目的:分析重症监护护士在快速反应小组中的作用的定性证据。
方法:定性系统评价。
方法:本定性系统评价采用了Bettany-Saltikov和McSherry的指南,并根据“提高报告透明度”定性研究综合检查表进行报告。两对失明的研究人员筛选了这些文章。使用专题分析方法对数据进行综合。
方法:使用CINAHL进行了系统的文献检索,Embase和MEDLINE数据库。
结果:纳入了7项研究,并确定了三个主要角色:(1)在临床接触中信心和恐惧之间的平衡,(2)促进协作;(3)管理决策中具有挑战性的动力动态。
结论:重症监护护士在为普通病房恶化的患者提供重症监护方面拥有广泛的知识和技能。他们在促进团队成员和病房工作人员之间的合作方面发挥着至关重要的作用。此外,在快速反应团队中,重症护理护士通过监督患者护理的全面协调并积极参与有关患者护理的决策过程来承担领导责任。
强调重症监护护士在快速反应团队中的核心作用以及这种团队在医疗机构中的优势,可以促进资金申请,以支持快速反应团队的进一步质量保证,从而提高患者安全。
结论:卫生保健组织可以通过提供经济资源和培训来保证快速反应团队的质量。教育提供者应促进和标准化重症护理学生的课程,以作为快速反应团队的成员获得必要的知识和技能。
■没有患者或公众捐款。
OBJECTIVE: To analyse the qualitative evidence on the role of critical care nurses in rapid response teams.
METHODS: Qualitative systematic review.
METHODS: This qualitative systematic review employed Bettany-Saltikov and McSherry\'s guidelines and is reported according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research checklist. Two pairs of blinded researchers screened the articles. The data were synthesised using a thematic analysis approach.
METHODS: A systematic literature search was conducted using the CINAHL, Embase and MEDLINE databases.
RESULTS: Seven studies were included, and three main roles were identified: (1) balancing between confidence and fear in clinical encounters, (2) facilitating collaboration and (3) managing challenging power dynamics in decision-making.
CONCLUSIONS: Critical care nurses possess extensive knowledge and skills in providing critical care to patients experiencing deterioration on general wards. They play a vital role in facilitating collaboration between team members and ward staff. Furthermore, within the rapid response team, critical care nurses assume leadership responsibilities by overseeing the comprehensive coordination of patient care and actively engaging in the decision-making process concerning patient care.
UNASSIGNED: Highlighting the central role of critical care nurses in rapid response teams as well such a team\'s benefits in healthcare organisations can promote applications for funding to support further quality assurance of rapid response teams and thus enhance patient safety.
CONCLUSIONS: Health care organisations can assure the quality of rapid response team by providing economical resources and training. The education providers should facilitate and standardise curriculum for critical care nursing students to achieve necessary knowledge and skills as members in rapid response teams.
UNASSIGNED: No patient or public contribution.