背景:患者安全是影响全球患者的全球性健康问题。在重症监护病房(ICU)提供安全护理是护士最重要的任务之一。许多因素会影响护士在ICU内提供安全护理的能力。因此,本研究的目的是确定ICU中安全护理的组成部分.
方法:当前研究构成了2022年1月至2022年6月进行的定性常规内容分析研究。研究参与者包括护士,密集主义者,负责患者安全的护士,护理人员,病人,和病人的家庭成员,共有21个人通过目的抽样选出。数据收集涉及个人,深入,半结构化面试。随后,利用Graneheim和Lundman概述的方法进行数据分析(NurseEducToday24(2):105-12,2004),导致确定参与者的观点。
结果:三个主题被确定为ICU安全护理的组成部分。这些主题包括专业行为(包括类别:政策的执行,组织沟通,职业道德),整体护理(含类别:系统护理,全面照顾所有系统),和以安全为导向的组织(类别:人力资源管理和安全环境)。
结论:这项研究的结果强调了通过强调专业行为在ICU中倡导安全护理实践的重要性,整体护理,和以安全为中心的组织结构。这些结果与现有研究一致,建议通过引入由这些要素提供信息的量身定制的干预措施和策略,可以为ICU患者建立更安全的护理环境。
BACKGROUND: Patient safety is a global health issue that affects patients worldwide. Providing safe care in the intensive care units (ICUs) is one of the most crucial tasks for nurses. Numerous factors can impact the capacity of nurses to deliver safe care within ICUs. Consequently, this study was undertaken with the aim of identifying the components of safe nursing care in ICUs.
METHODS: The current research constitutes a qualitative conventional content analysis study conducted from January 2022 to June 2022. The study participants comprised nurses, intensivists, nurse responsible for patient safety, paramedic, patients, and patients\' family member, totaling 21 individuals selected through purposive sampling. Data collection involved individual, in-depth, and semi-structured interviews. Subsequently, data analysis was performed utilizing the approach outlined by Graneheim and Lundman (Nurse Educ Today 24(2):105-12, 2004), leading to the identification of participants\' perspectives.
RESULTS: Three themes were identified as components of safe nursing care in ICUs. These themes include professional behavior (with categories: Implementation of policies, organizing communication, professional ethics), holistic care (with categories: systematic care, comprehensive care of all systems), and safety-oriented organization (with categories: human resource management and safe environment).
CONCLUSIONS: The findings of this study underscore the significance of advocating for safe nursing practices in ICUs by emphasizing professional conduct, holistic care, and safety-focused organizational structures. These results align with existing research, suggesting that by introducing tailored interventions and tactics informed by these elements, a safer environment for nursing care can be established for ICUs patients.