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错失的机会:标准预防措施案例 vignettes 的开发与测试

Missed Opportunities: The Development and Testing of Standard Precaution Case Vignettes.

作者信息

Hessels Amanda J, Weaver Susan H

机构信息

Columbia University School of Nursing, New York, New York (Dr Hessels); and Hackensack-Meridian Health, Ann May Center for Nursing, Neptune, New Jersey (Drs Hessels and Weaver). Amanda J. Hessels, PhD, MPH, RN, CIC®, CPHQ, FAPIC, is an assistant professor at Columbia University School of Nursing in New York City. She has a joint appointment as a nurse scientist at the Hackensack-Meridian Health, Ann May Center for Nursing, in Neptune, New Jersey. Dr Hessels' research endeavors center on advancing the science of infection prevention practices, in particular standard precautions. Susan H. Weaver, PhD, RN, CRNI®, NEA-BC, is a nurse scientist at the Hackensack-Meridian Health, Ann May Center for Nursing, in Neptune, New Jersey. Dr Weaver's research focuses on evening and night administrative supervisors and the impact they have on nurse and patient safety.

出版信息

J Infus Nurs. 2019 Mar/Apr;42(2):70-74. doi: 10.1097/NAN.0000000000000314.

DOI:10.1097/NAN.0000000000000314
PMID:30817422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7714265/
Abstract

Standard precautions are a recommended set of actions health care workers should take to prevent health care-associated infections and potentially infectious exposures. However, they are not reliably practiced, many opportunities are missed, and a substantial discrepancy between workers' stated performance and actual performance exists. This article presents findings from developing and testing standard precaution case scenarios to enhance nursing knowledge. Infusion nursing is high risk and entails highly complex care in dynamic settings. Challenges may exist when integrating this advanced care with fundamental standard precaution requirements. For this reason, findings from this study have implications for infusion nursing practice.

摘要

标准预防措施是医疗保健工作者应采取的一系列推荐行动,以预防医疗保健相关感染和潜在的感染暴露。然而,这些措施并未得到可靠的执行,许多机会被错过,而且工作者宣称的表现与实际表现之间存在很大差异。本文介绍了开发和测试标准预防措施案例场景以增强护理知识的研究结果。静脉输液护理风险高,且在动态环境中需要高度复杂的护理。将这种高级护理与基本的标准预防措施要求相结合时可能会存在挑战。因此,本研究的结果对静脉输液护理实践具有启示意义。

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本文引用的文献

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Exposure Survey of Trends in Occupational Practice (EXPO-S.T.O.P.) 2015: A national survey of sharps injuries and mucocutaneous blood exposures among health care workers in US hospitals.2015 年职业暴露趋势调查(EXPO-S.T.O.P.):美国医院中卫生保健工作者锐器伤和黏膜皮肤血液暴露的全国性调查。
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Safety Risks Among Home Infusion Nurses and Other Home Health Care Providers.家庭输液护士及其他家庭医疗服务提供者面临的安全风险。
J Infus Nurs. 2017 Jul/Aug;40(4):215-223. doi: 10.1097/NAN.0000000000000227.
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Simulation-based training for nurses: Systematic review and meta-analysis.护士的模拟培训:系统评价与荟萃分析
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Reported hours of infection education received positively associated with student nurses' ability to comply with infection prevention practices: Results from a nationwide survey.报告的感染教育时长与实习护士遵守感染预防措施的能力呈正相关:一项全国性调查的结果。
Nurse Educ Today. 2017 Jun;53:19-25. doi: 10.1016/j.nedt.2017.02.021. Epub 2017 Mar 2.
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Relationship between patient safety climate and adherence to standard precautions.患者安全氛围与标准预防措施依从性之间的关系。
Am J Infect Control. 2016 Oct 1;44(10):1128-1132. doi: 10.1016/j.ajic.2016.03.060. Epub 2016 Jun 15.
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How Much do Needlestick Injuries Cost? A Systematic Review of the Economic Evaluations of Needlestick and Sharps Injuries Among Healthcare Personnel.针刺伤的成本是多少?对医护人员针刺伤和锐器伤经济评估的系统评价。
Infect Control Hosp Epidemiol. 2016 Jun;37(6):635-46. doi: 10.1017/ice.2016.48. Epub 2016 Mar 29.
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Errors of Omission: Missed Nursing Care.遗漏性错误:护理缺失
West J Nurs Res. 2014 Aug;36(7):875-90. doi: 10.1177/0193945914531859. Epub 2014 Apr 29.
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Multistate point-prevalence survey of health care-associated infections.多州医疗机构相关性感染的时点患病率调查。
N Engl J Med. 2014 Mar 27;370(13):1198-208. doi: 10.1056/NEJMoa1306801.
10
Sharps injuries amongst healthcare workers: review of incidence, transmissions and costs.医护人员锐器伤:发病率、传播及成本综述
J Ren Care. 2014 Sep;40(3):150-6. doi: 10.1111/jorc.12050. Epub 2014 Mar 20.