摘要
目的深入了解护士应用预防术中获得性压力性损伤最佳证据的障碍因素,为实施压力性损伤干预提供参考。方法采用描述性质性研究方法,选取西部地区6所三级甲等医院手术室11名护士为研究对象,基于理论域框架制定访谈提纲,进行半结构式深度访谈,采用定向内容分析法对访谈资料进行分析。结果护士应用最佳证据的障碍因素分别为知识(最佳证据相关知识不足);环境因素(特殊手术体位辅助工具不足、医院信息系统智能性欠佳);动力和目标(患者及家属对预防压力性损伤的重视度较低,影响手术室护士积极性);行为规范(工作流程有待完善);结果的期望(手术室护士对实施最佳证据的效果缺乏信心)。结论影响术中获得性压力性损伤最佳证据在临床应用的障碍因素较多,需要科室在明确障碍因素的基础上,推进术中获得性压力性损伤最佳证据的临床应用。
Objective To deeply understand barriers of nurses applying the best evidence to prevent Intraoperative Acquired Pressure Injury(IAPI),so as to provide a reference for implementing pressure injury intervention.Methods A descriptive qualitative study method was adopted.A total of eleven nurses from the operating room of 6 Grade A hospitals in western China were selected,then the interview outline was formulated based on the Theoretical Domain Framework to conduct semi-structured deep interview,and the directional content analysis method was used to induce and refine themes.Results Barriers to application of best evidence among nurses included knowledge(lack of relevant knowledge about the best evidence),environmental factors(lack of positioning aids for special surgery,poor intelligence of hospital information system),motivation and goals(patients and their families′less attention to IAPI prevention affected the enthusiasm of operating room nurses),code of conduct(workflow should be improved),outcome expectations(operating room nurses lacked confidence in the effectiveness of carrying out best evidence).Conclusion There are va-rious barriers affecting the clinical application of best evidence on IAPI prevention,and it is necessary for operating room to identify these barriers,then promote the clinical application of the best evidence on IAPI prevention.
作者
蒋维连
韦群梅
王秀梅
唐燕美
陈娟
廖芯
卢秀英
彭俊华
Jiang Weilian;Wei Qunmei;Wang Xiumei;Tang Yanmei;Chen Juan;Liao Xin;Lu Xiuying;Peng Junhua(Operating Room,the Second Affiliated Hospital of Guilin Medical College,Guilin 541199,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第21期59-61,71,共4页
Journal of Nursing Science
基金
广西医疗卫生适宜技术开发与推广应用项目(S2021014)
广西壮族自治区卫生健康委员会自筹经费科研课题(Z-C20220967)
桂林医学院第二附属医院临床基础能力提升项目(2023gyefylc020)。
关键词
术中获得性压力性损伤
护士
最佳证据
理论域框架
应用证据
障碍因素
循证护理
质性研究
intraoperative acquired pressure injury
nurses
best evidence
the Theoretical Domain Framework
evidence application
barriers
evidence based nursing
qualitative study
