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重症监护病房联络护士及其在避免临床恶化方面的价值:一项定性描述性研究。

The Intensive Care Unit Liaison Nurse and their value in averting clinical deterioration: A qualitative descriptive study.

机构信息

Discipline of Nursing, College of Science, Health, Engineering & Education (SHEE), Murdoch University, 90 South St, Murdoch, WA 6150, Australia.

Discipline of Nursing, College of Science, Health, Engineering & Education (SHEE), Murdoch University, 90 South St, Murdoch, WA 6150, Australia.

出版信息

Intensive Crit Care Nurs. 2021 Apr;63:103001. doi: 10.1016/j.iccn.2020.103001. Epub 2020 Dec 25.

Abstract

OBJECTIVES

Intensive Care Unit Liaison Nurse roles are associated with improved clinical outcomes for patients and financial benefits for healthcare providers. However, there is little academic exploration of the ward nurses' perspectives of the role and whether it can affect ward nurses' confidence in identifying and managing the deteriorating patient. This study addresses this gap by examining both those perspectives.

RESEARCH DESIGN

A qualitative descriptive approach was used, utilising semi-structured interviews to garner the perspectives of ward nurses.Interviewswere conducted with ward nurses who had been involved in a MedicalEmergencyTeam/Code Blue call;sought technical or clinical support;or had been at the bedside during a post intensive care unit discharge review. Data were analysed using thematic analysis.

SETTING

A private, not-for-profit, metropolitan acute care hospital.

FINDINGS

The participants identified four areas that contributed to improved patient care: reduced Medical Emergency Team/Code calls; improved ward based critical care knowledge through education; improved ward nurses' confidence in dealing with the deteriorating patient and provision of technical support.

CONCLUSION

The Intensive Care Unit Liaison Nurse role not only contributes to improved clinical patient outcomes; it also influences confidence levels of the ward nurses in managing deteriorating patients.

摘要

目的

重症监护病房联络护士的角色与患者临床结局的改善和医疗服务提供者的经济利益相关。然而,对于病房护士对该角色的看法,以及它是否会影响病房护士识别和处理病情恶化患者的信心,学术界几乎没有进行探索。本研究通过考察这两个方面来填补这一空白。

研究设计

采用定性描述方法,利用半结构化访谈来收集病房护士的观点。访谈对象是参与过医疗急救团队/急救呼叫、寻求技术或临床支持的病房护士,或在重症监护病房出院后审查期间在床边的病房护士。使用主题分析对数据进行分析。

设置

一家私人非营利性大都市急性护理医院。

结果

参与者确定了四个有助于改善患者护理的领域:减少医疗急救团队/急救呼叫;通过教育提高了基于病房的重症监护知识;提高了病房护士处理病情恶化患者的信心,并提供了技术支持。

结论

重症监护病房联络护士的角色不仅有助于改善临床患者结局,还影响病房护士管理病情恶化患者的信心水平。

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