障碍与促进因素：一项关于重症监护病房护士在监测护士敏感指标时所面临的障碍及促进因素的多中心调查。
Barriers and carriers: a multicenter survey of nurses' barriers and facilitators to monitoring of nurse-sensitive outcomes in intensive care units.
作者信息
Stalpers Dewi, De Vos Maartje L G, Van Der Linden Dimitri, Kaljouw Marian J, Schuurmans Marieke J
机构信息
St. Antonius Hospital Nieuwegein The Netherlands.
Quality and Safety Department Amphia Hospital Breda The Netherlands.
出版信息
Nurs Open. 2017 May 27;4(3):149-156. doi: 10.1002/nop2.85. eCollection 2017 Jul.
AIM
To identify nurses' barriers and facilitators to monitoring of nurse-sensitive outcomes in intensive care units (ICUs), and to explore influential nurse characteristics and work environment factors.
DESIGN
A cross-sectional survey in three Dutch ICUs between October 2013 - June 2014.
METHODS
A questionnaire with questions regarding facilitators and three types of barriers: knowledge, attitude and behaviour. The Dutch Essentials of Magnetism II was used to examine work environments.
RESULTS
All 126 responding nurses identified pressure ulcers and patient satisfaction as outcomes that are nurse-sensitive and nurses' full responsibility. Lack of time (behaviour) was perceived as the most prominent barrier, followed by unfamiliarity with mandatory indicators (knowledge), and unreliability of indicators as benchmark data (attitude). Education and clear policies were relevant facilitators. Of nurse characteristics, only regularity of shifts was related to perceived attitude related barriers. The work environment factor "clinical autonomy" was potentially associated with behaviour related barriers.
目的
确定重症监护病房（ICU）护士在监测护士敏感指标方面的障碍和促进因素，并探讨有影响力的护士特征和工作环境因素。
设计
2013年10月至2014年6月间在荷兰的三个ICU进行的横断面调查。
方法
采用一份问卷，其中包含有关促进因素以及三种障碍类型的问题：知识、态度和行为。使用荷兰《磁性护理要素II》来评估工作环境。
结果
所有126名回复问卷的护士都认为压疮和患者满意度是护士敏感且完全由护士负责的指标。时间不足（行为）被视为最突出的障碍，其次是对强制性指标不熟悉（知识），以及指标作为基准数据的不可靠性（态度）。教育和明确的政策是相关的促进因素。在护士特征方面，只有轮班规律与感知到的态度相关障碍有关。工作环境因素“临床自主权”可能与行为相关障碍有关。
Zotero 插件