儿科重症监护病房的护士主导查房。

Nurse-Led Rounds in the Pediatric Intensive Care Unit.

机构信息

College of Nursing, University of Tennessee Health Science Center, 874 Union Avenue, Memphis, TN 38103, USA; Division of Pediatric Cardiollgy, Le Bonheur Children's Hospital, 51 North Dunlap Street, Memphis, TN 38103, USA.

Division of Critical Care, Children's Hospital of Orange County, 1201 W La Veta Avenue, Orange, CA 92868, USA.

出版信息

Crit Care Nurs Clin North Am. 2023 Sep;35(3):327-336. doi: 10.1016/j.cnc.2023.05.013. Epub 2023 Jul 1.

DOI:10.1016/j.cnc.2023.05.013

PMID:37532386

Abstract

Pediatric intensive care units (PICUs) rely on interprofessional communication and collaboration to mitigate the risk for medical error. To operationalize these tenets, many PICUs use multidisciplinary bedside rounds as the foundation of their workflow. Bedside nurse participation in rounds is inconsistent, diminishing the return on team investment in patient safety. Given this dilemma, some institutions have shifted from provider-led to nurse-led rounds. Here, the authors explore the rationale, experiences, and outcomes of implementation of nurse-led rounds within 4 PICU service lines.

摘要

儿科重症监护病房（PICU）依赖于跨专业的沟通与协作，以降低医疗差错风险。为了实现这些原则，许多 PICU 采用多学科床边查房作为其工作流程的基础。床边护士参与查房的情况不一致，降低了团队在患者安全方面的投资回报。鉴于这一困境，一些机构已将查房模式从以医护人员为主导转变为以护士为主导。在此，作者探讨了 4 个儿科重症监护病房服务线实施护士主导查房的理由、经验和结果。