急诊室与重症监护室护士间患者交接实践质量的调查研究  

Analysis of obstacle factors for the effectiveness of patient handover practice between emergency room and intensive care unit nurses

作　　者：聂奕轩 练志梅 尤纯纯 颜东东 吴宇 谢砚辞 金学勤[4] 杨雪芳[5] 王敏[5] Nie Yixuan;Lian Zhimei;You Chunchun;Yan Dongdong;Wu Yu;Xie Yanci;Jin Xueqin;Yang Xuefang;Wang Min(Intensive Care Unit,Nanjing Medical University Affiliated Suzhou Hospital,Suzhou 215000,China;Department of Emergency,Nanjing Medical University Affiliated Suzhou Hospital,Suzhou 215000,China;Department of Infection Management,Nanjing Medical University Affiliated Suzhou Hospital,Suzhou 215000,China;Department of Nursing,Jiangsu University Affiliated Kunshan Hospital,Suzhou 215399,China;Department of Nursing,Nanjing Medical University Affiliated Suzhou Hospital,Suzhou 215000,China)

机构地区：[1]南京医科大学附属苏州医院重症医学科,苏州215000 [2]南京医科大学附属苏州医院急诊科,苏州215000 [3]南京医科大学附属苏州医院感染管理处,苏州215000 [4]江苏大学附属昆山医院护理部,苏州215399 [5]南京医科大学附属苏州医院护理部,苏州215000

出　　处：《中国实用护理杂志》2024年第23期1781-1788,共8页Chinese Journal of Practical Nursing

基　　金：苏州市医院协会感染管理专项研究课题(SZSYYXH-2023-YB4)。

摘　　要：目的:评估急诊室与重症监护室(ICU)护士的危重症患者交接实践质量水平,为结构化的交接流程提供依据。方法:采用横断面调查方法,便利抽样法选取2023年3—7月苏州市5所三级甲等综合医院的急诊室、ICU(含急诊ICU)护士为研究对象,使用自行设计的一般资料调查表及患者交接实践质量量表对纳入的223对急诊室与ICU护士进行调查,了解急诊室与ICU护士的交接实践质量现况。结果:最终纳入211对护士,女286名(67.8%),男136名(32.2%),急诊室护士年龄为(27.31±2.17)岁,ICU护士为(26.96±3.04)岁。急诊室护士与ICU护士的患者交接实践质量量表总分分别为(45.25±6.26)、(43.55±7.19)分,其中信息传递维度得分分别为(20.47±5.43)、(17.66±3.45)分,共同理解维度得分分别为(7.59±2.31)、(8.58±2.46)分,工作氛围维度得分分别为(7.93±2.11)、(8.39±2.29)分,移交情况维度得分分别为(5.33±1.30)、(5.70±1.53)分,二者比较差异均有统计学意义(t值为-6.35~4.22,均P<0.05);急诊室护士与ICU护士按专业化、学历、工作年限、任职类别划分的交接实践质量总分比较,差异均有统计学意义(t值为-4.91~2.56,均P<0.05)。结论:急诊室护士与ICU护士对交接程序的要求与期望值有差异,故有必要构建结构化交接实践框架,开展个性化交接实践培训,以达成交接内容一致,提高危重症患者交接实践质量。Objective To evaluate the quality of critical patient handover practice between emergency room and intensive care unit(ICU)nurses,and to provide a basis for structured handover process.MethodsFrom March to July 2023,a total of 223 pairs of nurses in emergency room and ICU(including EICU)of 5 Class 3 Grade A general hospitals in Suzhou were selected as the research objects by using cross-sectional survey method and convenience sampling method.Self-designed general information questionnaire and Patient Handover Practice Quality Scale were used to investigate the included 223 pairs of nurses in emergency room and ICU on the current situation of handover time and quality.ResultsA total of 211 pairs of nurses were included,including 286 females(67.8%)and 136 males(32.2%).The average age of emergency department nurses was(27.31±2.17)years old,and ICU nurses was(26.96±3.04)years old.The total scores of the patient handover practice Quality Scale for nurses in the emergency room and ICU were(45.25±6.26)and(43.55±7.19)points respectively,and the scores of the information transmission dimension were(20.47±5.43)and(17.66±3.45)points.The scores of common understanding dimension were(7.59±2.31)and(8.58±2.46)points.The scores of work atmosphere dimension were(7.93±2.11)and(8.39±2.29)points.The scores of handover situation dimension were(5.33±1.30)and(5.70±1.53)points,and the differences were statistically significant(t values were-6.35-4.22,all P<0.05).There were statistically significant differences in the scores of handover practice quality between emergency room nurses and ICU nurses according to specialization,education background,working years and job category(t values were-4.91-2.56,all P<0.05).ConclusionsEmergency room nurses and ICU nurses have different requirements and expectations for handover procedures,so it is necessary to build a structured handover practice framework and carry out personalized handover practice training,in order to achieve the consistency of handover content and improve the quality

关 键 词：重症监护病房 急诊室 医院 护士 信息传递 交接 

分 类 号：R47[医药卫生—护理学]