隔离护理中的临床挑战。

Clinical challenges in isolation care.

作者信息

Beam Elizabeth, Gibbs Shawn G, Hewlett Angela L, Iwen Peter C, Nuss Suzanne L, Smith Philip W

机构信息

Elizabeth Beam is project coordinator of the Programs of Excellence Biopreparedness Grant, University of Nebraska Medical Center (UNMC) College of Nursing, Omaha. Shawn G. Gibbs is a professor at the UNMC College of Public Health. Angela L. Hewlett is an assistant professor, Peter C. Iwen is a professor, and Philip W. Smith is a professor at the UNMC College of Medicine. Suzanne L. Nuss is director of care transitions and nursing outcomes, the Nebraska Medical Center, Omaha. Contact author: Shawn G. Gibbs,

出版信息

Am J Nurs. 2015 Apr;115(4):44-9. doi: 10.1097/01.NAJ.0000463027.27141.32.

DOI:10.1097/01.NAJ.0000463027.27141.32

PMID:25811520

Abstract

In 2014, the authors published the results of a study investigating nurses' use of personal protective equipment (PPE) in the care of a live simulated patient requiring contact and airborne precautions. The 24 participants were video-recorded as they donned and doffed PPE. Variations in practices that had the potential to cause contamination were noted. In this article, the authors comment on those variations, analyzing each element of proper PPE protocols and examining why the behaviors are a safety concern for the nurse and a potential risk for disease transmission in the hospital or other clinical area. The authors note that making use of reflective practice for complicated care situations such as infection control may help nurses improve decision making in isolation care.

摘要

2014年，作者发表了一项研究结果，该研究调查了护士在护理一名需要接触和空气传播预防措施的活体模拟患者时个人防护装备（PPE）的使用情况。24名参与者在穿戴和脱卸个人防护装备时被录像。记录了可能导致污染的操作差异。在本文中，作者对这些差异进行了评论，分析了正确的个人防护装备操作规程的每个要素，并探讨了为什么这些行为对护士来说是安全问题，以及在医院或其他临床区域存在疾病传播的潜在风险。作者指出，对于感染控制等复杂护理情况采用反思性实践可能有助于护士改善隔离护理中的决策。