[1]丁娟,付沫,严玉娇,等.基于循证的危重患者院内转运审查指标的制订及障碍因素分析[J].军事护理,2021,38(01):45-47.[doi:10.3969/j.issn.1008-9993.2021.01.012]
　DING Juan,FU Mo,YAN Yujiao,et al.Evidence-based Establishment of Review Indicators for In-hospital Transfer of Critical Patients and Analysis of Obstacles[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(01):45-47.[doi:10.3969/j.issn.1008-9993.2021.01.012]
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基于循证的危重患者院内转运审查指标的制订及障碍因素分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年01期
页码:
45-47
栏目:
循证护理
出版日期:
2021-01-15

文章信息/Info

Title:
Evidence-based Establishment of Review Indicators for In-hospital Transfer of Critical Patients and Analysis of Obstacles
文章编号:
1008-9993(2021)01-0045-04
作者:
丁娟1; 付沫1; 严玉娇2; 刘晁晗2
(1.荆州市中心医院 护理部,湖北 荆州 434020; 2.长江大学医学院,湖北 武汉 434023)
Author(s):
DING Juan1; FU Mo1; YAN Yujiao2; LIU Chaohan2
(1.Department of Nursing,Jingzhou Central Hospital,Jingzhou 434020,Hubei Province,China; 2.School of Medicine,Yangtze University,Wuhan 434023,Hubei Province,China)
关键词:
危重患者;  院内转运;  循证护理;  审查指标;  障碍因素分析
Keywords:
critical patients;  in-hospital transfer;  evidence-based nursing;  review indicators;  analysis of obstacles
分类号:
R473
DOI:
10.3969/j.issn.1008-9993.2021.01.012
文献标志码:
A
摘要:
目的 了解危重患者院内转运证据临床应用现状,分析障碍因素,为证据的临床转化提供参考。方法 通过证据总结,纳入49条最佳证据,制订22条审查指标进行临床审查,根据审查结果分析障碍因素及促进因素,制订行动策略。结果 22条审查指标临床执行率为0～100%,其中7条指标执行率均为0。障碍因素主要为危重患者院内转运流程不完善、实践者层面医护人员知信行水平不高等。结论 危重患者院内转运证据与临床实践尚存在较大差距,应针对障碍因素,提出解决策略,促进证据转化与临床应用。
Abstract:
Objective To understand the clinical application of those evidence for in-hospital transfer of critical patients,analyze the obstacles,and provide references for clinical transformation of evidence.Methods Through the summary of evidence,49 items of best evidence were included,and 22 review indicators were formulated for clinical review.Based on the review results,the obstacles and motivators were analyzed to develop action strategies.Results The clinical execution rates of the 22 review indicators were 0-100%,and the rates of 7 indicators were 0.The main obstacles included the incomplete in-hospital transfer process for critical patients,medical staff's low level of knowledge,belief and behavior at a practical level.Conclusions There is still a big gap between the evidence for in-hospital transfer of critical patients and relevant clinical practice.Targeted solutions should be proposed to address those obstacles,so as to promote the transformation and clinical application of evidence.

参考文献/References:

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(本文编辑:陈晓英)

备注/Memo

备注/Memo:
【 收稿日期 】 2020-05-27 【 修回日期 】 2020-11-30
【 基金项目 】 湖北省卫生健康委员会2019～2020年度科研面上项目(WJ2019M084)
【 作者简介 】 丁娟,硕士,副主任护师,主要从事循证护理和急危重症护理
【 通讯作者 】 付沫,电话:18107168700
更新日期/Last Update: 2021-01-15