主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2021, Vol. 21 ›› Issue (11): 1689-1694.doi: 10.3969/j.issn.1672-1756.2021.11.019

• 循证护理 • 上一篇    下一篇

ICU患者身体约束循证实践方案实施促进及障碍因素的研究

杨倮 刘红霞 申艳玲 柳清霞 王海妍 郭红   

  1. 北京中医药大学护理学院,102488 北京市(杨倮,刘红霞,郭红);中日友好医院外科重症医学科(申艳玲);护理部(柳清霞);北京医院老年医学科 国家老年医学中心(王海妍)
  • 出版日期:2021-11-15 发布日期:2021-11-15
  • 通讯作者: 郭红,硕士,教授,E-mail:guohong2015@163.com
  • 作者简介:杨倮,博士在读
  • 基金资助:
    中央高校基本科研业务费专项资金(2020-JYB-ZDGG-074)

Facilitators and barriers of implementation of evidence-based physical restraint in ICU patients

YANG Luo, LIU Hongxia, SHEN Yanling, LIU Qingxia, WANG Haiyan, GUO Hong   

  1. School of Nursing, Beijing University of Chinese Medicine, Beijing, 102488, China
  • Online:2021-11-15 Published:2021-11-15
  • Contact: E-mail:guohong2015@163.com

摘要: 目的:探究循证实践方案实施过程中的影响因素,推动循证实践项目的持续进行。方法:选取方案应用科室60名护士为研究对象,通过循证护理信念和实践量表以及访谈法了解项目影响因素。结果:影响本项目持续的障碍因素包括循证系统培训不足;循证实践能力有待提高,依赖原有工作习惯;科室缺乏质量控制环节等,促进因素包括项目必要性得到认可以及领导者的重视等。结论:ICU患者身体约束循证实践方案应用过程中多方面的因素影响该项目的持续。研究者需要采取具体的行动策略推动项目持续,使其有序高效地在临床中实施应用。

关键词: 身体约束;持续性;持续改进;循证实践

Abstract: Objective: To explore the influencing factors during the implementation of evidence-based physical restraint project. Methods: Sixty pilot department's nurses were selected. The influencing factors of practice implementation were explored through the questionnaire of evidence-based nursing implementation belief and implementation level questionnaire and interview. Results: Barriers affecting the evidence-based practice implementation included: nurses had no systematic training of evidence-based practice; nurses' evidence-based practice ability needed to be improved and mainly based on their own working habits; the corresponding department had no detailed rules of quality control, and the facilitators included recognition of the practice significance and high attention received from department leaders, etc. Conclusion: Multiple factors affected the continuity of the project during the application process of the evidence-based physical restraint in ICU patients. Researchers should take specific strategies to promote project continuity, maximize the effects of evidence-based practice, and implement it in a clinical practice in an orderly and efficient manners.

Key words: physical restraints; sustainability; continuous improvement; evidence-based practice

中图分类号: 

  • R47