ICU患者转移和接收行为的发展:减少沟通错误-德尔菲研究。

IF 1 Q4 CRITICAL CARE MEDICINE Critical Care Nursing Quarterly Pub Date : 2023-04-01 DOI:10.1097/CNQ.0000000000000451
Gurleen Kaur, Haranjan Kaur Johal, Shivani Kalra
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引用次数: 0

摘要

危重病人经常在重症监护病房(icu)和医院其他科室之间运送,这可能导致通信错误。本研究的目的是减少在ICU转移和接收患者时的错误。本研究旨在为某三级医院重症监护病房的住院病人制定一套移转与接收操作系统。在icu中进行了多阶段发育研究。采用有目的抽样的方法,选取了11位专家,分4个阶段进行研究。从项目池中,准备了表演的初步草案,并将草案交给专家,通过进行2轮德尔菲来评估其内容和表面有效性。经过第2轮Delphi后,平均I-CVI从0.92上升到0.95,S-CVI/AVG从0.88上升到0.96,S-CVI/UA从0.48上升到0.7。在接受表演的情况下,平均I-CVI和S-CVI/AVG保持不变,即在德尔福第1轮和第2轮为0.98。平均S-CVI/UA也保持不变(即0.9)。结果表明,该量表的互译信度为0.95。几乎所有的护理人员都认为表演是有益的,提供了完整的信息,减少了沟通错误。
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Development of a Shifting and Receiving Performa for ICU Patients: Reducing Communication Errors-A Delphi Study.

Critically ill patients are frequently transported between intensive care units (ICUs) and other sections of hospital, which may cause communication error. The aim of this study was to reduce errors while shifting and receiving of patients in and from the ICU. The present study was aimed to develop a Shifting and Receiving Performa for the patients admitted in the ICU of a tertiary care hospital. A multistage developmental study was conducted in ICUs. Eleven experts were selected by a purposive sampling technique, and the study was conducted in 4 phases. From the pool of items, a preliminary draft of the performa was prepared and the draft was given to experts to evaluate its content and face validity by conducting 2 Delphi rounds. The mean I-CVI of the shifting performa increased from 0.92 to 0.95, S-CVI/AVG exceeded from 0.88 to 0.96, and S-CVI/UA exceeded from 0.48 to 0.7 after Delphi round 2. In the case of the receiving performa, the mean I-CVI and S-CVI/AVG remained the same, that is, 0.98 in Delphi rounds 1 and 2. The mean S-CVI/UA also remained the same (ie, 0.9). The interrater reliability of the performa was found to be 0.95. Almost all the staff nurses found the performa to be beneficial, provided complete information, and reduced communication errors.

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来源期刊
Critical Care Nursing Quarterly
Critical Care Nursing Quarterly CRITICAL CARE MEDICINE-
CiteScore
2.60
自引率
0.00%
发文量
76
期刊介绍: Critical Care Nursing Quarterly (CCNQ) is a peer-reviewed journal that provides current practice-oriented information for the continuing education and improved clinical practice of critical care professionals, including nurses, physicians, and allied health care professionals.
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