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药物给药过程中中断的可预测性及相关行为管理策略

Predictability of Interruptions During Medication Administration With Related Behavioral Management Strategies.

作者信息

Johnson Maree, Weidemann Gabrielle, Adams Rebecca, Manias Elizabeth, Levett-Jones Tracy, Aguilar Vicki, Everett Bronwyn

机构信息

Faculty of Health Sciences (Dr Johnson) and Office of the Associate Dean (Research) (Ms Adams), Australian Catholic University, North Sydney, Australia; Ingham Institution, Applied Medical Research, Liverpool, Sydney, Australia (Drs Johnson and Everett); School of Social Sciences and Psychology, Western Sydney University, Sydney, Australia (Dr Weidemann); Faculty of Health, School of Nursing and Midwifery, Deakin University, Burwood, Victoria, Australia (Dr Manias); The University of Melbourne, The Royal Melbourne Hospital, Burwood, Victoria, Australia (Dr Manias); The University of Melbourne, Melbourne School of Health Sciences, Burwood, Victoria, Australia (Dr Manias); Research Centre for Health Professional Education, School of Nursing and Midwifery, The University of Newcastle, Callaghan, New South Wales, Australia (Dr Levett-Jones); South Western Sydney Local Health District (SWSLHD) Centre for Education and Workforce Development, Liverpool, Sydney, Australia (Ms Aguilar); and Centre for Applied Nursing Research, Western Sydney University and South Western Sydney Local Health District, Liverpool, Sydney, Australia (Dr Everett).

出版信息

J Nurs Care Qual. 2018 Apr/Jun;33(2):E1-E9. doi: 10.1097/NCQ.0000000000000260.

DOI:10.1097/NCQ.0000000000000260
PMID:28448303
Abstract

The aim of this qualitative study was to examine the nature of interruptions during medication administration. Focus groups were conducted with medical/surgical nurses (n = 15), critical care nurses (n = 13), and nurse managers/educators/specialists (n = 6). Most interruptions (78%) were predictable. Nurse-adopted strategies included blocking, engaging, mediating, multitasking, and preventing. Educational content was developed that relates behavioral strategies to respond to predictable and unpredictable interruptions.

摘要

这项定性研究的目的是探讨给药过程中干扰的性质。对内科/外科护士(n = 15)、重症监护护士(n = 13)以及护士长/教育工作者/专家(n = 6)进行了焦点小组访谈。大多数干扰(78%)是可预测的。护士采用的策略包括阻止、参与、调解、多任务处理和预防。开发了将行为策略与应对可预测和不可预测干扰相关联的教育内容。

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