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质量与安全:对重症护理教育影响的思考

Quality and safety: reflection on the implications for critical care nursing education.

作者信息

Baid Heather, Hargreaves Jessica

机构信息

School of Health Sciences, University of Brighton, Brighton, UK.

出版信息

Nurs Crit Care. 2015 Jul;20(4):174-82. doi: 10.1111/nicc.12182. Epub 2015 May 10.

DOI:10.1111/nicc.12182
PMID:25959146
Abstract

BACKGROUND

Safe and high quality health care is underpinned by health care professionals possessing the knowledge, skills and professional attributes which are necessary for their specific clinical speciality and area of practice. Education is crucial as it enables clinicians to learn and put into practice their specialist knowledge, skills and attributes. These elements will be based on clinical standards, which set the agenda for quality and safety in health care.

AIM

The purpose of this paper is to reflect upon how a post-registration, degree-level critical care nursing course provided by an English university facilitates nurses to deliver high quality, safe nursing care for critically ill patients and their families.

METHODS

As a reflective analysis, the process of reflection will be guided and structured according to Rolfe's framework for reflective practice. The reflection is based upon the personal observations and teaching experiences of two university lecturers involved in the delivery of the critical care course.

CONCLUSIONS

Critical care nursing education can incorporate informed practice, simulation and non-technical skills into post-registration critical-care nursing courses as a way of promoting high-quality, safe clinical practice in the critical care setting. This article provides examples from one course's experience with doing this and ends with specific recommendations for how critical care nursing courses can enhance further the promotion of quality and safety.

RELEVANCE TO CLINICAL PRACTICE

Educators, mentors and students of post-registration critical care nursing courses are encouraged to explore the relevance of nursing education in promoting safe and high-quality clinical practice.

摘要

背景

安全且高质量的医疗保健依赖于具备特定临床专业及实践领域所需知识、技能和专业素养的医疗保健专业人员。教育至关重要,因为它能使临床医生学习并将其专业知识、技能和素养付诸实践。这些要素将基于临床标准,而临床标准设定了医疗保健质量和安全的议程。

目的

本文旨在探讨一所英国大学提供的注册后学位水平的重症护理课程如何促进护士为重症患者及其家属提供高质量、安全的护理。

方法

作为一项反思性分析,反思过程将根据罗尔夫的反思性实践框架进行引导和构建。该反思基于两位参与重症护理课程授课的大学讲师的个人观察和教学经验。

结论

重症护理教育可将明智实践、模拟和非技术技能纳入注册后重症护理课程,以此促进重症护理环境中的高质量、安全临床实践。本文提供了一门课程在此方面的经验示例,并以关于重症护理课程如何进一步加强质量和安全促进的具体建议作为结尾。

与临床实践的相关性

鼓励注册后重症护理课程的教育工作者、导师和学生探讨护理教育在促进安全和高质量临床实践方面的相关性。

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