儿科重症监护病房护士对虚拟人物和书面短文的疼痛评估及干预选择
PICU Nurses' Pain Assessments and Intervention Choices for Virtual Human and Written Vignettes.
作者信息
LaFond Cynthia M, Van Hulle Vincent Catherine, Corte Colleen, Hershberger Patricia E, Johnson Andrew, Park Chang G, Wilkie Diana J
机构信息
University of Illinois at Chicago College of Nursing, Chicago, IL.
University of Illinois at Chicago, Electronic Visualization Laboratory Department of Computer Science, Chicago, IL.
出版信息
J Pediatr Nurs. 2015 Jul-Aug;30(4):580-90. doi: 10.1016/j.pedn.2015.01.022. Epub 2015 Feb 11.
Abstract
The purpose of this concurrent mixed-methods study was to 1) examine the factors pediatric intensive care unit nurses consider when assessing and intervening for children who report severe pain and to 2) determine the effect of child behavior and diagnosis on the nurses' pain ratings and intervention choices for written and virtual human vignettes. Quantitative and qualitative results substantiated that despite recommendations to use self-report, many PICU nurses use behavior as the primary indicator to assess and treat pain, even when a child is old enough to articulate pain intensity and there is sufficient cause for pain to be present.
摘要
这项同期混合方法研究的目的是
1）检查儿科重症监护病房护士在评估和干预报告严重疼痛的儿童时所考虑的因素；2）确定儿童行为和诊断对护士对书面和虚拟人物小插图的疼痛评分及干预选择的影响。定量和定性结果证实，尽管有建议使用自我报告，但许多儿科重症监护病房护士将行为作为评估和治疗疼痛的主要指标，即使儿童年龄足够大能够表达疼痛强度且有充分的疼痛原因。
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