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学习安全的患者搬运技能:实习护士在大学及实践型教育中的经历

Learning safe patient handling skills: student nurse experiences of university and practice based education.

作者信息

Kneafsey Rosie, Haigh Carol

机构信息

University of Salford, School of Nursing, Allerton Building, Frederick Road, Salford M6 6PU, United Kingdom.

出版信息

Nurse Educ Today. 2007 Nov;27(8):832-9. doi: 10.1016/j.nedt.2006.11.005. Epub 2007 Jan 22.

DOI:10.1016/j.nedt.2006.11.005
PMID:17240484
Abstract

INTRODUCTION

Poor patient handling practices increase nurse injuries and reduce patients' safety and comfort.

BACKGROUND

UK Universities have a duty to prepare student nurses for patient handling activities occurring during clinical placements. This study examines students' experiences of moving and handling education in academic and clinical settings.

METHODS

A 34 item questionnaire was distributed to student nurses at one School of Nursing (n=432, response rate of 75%).

RESULTS

Many students undertook unsafe patient handling practices and provided reasons for this. There was a medium statistically significant correlation between the variables 'provision of supervision' and 'awareness of patient handling needs' (r(s)=.390, p=.000). 40% of students stated that their M&H competency was assessed through direct observation. Twenty six percent of the total sample (n=110), said they had begun to develop musculo-skeletal pain since becoming a student nurse. Forty-eight stated that this was caused by an incident whilst on placement.

DISCUSSION

Inadequate patient handling practices threaten student nurse safety in clinical settings. Although some students may be overly confident, they should be supervised when undertaking M&H activities.

CONCLUSIONS

Though important, University based M&H education will only be beneficial if students learn in clinical settings that take safe patient handling seriously.

摘要

引言

不良的患者搬运操作会增加护士受伤的风险,并降低患者的安全性和舒适度。

背景

英国大学有责任让学生护士为临床实习期间的患者搬运活动做好准备。本研究考察了学生在学术和临床环境中进行搬运与操作教育的经历。

方法

向一所护理学院的学生护士发放了一份包含34个条目的问卷(n = 432,回复率为75%)。

结果

许多学生采取了不安全的患者搬运操作并给出了原因。“提供监督”和“对患者搬运需求的认知”这两个变量之间存在中等程度的统计学显著相关性(r(s)=.390,p =.000)。40%的学生表示他们的搬运与操作能力是通过直接观察来评估的。在整个样本中,26%(n = 110)的学生表示自成为学生护士以来开始出现肌肉骨骼疼痛。48人表示这是由实习期间的一次事件导致的。

讨论

不充分的患者搬运操作会威胁临床环境中学生护士的安全。尽管一些学生可能过于自信,但在进行搬运与操作活动时他们应该受到监督。

结论

虽然基于大学的搬运与操作教育很重要,但只有当学生在认真对待安全患者搬运的临床环境中学习时才会有益。

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