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春灌器:一个简单而微小的解决方案如何产生巨大的复杂性。

Spring-infusors: How a simple and small solution can create king-sized complexity.

机构信息

Wal-yan Respiratory Research Centre, Telethon Kids Institute, University of Western Australia, Perth Children's Hospital, Nedlands, Western Australia, Australia.

Department of Physiotherapy, Perth Children's Hospital, Nedlands, Western Australia, Australia.

出版信息

Nurs Open. 2023 Feb;10(2):1125-1134. doi: 10.1002/nop2.1380. Epub 2022 Sep 27.

DOI:10.1002/nop2.1380
PMID:36166454
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9834515/
Abstract

AIM

The aims of the study were to investigate family and hospital staff views about the use of spring-infusor devices for administration of intravenous antibiotic medications, to examine if the device is acceptable and feasible and to map a process for implementation.

DESIGN

A qualitative study with a pragmatist approach, within a larger, mixed methods knowledge translation study.

METHODS

Data were collected by semi-structured interviews with patients who have cystic fibrosis and their parents and focus groups and interviews with hospital staff. Interviews were concluded when no new themes were identified. Thematic analysis and process mapping was undertaken.

RESULTS

Six parents, nine children and 30 staff were interviewed. Families preferred spring-infusors. Staff knowledge, experience and attitudes toward spring-infusor use was varied. All staff acknowledged that their role is to support patient-centred care. Spring-infusors are preferred by families and clinicians above other IV administration devices but misconceptions about spring-infusor use and numerous procedural challenges reduced their use.

摘要

目的

本研究旨在调查家庭和医院工作人员对使用 Spring-Infusor 设备进行静脉抗生素药物给药的看法,检验该设备是否可接受和可行,并规划实施流程。

设计

在一项更大的混合方法知识转化研究中,采用实用主义方法进行定性研究。

方法

通过对患有囊性纤维化的患者及其父母进行半结构化访谈,并对医院工作人员进行焦点小组访谈和访谈,收集数据。当没有发现新的主题时,访谈便结束了。进行了主题分析和流程映射。

结果

共采访了 6 位家长、9 位儿童和 30 位工作人员。家庭更喜欢 Spring-Infusors。工作人员对 Spring-Infusor 使用的知识、经验和态度各不相同。所有工作人员都承认,他们的角色是支持以患者为中心的护理。家庭和临床医生更喜欢 Spring-Infusor 设备,而不是其他静脉给药设备,但对 Spring-Infusor 使用的误解和众多程序上的挑战限制了其使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/444e/9834515/61db1f218d84/NOP2-10-1125-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/444e/9834515/2c95a31f2fd8/NOP2-10-1125-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/444e/9834515/61db1f218d84/NOP2-10-1125-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/444e/9834515/2c95a31f2fd8/NOP2-10-1125-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/444e/9834515/61db1f218d84/NOP2-10-1125-g002.jpg

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