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循证实践在军事重症监护病房家庭探视中的应用。

Evidence-based practice in a military intensive care unit family visitation.

机构信息

Nursing Corps, U.S. Navy, Nursing Research Consultation Service, Naval Medical Center Portsmouth, Portsmouth, VA 23708, USA.

出版信息

Nurs Res. 2010 Jan-Feb;59(1 Suppl):S32-9. doi: 10.1097/NNR.0b013e3181c3c028.

Abstract

BACKGROUND

The dissatisfaction of family members with a restrictive visiting policy in a combined intensive care and step-down unit provides an opportunity for staff to develop better ways to meet the needs of patients and their families. A review of the evidence-based practice (EBP) literature as the measure of significance indicated that less restrictive visitation policies enhance patient and family satisfaction and offer many physiologic and psychological benefits to the patient.

OBJECTIVE

The purpose of this study was to determine whether a less restrictive visitation policy could be implemented in the adult critical care department of a naval medical center.

METHODS

Staff was educated on the use of EBP, specifically the Iowa-based model, and a less restrictive visitation policy was developed and implemented.

RESULTS

Evaluation of the postintervention survey findings revealed higher patient and family satisfaction.

CONCLUSIONS

The findings from this EBP project suggest that a more open visitation policy is feasible in adult critical care units, with an increase in overall satisfaction of patients and their families with regard to their stay in the intensive care unit.

摘要

背景

在综合重症监护病房和过渡病房中,家属对限制探视政策的不满为员工提供了一个机会,让他们能够开发更好的方法来满足患者及其家属的需求。对循证实践(EBP)文献的审查作为衡量标准表明,限制探视政策放宽可以提高患者和家属的满意度,并为患者带来许多生理和心理上的益处。

目的

本研究旨在确定是否可以在海军医疗中心的成人重症监护病房实施限制探视政策。

方法

对员工进行循证实践的教育,特别是基于爱荷华州的模式,并制定和实施了一项限制探视政策。

结果

对干预后调查结果的评估显示,患者和家属的满意度更高。

结论

本循证实践项目的结果表明,在成人重症监护病房实施更为开放的探视政策是可行的,这会增加患者及其家属对他们在重症监护病房的逗留的整体满意度。

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