摘要
目的通过构建患者安全为导向的俯卧位通气护理指标体系,为临床评估、护理该类患者提供参考,为护理管理者提供质量控制与改进的依据,不断优化俯卧位管理,促进患者安全。方法通过文献检索和访谈初步拟定指标,随后经过2轮专家函询,讨论、修改并最终形成相应的指标体系。在科室实施半年后,评估护理人员满意度以验证效果。结果最终形成危重患者俯卧位通气护理指标体系,包括9个一级指标,13个二级指标,71个三级指标。专家可信度好,护理人员满意度高。结论基于患者安全的危重患者俯卧位通气护理指标体系较全面涵盖了各项护理要点,具体效果有待在医院管理实践中进一步验证。
Objective By building a patient safety oriented nursing-sensitive indicator system,this study aimed to help clinical evaluation and nursing for patients in prone position,to constantly optimize management of prone position and promote patient safety.Methods First drew up initial indicators through literature search and personal interviews,then modified and finally formed the prone position nursing indicators within two rounds of experts consultation.Verified the indicators by evaluating nursing staff satisfaction after half-year′s implementation.Results Finally,the indicator system included 9 first level,13 second level and 71 third level indicators.The reliability of experts and the satisfaction of nurses were both high.Conclusions With the purpose of patient safety,the nursing indicator system of prone position ventilation for critically ill patients are comprehensively covered ever aspect of key component.Specific effect needs to be further verified in the hospital management practice.
作者
李尊柱
李真
刘桂英
孙建华
李奇
罗红波
朱振男
邓海波
Li Zunzhu;Li Zhen;Liu Guiying;Sun Jianhua;Li Qi;Luo Hongbo;Zhu Zhennan;Deng Haibo(Department of Critical Care Medicine,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China;School of Nursing of Peking Union Medical College,Beijing 100144,China;Department of Cardiac Surgery,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China)
出处
《中国实用护理杂志》
2020年第19期1451-1456,共6页
Chinese Journal of Practical Nursing
关键词
重症监护病房
俯卧位通气
护理质量
护理敏感指标
患者安全
Intensive care units
Prone position ventilation
Nursing quality
Nursing-sensitive indicator
Patient safety
