Nerancy Neuroscience Intensive Care Unit, University of Virginia Health System, Charlottesville, VA 22908, USA.
Intensive Crit Care Nurs. 2013 Oct;29(5):256-60. doi: 10.1016/j.iccn.2013.03.004. Epub 2013 May 11.
In today's healthcare environment, nursing staff are challenged to care for patients with increasingly complex needs in an ever-changing environment. Nurses are expected to stay up to date on a tremendous number of institutional initiatives, best practice guidelines, and policies and procedures. These practice imperatives are often disseminated through passive means of information-sharing such as staff meetings and electronic mail. In this setting, it is difficult for nurses to simultaneously focus on incorporating practice updates while continuing to value basic nursing functions such as oral care, skin care, and incontinence management. The concept of Interventional Patient Hygiene emphasises that basic nursing functions are not only tasks, but also important evidence-based interventions that contribute to improved health for the patient. Interventional Patient Hygiene facilitates the integration of science and practice. This article describes a quality improvement intervention, Advanced practice nurse-led nursing rounds, which supports Interventional Patient Hygiene and be used to help staff integrate best practices while balancing the multiple priorities inherent in nursing care.
在当今的医疗保健环境中,护理人员面临着在不断变化的环境中照顾需求日益复杂的患者的挑战。护理人员需要及时了解大量的机构举措、最佳实践指南以及政策和程序。这些实践要求通常通过员工会议和电子邮件等被动的信息共享方式来传达。在这种情况下,护理人员很难同时专注于整合实践更新,同时继续重视基本的护理功能,如口腔护理、皮肤护理和失禁管理。干预性患者卫生学的概念强调,基本的护理功能不仅是任务,也是重要的基于证据的干预措施,有助于改善患者的健康。干预性患者卫生学促进了科学与实践的融合。本文描述了一种质量改进干预措施,即高级执业护士主导的护理查房,该干预措施支持干预性患者卫生学,并可用于帮助员工整合最佳实践,同时平衡护理中固有的多种优先事项。