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探索重症监护病房护士对远程重症监护实践的看法:沙特阿拉伯实施的机遇、挑战与建议

Exploring ICU Nurses' Perceptions of Tele-ICU Practice: Opportunities, Challenges and Recommendations for Implementation in Saudi Arabia.

作者信息

Saifan Ahmad Rajeh, Ababneh Anas, Kawafha Mariam, Odeh Mohammad Sameer, Al-Akash Hekmat Yousef, Al-Kouri Osama A, Alrida Nour Ali, Abuadas Mohammad

机构信息

Faculty of Nursing, Yarmouk University, Irbid, Jordan.

Riyadh, Saudi German Hospital, Riyadh, Saudi Arabia.

出版信息

Nurs Crit Care. 2025 Jul;30(4):e70065. doi: 10.1111/nicc.70065.

DOI:10.1111/nicc.70065
PMID:40607622
Abstract

BACKGROUND

Tele-ICU has emerged as a vital component of modern health care, enabling remote monitoring and management of critically ill patients. Even though its use is expanding internationally, there are still issues with acceptance, infrastructure and training, especially in developing health care systems such as Saudi Arabia.

AIM

This study explores intensive care unit (ICU) nurses' perceptions of Tele-ICU practice in Saudi Arabia, focusing on their qualifications, experiences and the challenges and opportunities of this evolving model of care.

STUDY DESIGN

A qualitative exploratory design was used. Semi-structured interviews were conducted with 22 ICU nurses working in a prominent health care network in Saudi Arabia. Thematic analysis was performed to identify key themes and subthemes related to Tele-ICU nursing practice.

RESULTS

Participants highlighted several factors impacting Tele-ICU practice, including a lack of standardized training, technological challenges and financial constraints. Despite these challenges, many participants viewed Tele-ICU as a less physically demanding alternative to bedside ICU nursing. They emphasized the need for formal Tele-ICU certifications, improved technological infrastructure and organizational support. Concerns regarding role clarity, career progression and legal accountability were also noted.

CONCLUSIONS

Nurses in Saudi Arabia demonstrated a variety of factors that could impact adopting Tele-ICU as a standard practice. Addressing gaps in training, infrastructure and policy could improve its adoption and sustainability, ultimately benefiting patient outcomes and nurse satisfaction.

RELEVANCE TO CLINICAL PRACTICE

Tele-ICU offers significant potential to enhance critical care delivery in Saudi Arabia.

摘要

背景

远程重症监护病房(Tele-ICU)已成为现代医疗保健的重要组成部分,能够对重症患者进行远程监测和管理。尽管其应用在国际上不断扩大,但在接受度、基础设施和培训方面仍存在问题,尤其是在沙特阿拉伯等发展中的医疗保健系统中。

目的

本研究探讨沙特阿拉伯重症监护病房(ICU)护士对Tele-ICU实践的看法,重点关注他们的资质、经验以及这种不断发展的护理模式所带来的挑战和机遇。

研究设计

采用定性探索性设计。对在沙特阿拉伯一个著名医疗保健网络工作的22名ICU护士进行了半结构化访谈。进行了主题分析,以确定与Tele-ICU护理实践相关的关键主题和子主题。

结果

参与者强调了影响Tele-ICU实践的几个因素,包括缺乏标准化培训、技术挑战和资金限制。尽管存在这些挑战,许多参与者认为Tele-ICU是一种对身体要求较低的床边ICU护理替代方案。他们强调需要正式的Tele-ICU认证、改善技术基础设施和组织支持。还提到了对角色清晰度、职业发展和法律责任的担忧。

结论

沙特阿拉伯的护士展示了多种可能影响将Tele-ICU作为标准实践采用的因素。解决培训、基础设施和政策方面的差距可以提高其采用率和可持续性,最终使患者结局和护士满意度受益。

与临床实践的相关性

Tele-ICU在提高沙特阿拉伯重症护理服务方面具有巨大潜力。

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