重症监护病房护士对新电子医嘱记录系统的体验。
Intensive care nurses' experiences with the new electronic medication administration record.
机构信息
School of Nursing and Midwifery, Ingham Institute for Applied Medical Research, Western Sydney University, Penrith, NSW, Australia.
Prince of Wales Hospital, South Eastern Sydney Local Health District, Randwick, NSW, Australia.
出版信息
Nurs Open. 2022 May;9(3):1895-1901. doi: 10.1002/nop2.939. Epub 2021 May 17.
AIM
To explore the experiences of Registered Nurses who administered medications to patients using the electronic medication administration record (eMAR) in Electronic Record for Intensive Care (eRIC) at one adult intensive care unit (ICU) in NSW, Australia.
DESIGN
The study research design used a qualitative descriptive exploratory approach that took place in two stages.
METHODS
Five participants attended one focus group followed by the observation of each participant as medications were administered to their assigned patient using the eMAR in eRIC.
RESULTS
From the data, three themes and one subtheme were identified. Themes included forcing nurses to work outside legal boundaries; patient safety; with a subtheme titled experiencing computer fatigue; and taking time away from the patient. To practise safely, nurses were required to implement workaround practices when using the new eMAR in ICU. Nurses also were concerned that the eMAR in eRIC took time away from the patient at the bedside and 'added more screen time' to their day.
目的
探索澳大利亚新南威尔士州一家成人重症监护病房（ICU）中，使用电子记录重症监护（eRIC）中的电子医嘱管理记录（eMAR）为患者给药的注册护士的经验。
设计
该研究采用定性描述性探索方法，分两个阶段进行。
方法
五名参与者参加了一次焦点小组，然后观察每个参与者在 eRIC 中使用 eMAR 为其指定的患者给药的情况。
结果
从数据中确定了三个主题和一个子主题。主题包括迫使护士在法律界限之外工作；患者安全；以及一个名为“体验计算机疲劳”的子主题；以及从患者身上抽出时间。为了安全地实践，护士在 ICU 使用新的 eMAR 时需要实施权宜之计。护士还担心 eRIC 中的 eMAR 会占用患者床边的时间，并“增加更多的屏幕时间”。
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