计划行为理论视角下新生儿科护士心电监护仪警报管理行为意向的质性研究  

Behavioral intention of alarm management in ECG monitor of nurses in neonatology department from the perspective of planned behavior theory: a qualitative study

作　　者：姚玫贤 吴桂丽[2] 彭泽华[3] 陈佳佳[4] 卢晓霞 YAO Meixian;WU Guili;PENG Zehua;CHEN Jiajia;LU Xiaoxia(Department of Nursing,Shantou University Medical College,Shantou,Guangdong province,515041,China)

机构地区：[1]汕头大学医学院护理学系,广东省汕头市515041 [2]汕头大学医学院第二附属医院护理部 [3]汕头大学医学院第二附属医院新生儿科 [4]汕头大学医学院第二附属医院PICU

出　　处：《中国护理管理》2023年第2期215-219,共5页Chinese Nursing Management

摘　　要：目的 :基于计划行为理论探讨新生儿科护士心电监护仪警报管理行为意向,旨在为探索新生儿科有效的心电监护仪警报管理策略提供依据。方法 :根据计划行为理论框架制定访谈提纲,于2022年2月—3月对汕头市某三级甲等医院的13名新生儿科护士行半结构式访谈,采用Colaizzi七步分析法进行资料分析。结果 :基于计划行为理论的3个维度(行为态度、主观规范和知觉行为控制)共提取出积极态度、消极态度、群体压力、领导压力、患方压力、知识技能、设备性能、工作负荷8个主题。结论 :多数受访者对心电监护警报管理持积极态度,警报管理行为主要受到来自群体、领导、患方三方面外界压力的影响,且存在知识技能、设备性能、工作负荷多方面阻碍因素。护理管理者可探索新生儿警报管理策略和实施方案,促进新生儿科警报管理质量改进。Objective: To explore the behavioral intention of ECG monitor alarm management of nurses in neonatology department based on the theory of planned behavior, in order to provide clinical basis for exploring effective ECG monitor alarm management strategies in neonatology department. Methods: The interview outline was formulated according to the theoretical framework of planned behavior, a semi-structured interview was conducted in 13 nurses from neonatology department of a tertiary grade A hospital in Shantou from February to March 2022, and the data were analyzed by Colaizzi seven-step analysis method. Results: Based on the theory of planned behavior, 8 themes were extracted, including positive attitude, negative attitude, group pressure, leadership pressure, patient pressure, knowledge and skills, equipment performance, and workload. Conclusion: Most interviewees hold a positive attitude towards ECG monitoring alarm management, and the alarm management behavior was mainly affected by external pressure from group, leaders and the patients, and there were many obstacles in knowledge and skills, equipment performance and workload. Nursing managers might explore alarm management strategies and implementation plans, to promote the quality of neonatal alarm management.

关 键 词：计划行为理论 新生儿科护士 心电监护仪 警报管理 质性研究 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]