Golembeski Susan, Willmitch Beth, Kim Sandy S
Center for Research & Grants, Baptist Health South Florida, Miami, FL, USA.
AACN Adv Crit Care. 2012 Jul-Sep;23(3):323-9. doi: 10.1097/NCI.0b013e31825ed8bb.
The purpose of this study was to determine patients' and families' perceptions of care in 10 critical care units enhanced by a tele-intensive care unit (ICU) in a 5-hospital health care system. Patients and family members who had a critical care experience were approached for participation. An adapted version of the Schmidt Perception of Nursing Care Survey was administered. The Schmidt Perception of Nursing Care Survey factors--seeing the individual patient, explaining, responding, and watching over-were analyzed for 637 participants (263 before and 374 after the tele-ICU implementation). Analysis of data from patients and family members indicated significantly higher means for the following factors: seeing the individual patient (P =.004), responding (P =.002), and watching over (P =.006) only when there was an awareness by the patient and family members that the care team was at the bedside and at the tele-ICU command center. The perceptions of care in these cases may suggest an improved patient experience when a tele-ICU is part of the care team.
本研究的目的是确定在一个由5家医院组成的医疗保健系统中，10个重症监护病房里，患者及其家属对通过远程重症监护病房（ICU）强化后的护理的看法。接触有重症监护经历的患者和家属邀请他们参与研究。使用了施密特护理感知调查的改编版本。对637名参与者（远程ICU实施前263名，实施后374名）分析了施密特护理感知调查的因素——关注个体患者、解释、回应和照护。对患者和家属数据的分析表明，仅当患者和家属意识到护理团队在床边和远程ICU指挥中心时，以下因素的均值显著更高：关注个体患者（P = 0.004）、回应（P = 0.002）和照护（P = 0.006）。这些案例中的护理看法可能表明，当远程ICU成为护理团队的一部分时，患者体验得到了改善。
