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重症监护护士交接班的认知:现象学研究。

The critical care nurse's perception of handover: A phenomenographic study.

机构信息

Faculty of Health, Science and Technology, Institution for Health, Nursing, Karlstad University, Sweden; Neonatal Intensive Care Unit, Akademiska Sjukhuset, Uppsala, Sweden.

Faculty of Health, Science and Technology, Institution for Health, Nursing, Karlstad University, Sweden; University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

出版信息

Intensive Crit Care Nurs. 2020 Jun;58:102807. doi: 10.1016/j.iccn.2020.102807. Epub 2020 Feb 7.

DOI:10.1016/j.iccn.2020.102807
PMID:32044120
Abstract

OBJECTIVE

To describe variations in critical care nurses' perceptions of handover.

RESEARCH METHODOLOGY

Phenomenographic design using individual interviews for data-collection.

SETTING

The critical care nurses participating in the study were recruited from critical care units in three hospitals in Sweden.

FINDINGS

Five descriptive categories were identified: Communication between staff, Opportunity for learning, Patient-centred information gathering as a basis for continuous care, Responsibility for transfers, and Patient safety and quality of care.

CONCLUSION

Nursing handover is a complex phenomenon, which is understood in various ways. Handover is mediated through communication and marks a shift in responsibility. Handover seems to be related to patient safety and quality of care. There is potential for improvement in the quality of nursing handover in clinical praxis, but further research is needed to determine ways of improving quality of handover.

摘要

目的

描述重症监护护士对手头工作交接的看法的差异。

研究方法

采用个体访谈的现象学设计进行数据收集。

设置

参与研究的重症监护护士是从瑞典三家医院的重症监护病房招募的。

发现

确定了五个描述性类别:员工之间的沟通、学习机会、以患者为中心的信息收集作为持续护理的基础、交接责任、以及患者安全和护理质量。

结论

护理交接班是一个复杂的现象,以各种方式被理解。交接班是通过沟通进行的,并标志着责任的转移。交接班似乎与患者安全和护理质量有关。临床实践中,护理交接班的质量有改进的空间,但需要进一步研究确定如何提高交接班的质量。

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Nurses' perceptions of the ISBAR handover protocol and its relationship to the quality of handover: A case study of bilingual nurses.
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