Litchfield Ian, Magill Lisa, Flint Graham
Institute of Applied Health Research University of Birmingham Birmingham UK.
University Hospitals Birmingham NHS Foundation Trust Birmingham UK.
Nurs Open. 2018 May 6;5(3):422-430. doi: 10.1002/nop2.154. eCollection 2018 Jul.
To explore staff perceptions of the processes and influences on maintaining patients' hydration on a busy neurosurgery ward.
Dehydration continues to be a major concern in the NHS where its avoidance is hindered by complications arising from clinical conditions, poor assessment and documentation of hydration and a lack of staff time to monitor fluid intake. Recent work has explored patient perceptions of hydration care but there has been little conducted recently that has explored those of staff.
Semi-structured interviews were conducted with staff working on a neurosurgery ward during 2016. We used open-ended questions to elicit experiences of hydration care and explore factors that influenced the maintenance of hydration in patients.
We found that staff were aware of the importance of hydration and saw it as a central aspect of the care they provided. A range of staff are involved in the assessment of patients' hydration requirements and their ability to meet them. Similarly all staff were expected to provide oral fluids for patients able to drink independently. Competing priorities inhibited the time staff could spend providing hydration care which had an impact on the timely and accurate completion of fluid balance charts and meant that relatives were relied on to support patients requiring assistance in drinking.
探讨在繁忙的神经外科病房中，工作人员对维持患者水合状态的过程及影响因素的看法。
脱水仍是英国国民医疗服务体系（NHS）中的一个主要问题，临床状况引发的并发症、对水合状态的评估及记录不佳以及工作人员缺乏监测液体摄入量的时间，都阻碍了脱水的预防。最近的研究探讨了患者对水合护理的看法，但最近很少有研究探讨工作人员的看法。
2016年对神经外科病房的工作人员进行了半结构化访谈。我们使用开放式问题来了解水合护理的经验，并探讨影响患者维持水合状态的因素。
我们发现工作人员意识到水合的重要性，并将其视为他们所提供护理的核心方面。一系列工作人员参与评估患者的水合需求以及他们满足这些需求的能力。同样，所有工作人员都被期望为能够独立饮水的患者提供口服液体。相互竞争的优先事项限制了工作人员用于提供水合护理的时间，这对液体平衡表的及时准确填写产生了影响，也意味着依赖亲属来支持需要协助饮水的患者。
