Ringdal Mona, Chaboyer Wendy, Warrén Stomberg Margareta
Institute of Health and Care Sciences, University of Gothenburg/The Sahlgrenska Academy, Gothenburg, Sweden.
NHMRC Centre of Research Excellence in Nursing (NCREN), Centre for Health Practice Innovation (HPI), Griffith Health Institute Gold Coast campus, Griffith University, Brisbane, Australia.
Nurs Crit Care. 2016 May;21(3):178-84. doi: 10.1111/nicc.12229. Epub 2015 Dec 29.
Between 30% and 70% of intrahospital transports is associated with some form of adverse event, compromising patient safety.
(1) To describe critical care nurses' perceptions of intrahospital transport problems, including the stress associated with transport and their perceived ability to respond appropriately to these problems; (2) to determine if there were associations between problems and responses.
This survey was conducted in three intensive care units. Descriptive data and correlations between perceived problems and responses and correlations between perceptions of the problems and ability to respond appropriately were calculated. Results from the open-ended item were categorised.
Eighty-six nurses completed the web survey, a response rate of 57%. Two-thirds said their intensive care Units had written transport guidelines, and two-thirds of the transports were performed by nurses without physicians. Circulatory failure was the most frequently perceived problem (4·2 ± 2·8) followed by decreased levels of consciousness (3·5 ± 2·9). Positive correlations between two perceived patient problems, circulatory failure and neurological deterioration and nurses' perceptions of how to respond appropriately to them, were identified. Failure in pulse oximetry and equipment-related problems were positively correlated to nurses' responses. Nurses described the transports as an unsafe and stressful task: 'It's like a marathon race'.
Nurses report that undertaking transports were a stressful activity, but they perceived transport problems to be an infrequent occurrence. They stated that they respond appropriately to the problem.
Nurses reported they were alert to the potential risks patients face during transport. Because fewer staff remained in the intensive care units, these remaining patients are also at risk during intrahospital transport.
30%至70%的院内转运与某种形式的不良事件相关，危及患者安全。
（1）描述重症护理护士对院内转运问题的看法，包括与转运相关的压力以及他们认为自己对这些问题做出适当反应的能力；（2）确定问题与反应之间是否存在关联。
本调查在三个重症监护病房进行。计算描述性数据以及感知到的问题与反应之间的相关性，以及问题感知与适当反应能力之间的相关性。对开放式问题的结果进行分类。
86名护士完成了网络调查，回复率为57%。三分之二的人表示他们所在的重症监护病房有书面转运指南，三分之二的转运由护士而非医生执行。循环衰竭是最常被感知到的问题（4.2±2.8），其次是意识水平下降（3.5±2.9）。确定了两种感知到的患者问题，即循环衰竭和神经功能恶化与护士对如何适当应对这些问题的看法之间存在正相关。脉搏血氧饱和度测定失败和设备相关问题与护士的反应呈正相关。护士们将转运描述为一项不安全且有压力的任务：“这就像一场马拉松比赛”。
护士报告称进行转运是一项有压力的活动，但他们认为转运问题很少发生。他们表示会对问题做出适当反应。
护士报告称他们意识到患者在转运过程中面临的潜在风险。由于留在重症监护病房的工作人员减少，这些剩余患者在院内转运期间也面临风险。
