ICU Department, Critical Care Outreach Service, University Hospital Galway, Galway, Ireland.
Cashla, Athenry, Co., Galway, Ireland.
Nurs Crit Care. 2022 Jan;27(1):19-26. doi: 10.1111/nicc.12678. Epub 2021 Jul 7.
The critical care outreach service (CCOS) was established in a large teaching hospital in the West of Ireland in 2014 to provide an extension of CCOS between the intensive care unit (ICU) and the wards outside ICU. With the ever-increasing pressure on ICU resources, CCOS seems to offer an additional service to patients who are critically ill and deteriorating in hospital wards.
The aim of this study is to explore ward nurses' experiences and perceptions of the CCOS.
A qualitative descriptive methodology aimed to obtain a descriptive account of ward nurses' experiences of the CCOS. Data were collected using semi-structured interviews. Twelve nurses from the West of Ireland participated in the study. Braun and Clarke's six-step thematic analysis was used to analyse the data.
Three core themes identified in this study included clinical support and decision-making; sharing knowledge and skills, and communication. All 12 nurses identified the positive impacts that they felt the current outreach service provided to them on a daily basis.
Study findings indicate that nurses value the role of the CCOS in supporting the care of the critically ill and deteriorating patients at ward level. The CCOS has become invaluable to the ward nurses in their daily practice especially at a time when resources are lacking and patient acuity is on the rise.
危重病护理外展服务（CCOS）于 2014 年在爱尔兰西部的一家大型教学医院成立，旨在为 ICU 和 ICU 外病房之间的 CCOS 提供扩展。随着 ICU 资源的压力不断增加，CCOS 似乎为在医院病房中病情恶化的危重病患者提供了一项额外的服务。
本研究旨在探讨病房护士对 CCOS 的经验和看法。
定性描述方法旨在获得病房护士对 CCOS 经验的描述性描述。使用半结构化访谈收集数据。来自爱尔兰西部的 12 名护士参与了这项研究。使用 Braun 和 Clarke 的六步主题分析方法对数据进行分析。
本研究确定了三个核心主题，包括临床支持和决策；分享知识和技能；以及沟通。所有 12 名护士都认为他们目前的外展服务对他们日常工作有积极的影响。
研究结果表明，护士重视 CCOS 在支持病房危重和病情恶化患者护理方面的作用。CCOS 在病房护士的日常实践中变得非常宝贵，特别是在资源匮乏和患者病情加重的时候。
