护士对心电监护仪报警应答行为影响因素的质性研究

发布时间：2018-01-12 07:35

本文关键词：护士对心电监护仪报警应答行为影响因素的质性研究　出处：《浙江大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的本研究通过对临床护士的访谈,深入了解她们对心电监护仪报警的应答体验,识别其选择何种报警应答行为的主要影响因素,并提出有针对性的建议,为护理管理者制定有效的临床报警管理方案提供实证依据。方法质性研究中现象学研究方法。采用目的抽样法对某市不同等级医院的15名临床护士进行半结构式深入访谈,现场录音,同时,注意观察受访者的举止、表情变化及音调、语速方面的信息,并做好记录。然后将录音资料逐字逐句转录成文字资料,双人核对,采用Colaizzi资料分析法对文本资料及现场记录进行分析。结果经过对访谈资料的反复阅读、分析、反思、归类和提炼,最终得出4个主题。1.护士对设置心电监护仪报警的目的认识;2.护士应答心电监护仪报警的行动线索:① 患者病情②工作职责③来自他人的压力④自身需求⑤既往经历⑥患者安全3.护士应答心电监护仪报警的障碍:①工作繁忙②不一定能及时发现报警③不必要的报警太多了④患方对休息的需求4.护士对不应答心电监护仪报警的风险认识。结论护士对心电监护仪报警存在不当应答行为,如:延迟应答、不应答、以及关闭报警等;护士对心电监护仪报警的应答行为受到多种因素影响,包括:护士对设置心电监护仪报警的目的认识、护士应答心电监护仪报警的行动线索、护士应答心电监护仪报警的障碍以及护士对不应答心电监护仪报警的风险认识。护理管理者应该从护士的角度,理解其行为,减轻护士工作分担,加强相关教育和培训,提高护士对心电监护仪报警的风险意识,提高心电监护仪报警质量,改善心电监护仪报警告知体系,加强护患配合,力求实现报警的安全管理。
[Abstract]:Objective this study through the interview of clinical nurses, in-depth understanding of their ECG monitor alarm response experience, identify their choice of alarm response behavior of the main factors, and put forward targeted recommendations. To provide empirical evidence for nursing managers to formulate effective clinical alarm management scheme. Methods Phenomenology research method in qualitative study. 15 clinical nurses in different grade hospitals in a certain city were semi-structured by objective sampling method. In-depth interviews. At the same time, watch the interviewee's behavior, expression change and tone, speed of speech information, and make a good record. Then record the recorded data verbatim into text material, double check. Colaizzi data analysis method was used to analyze the text data and site records. Results after repeated reading, analysis, reflection, classification and refinement of the interview materials. Finally, four themes. 1. Nurses know the purpose of setting up ECG monitor alarm. 2. The action clue of nurses responding to ECG monitor alarm: 1 patient's condition 2 work responsibilities 3 pressure from others 4 self demand 5 past experience 6 patients' safety 3. The obstacle of nurses answering ECG monitor alarm: 3. 1 busy work 2 can not be found in time to alarm 3 unnecessary alarm too many patients for the rest of the demand 4. Nurses do not respond to ECG monitor alarm risk awareness. Conclusion there is a nurse alarm ECG monitor alarm. Improper response. Such as: delayed response, non-response, and turn off the alarm, etc. The response behavior of nurses to ECG monitor alarm was affected by many factors, including: nurses' understanding of the purpose of setting up ECG monitor alarm, the action clue of nurses responding to ECG monitor alarm. The obstacle of nurses responding to ECG monitor alarm and the risk awareness of nurses not responding to ECG monitor alarm. Nursing managers should understand their behavior from the perspective of nurses and reduce the sharing of nurses' work. Strengthen relevant education and training, improve nurses' awareness of the risk of ECG monitor alarm, improve ECG monitor alarm quality, improve ECG monitor alarm notification system, strengthen nurse-patient cooperation. To achieve alarm safety management.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

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