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制定重症监护病房交接班保持护理标准:一种方法学和横断面研究。

Developing Nursing Standards for Maintaining Shift Handover in the Intensive Care Unit: A Methodological and Cross-Sectional Study.

机构信息

Faculty of Nursing, Mansoura University, Mansoura, Egypt.

Faculty of Nursing, Arab American University, Jenin, Occupied Palestinian Territory.

出版信息

Inquiry. 2022 Jan-Dec;59:469580221144078. doi: 10.1177/00469580221144078.

Abstract

Patient handover, which is a method of moving the clinical data of patients to another individual or professional community, is a high-risk area for the safety of patients due to errors which can happen during staff break time, changeover shifts, and when patients are moved in and out of units. Standards for critical care nurses will improve bedside handover due to the presence of clear plans implemented by nurses who are well informed about them. To develop nursing standards for maintaining handover in the intensive care unit. A methodological and cross-sectional study was conducted at Mansoura University Hospital and included 15 experts and 150 staff nurses. Twelve items were excluded from the tool because their CVR ratio was less than 0.7. Therefore, after eliminating 12 items, the number of tool items produced was 66. The Kaiser-Meyer-Olkin value = 0.713, with the recommended value being 0.6 or above. The cut-off score for the analysis model was 0.3, and the KMO value criterion was greater than 1, which defined eight-factor loadings as the best fit for the results, accounting for 69.5% of the variance. The aim of this study was satisfactorily achieved, with 0.9055 validity and reliability for the handover instrument, which consisted of 60 items with a total reliability score.

摘要

患者交接是将患者的临床数据移交给另一个个体或专业社区的方法,由于在员工休息时间、换班时以及患者在单位内外移动时可能发生的错误,因此是患者安全的高风险领域。由于接受过培训且对其了解清楚的护士制定了明确的计划,因此对重症监护护士的标准将提高床边交接的质量。在曼苏拉大学医院进行了一项方法学和横断面研究,包括 15 名专家和 150 名护士。由于其 CVR 比小于 0.7,因此该工具中的 12 项被排除在外。因此,排除 12 项后,工具的项目数为 66。Kaiser-Meyer-Olkin 值为 0.713,建议值为 0.6 或更高。分析模型的截止分数为 0.3,KMO 值标准大于 1,这定义了 8 个因素负荷作为结果的最佳拟合,占方差的 69.5%。这项研究的目的令人满意地实现了,交接工具的有效性和可靠性为 0.9055,包含 60 个项目和总可靠性评分。

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本文引用的文献

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