Johnson Alisha M, Smith Sheree M S
School of Nursing and Midwifery, Western Sydney University, Penrith, Australia.
School of Nursing and Midwifery, Western Sydney University, Penrith, Australia; Respiratory, Sleep and Environmental Health Research Academic Unit, South Western Sydney Local Health District, Liverpool, Australia.
Breathe (Sheff). 2016 Sep;12(3):257-266. doi: 10.1183/20734735.010816.
Respiratory clinical guidelines provide clinicians with evidence-based guidance for practice. Clinical guidelines also provide an opportunity to identify the knowledge and technical and non-technical skills required by respiratory ward-based registered nurses. The aim of this review was to use a systematic process to establish the core technical and non-technical skills and knowledge identified in evidence-based clinical guidelines that enable the care of hospitalised adult respiratory patients. 17 guidelines were identified in our systematic review. The quality assessment demonstrated variability in these guidelines. Common core knowledge and technical and non-technical skills were identified. These include pathophysiology, understanding of physiological measurements and monitoring, education, counselling, and ward and patient management. The knowledge and skills extracted from respiratory clinical guidelines may inform a curriculum for ward-based respiratory nursing to ensure optimal care of adult patients.
呼吸临床指南为临床医生提供循证实践指导。临床指南还为确定呼吸科病房注册护士所需的知识、技术和非技术技能提供了契机。本综述的目的是采用系统方法，确定循证临床指南中所明确的核心技术和非技术技能及知识，这些技能和知识有助于对住院成年呼吸疾病患者的护理。我们的系统综述共纳入17项指南。质量评估显示这些指南存在差异。确定了常见的核心知识、技术和非技术技能。这些包括病理生理学、对生理测量和监测的理解、教育、咨询以及病房和患者管理。从呼吸临床指南中提取的知识和技能可为呼吸科病房护理课程提供参考，以确保对成年患者的最佳护理。
