理护理 关键护理护理
背景情况:
- 医疗技术在重症监护病房 (ICU) 中越来越重要.
- 这些技术的有效整合对于患者护理至关重要.
- 了解护士报告的障碍对于优化技术使用至关重要.
研究的目的:
- 系统地审查和识别护士在ICU中使用卫生技术所遇到的障碍.
- 综合关于个人和组织因素阻碍重症监护机构采用技术的证据.
主要方法:
- 按照PRISMA指南进行系统审查,在PROSPERO.中注册.
- 在六个数据库中进行了全面的搜索.
- 使用乔安娜·布里格斯研究所工具对八项符合条件的研究进行了独立选和质量评估.
- 提取数据的叙述综合.
主要成果:
- 确定的障碍包括培训不足,技术能力有限和职业经验较短.
- 由于多个设备和组织文化的增加工作量是显著的障碍.
- 患者直接接触的减少和对以患者为中心的护理的潜在影响被注意到.
- 研究异质性阻止了元分析.
结论:
- 在ICU中使用技术的障碍源于个人护士相关因素和组织问题.
- 解决方案包括结构化的教育,新手护士的指导,工作量管理和支持政策.
- 护理领导者,教育工作者,管理者和政策制定者必须合作,以确保技术增强,而不是损害,安全和人性化的患者护理.
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